Outpatient Surgery Magazine

Special Outpatient Surgery Edition - Anesthesia - July 2019

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

Issue link: http://magazine.outpatientsurgery.net/i/1139533

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Page 9 of 66

oids to manage post-op pain and patients who have had previous surgeries without regional anes- thesia are often astounded at the difference a nerve block makes. The number of patients who request blocks and the number of blocks we place have increased each year, and we're now looking to expand their use beyond ortho- pedic patients to general abdomi- nal, gynecological and breast sur- geries. We've learned that a multi- modal pain management plan will improve orthopedic outcomes and increase patient satisfaction if it's built on these 5 pillars of nerve block success. 1. Facility-wide buy-in To make a regional anesthesia pro- gram work, be as inclusive as possible of all the staff across the many disciplines who are involved, including, nurses, anesthesia providers and surgeons. You need to create a united, team atmosphere. Your surgeons might push back against your efforts to standardize the block-placing process in a dedicated procedure room, preferring instead to place the blocks in the OR. They might even want to avoid blocks alto- gether, thinking the time it takes to place blocks will delay the start of their cases. That's OK. A very important part of establishing a successful block program is to acknowledge and address each surgeon's concerns, 1 0 • 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 U L Y 2 0 1 9 • INSIDE LOOK Ultrasound guidance ensures anesthesia providers infuse local anesthetic around the targeted nerve. Pamela Bevelhymer, RN, BSN, CNOR

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