Outpatient Surgery Magazine - Subscribers

2018 Salary Survey - Outpatient Surgery Magazine - January 2019

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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blocks so we could reduce the number of opioids we were giving our patients. What wasn't good, however, was how unprepared we were for such growth. We went from doing just a few blocks in a day to up to 20. That's when things got chaotic. We were trying to do too many things at once: prep patients for sur- gery, perform nerve blocks and epidurals, and bring patients from the floor for pain blocks. Did I mention that we also run an ambulatory eye center in the same area where all of this intermingling of activity was happening? There was only one solution to restore order: standardize our block procedures and develop clear protocols on preparing and performing blocks. Our block process used to be as follows: On the day of surgery, an anesthesiologist would determine whether we were going to do a block. More often than not, that would delay getting the patient into surgery on time and cause anxiety for the patient because no one had discussed the block with him. Plus, it wreaked havoc on our staffing. Nurses would get pulled out 6 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 • J A N U A R Y 2 0 1 9

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