Outpatient Surgery Magazine - Subscribers

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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• Settled on one solution. We went with the skin prep solution that most of our surgeons were already using, and about which they'd expressed a prefer- ence. Two surgeons were holdouts for a different prep, howev- er, which was fine: We educated them on the use of that prep. For everyone else, we partnered with the vendor and provided education on the solution's proper use according to the manufacturer's IFU. • Added timers. We all know time is of the essence in an OR; we want to provide excellent care and then turn that room over quickly for the next case. In order to ensure our OR staff adhered to the rec- ommended prep dry times, we implemented small digital timers in each OR. They're kept at the nurse's prep stand, and staff members know to use them to ensure prepping solutions sit for the required three minutes before drapes are applied. • Standardized the process. Developing and implementing a time- line algorithm that explicitly spells out our skin prep process helped formalize the practice. This plan delineates roles to the individual nurses and techs. The nurse (or the surgeon if that's the surgeon's preference, as is the case with one of our neurosurgeons) applies the prep according to the IFU, while also adhering to AORN guidelines by covering their arms. Once they properly prep the patient, the nurse 6 2 • 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 • PREP STEPS Tanya Muallem, RN, and other perioperative staff at CHOC have benefited from the facility's skin prep education and standardization. David Reidy/CHOC

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