Outpatient Surgery Magazine - Subscribers

Keep Your Nose Clean - Outpatient Surgery Magazine - August 2018

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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2 2 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • A U G U S T 2 0 1 8 W hat's your biggest anes- thesia gripe? Take your pick of the 3 C's: cancellations (too many), costs (too much) or communication (too little). We don't have the time or space to address them all, so let's tackle the one you're likely los- ing the most sleep — and reimbursement — over: same-day cancellations. If you're like most facilities, you rely on the surgeon for an office visit H&P and on one of your nurses to call the patient before surgery to verify the history, NPO status and which medications to take or stop. Day of surgery arrives and you've checked all of the boxes. The H&P labs and testing are on the chart. The surgeon has spoken with and marked the patient. You are ready, the IV is started and the room is opened. But things come to a screeching halt when anesthesia cancels the case after assessing the patient, leaving an unhappy patient, a riled up surgeon, wasted supplies and an OR crew with nothing to do in his wake. Why on earth did anesthesia cancel? Many cancellations are not anesthesia's fault. Perhaps your ambiguous policies are to blame. Or your pre-screening system failed to identify red flags. Cancellations Aren't Always Anesthesia's Fault When a case is postponed, there's often plenty of blame to go around. Anesthesia Alert Lynette Bear, DNP, CRNA, MNBA • WHO'S TO BLAME? Just as there are many reasons for same-day cancel- lations, there's plenty of blame to spread around. Pamela Bevelhymer, RN, BSN, CNOR

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