5 8 • 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
• Distracted from discomfort. Patients
who are left alone in recovery bays tend to
focus on the discomfort they're experienc-
ing, so recovery room nurses at Lakeland
(Fla.) Surgical & Diagnostic Center use
music and movies to distract patients
from the pain they feel. Easy listening
music is piped through speakers that sit
above beds in individual bays and iPads
are handed out to patients who can watch movies through the
facility's Hulu subscription. Patients can also choose to tune into
entertainment options on their personal devices.
• Success in total joints. Hyde Park Surgery
Center recently became the first facility in
Austin, Texas, to launch an outpatient joints
program that includes total hips, knees and
shoulders. The surgical team applies advanced
surgical techniques, such as the anterior
approach to the hip, in concert with the latest in
pain management protocols to ensure patients
are up and moving and ready for same-dis-
charge. In pre-op, patients receive celecoxib,
oxycodone, acetaminophen and gabapentin.
During surgery, surgeons use ketamine, mor-
phine, ketorolac IV and an injection of a long-
lasting bupivacaine liposome at the surgical site to reduce the need
for opioids in recovery. The efforts ensure patients are up and mov-
ing and on their way home soon after surgery.— Daniel Cook
• MUSIC AND MOVIES Patients receive
an iPad in PACU to help take their minds
off the pain they're feeling.
Nikki
Williams,
RN,
CNOR
• LEAD BLOCKER
Anesthesiologist Steven
Rutman, MD, helps numb
patients' pain at the Hyde Park
Surgery Center in Austin, Texas.
Jami
Osterlund,
RN,
MSN,
CNOR,
CSSM,
CAIP