Outpatient Surgery Magazine

OR Excellence 2019 Awards - September 2019 - Subscribe to Outpatient Surgery Magazine

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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If surgeons believe patients will require more than a 7-day supply of opioids, they must fill out and sign a separate form acknowledging that they educated patients about the risks of taking an extended course of opioids and list on the form the medical conditions necessi- tating more than a week's supply of the painkillers. The form remains with patients' charts on the day of surgery and is added to their med- ical records. "We've realized that our team plays a crucial role in educating patients about alternative pain control options," says Ms. Rowe. "We explain that they don't have to take opioids to find relief from post-op pain. There are other effective methods." Always striving Lakeside's anesthesia providers, surgeons and nursing staff stay cur- rent on pain management research and constantly work to incorpo- rate the latest developments into their protocols and practices. For example, they're reevaluating the benefits of using IV NSAIDs to reduce tissue inflammation based on what the center's anesthesiolo- gist medical director heard at a national conference. Additionally, the team recently took steps to enhance its pain management protocols. Now, in pre-op, patients receive: • Tylenol 1,000 mg IV • Celebrex, per surgeon request • Neurontin 300 mg to 600 mg PO • Valium 5 mg PO During surgery, they receive: • Ketamine 0.5mg/kg prior to incision (an additional ketamine dose of 0.25mg/kg is given 1 hour later if it will be at least 45 minutes before the anticipated time of emergence from anesthesia In post-op, they receive: 5 4 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • S E P T E M B E R 2 0 1 9

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