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No More Empty Beds - Outpatient Surgery Magazine - February 2020

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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and defibrillator implants, with incidental lead perforation, typically through the right ventricle of the heart. Covered stents are sometimes used when there is an arterial dis- section or perforation. While there may be times when only a bal- loon is needed to treat the dissection, a covered stent could be used to treat major complications that require immediate attention. The size of the vessel and the location of the damage determines the need for a covered stent, non-covered stent or a simple balloon angioplasty. • Patient selection. Prevention is the best form of emergency pre- paredness, and that starts with a precise list of guidelines for patient admission criteria. Cardiovascular patients often are of advanced age, have multiple comorbidities and may be more vulnerable than your typical same-day surgery patient. Before procedures, cardiovas- cular patients should undergo stringent pre-procedure testing, have lab work drawn and obtain medical clearance. When they arrive at the facility, they must be carefully reassessed and again determined to be a candidate for an outpatient procedure. These are elective procedures, so even slight changes in the patient's status might mean they shouldn't be treated on that particular day. While adding cardiovascular cases is definitely doable, launching the service line is uniquely challenging and can be complicated. It's impor- tant to carefully consider the required staffing, space and equipment needs, and proceed with caution. OSM Ms. Bemis (kbemis@ncplp.com) is the chief clinical officer for National Cardiovascular Partners and Azura Vascular Care, two divisions of Fresenius Medical Care of North America, which operates dozens of ambula- tory surgery centers and outpatient facilities in the U.S. Business Advisor BA 1 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 • F E B R U A R Y 2 0 2 0

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