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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from $20 per blade on the low end all the way up to $40 to $50 on the very high end. Even assuming your facility is purchasing disposables at the lowest end of that range, it's going to cost you $60,000 to purchase knives for 3,000 cataract cases. But you can't simply do an apples-to-apples comparison of reusable diamond blades versus disposable steel blades. "When you're compar- ing the cost of single-use instruments to the cost of disposables, you have to look at cost of labor and the sterilization costs of reprocessing instruments," says Robert S. Bailey, Jr., MD, director of cataract and primary eye care service at Wills Eye Hospital in Philadelphia, Pa. "You may think the cost of disposable instruments is more, but when you factor in labor and sterilization, you may very well find that there are actually some savings there." You'll also want to consider facility size. If you're a smaller facility, you may be able to dig into your data, determine your surgeon's pref- erence and skill level, and offer the option of either disposable or multi-use items. But if you're a larger, high-volume center, purchasing both types of instruments can be a logistical nightmare, so you're probably better off standardizing to single-use options. Case volume is also an important consideration. Reusable dia- mond blades can be extremely economical and maintain their sharpness if you take proper care of them. However, they do break easily. "If you're doing 500 cases a year, and you go through three 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 • F E B R U A R Y 2 0 2 0 • BLADE OF CHOICE The multi-use versus disposable choice in ophthalmic knives often comes down to how the instrument feels in a surgeon's hand. Pamela Bevelhymer, RN, BSN, CNOR

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