Outpatient Surgery Magazine

Her Loss, Their Gain - October 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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8 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 • O C T O B E R 2 0 1 9 Implementing an effective opioid- sparing regimen requires education and communication, for both your staff and your patients. Here are some simple ways to improve both: • In-services. At Montefiore Hutchinson Metro ASC in the Bronx, N.Y., anesthesiologists conduct fre- quent in-services for the nurses who work in the PACU. The sessions cover the various risks of opioid use and the types of questions they should be asking patients before they're discharged. • Provider briefings. Communication between surgeons and anesthesiologists is paramount, and both sides need to be on the same page. "The anesthesiologist needs to know the proce- dure's expected pain level, and the surgeon needs to know the modes of multimodal analgesia the anesthesiologist is using," says Gregory A. Liguori, MD, anesthesiologist-in-chief at the Hospital for Special Surgery in New York, N.Y. These briefings provide the opportunity for everyone to work together to create a reasonable, personalized prescription for post-op opioids. "You can now tailor prescriptions to the procedure," says Dr. Liguori. "A knee arthroscopy may only need a few days' worth of pills. A rotator cuff repair of the shoulder, even with multimodal analgesia, is going to require more." • Discharge instructions. Because you can't directly monitor COORDINATED CARE • MEETING OF THE MINDS Every member of the surgical team must be on board with your facili- ty's pain management strategy. The Keys to Limiting Opioid Use

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