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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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1. Create a realistic environment A few years back, I was at a medical conference where a healthcare professional with past military experience stressed how simulation training is important in maintaining safe patient care. In the military, they drill again and again until responses become second nature. I wanted our MH simulation to mirror that approach. Our SBT is done in an OR on a morning before cases start. I have access to CPR mannequins and went to work creating a training envi- ronment that was as accurate and realistic as possible. That meant intubating the mannequin with an anesthesia circuit, placing an IV line and draping it for surgery. We also placed a warming blanket on the "patient" and set up the back table and mayo stand. Finally, we gathered all the supplies we'd likely use in the event of an MH crisis, including expired dantrolene and sterile water, syringes, mini-dispensing pins, an extra anesthesia cart, Foley catheter, vascular access supplies and empty syringes that we mark up for emergency medications during the simulation. All the supplies were placed outside of the OR where we conducted the drill. 2. Simulate everything When staff — nurses, surgical techs and, of course, an anesthesia provider to lead the drill — enter the OR for the training, the first thing they're asked to do is answer a seven-question pre-simulation questionnaire that tests their knowledge of proper response proto- cols. After completing the questionnaire, staff are instructed to gather the practice items — everything from the MH cart to bags of ice — they'd use during an MH event. We require staff to do everything exactly as they would in the event of a real emergency. That means making sure they physically leave the F E B R U A R Y 2 0 2 0 • O U T PA T I E N T S U R G E R Y. N E T • 5 5

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