Outpatient Surgery Magazine

No More Never Events - February 2014 - 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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1 3 3 F E B R U A R Y 2 0 1 4 | O U T P AT I E N T S U R G E R Y M A G A Z I N E O N L I N E SAFETY The more extensive pre-op evaluation helps recovery room staff know which patients are more likely to face potential issues once they're discharged home. Consider hospitalizing a patient if the caregiver burden interview reveals the family was already under a great deal of care-related stress before the operation, or if the patient is exceptionally frail or cognitively impaired. In fact, these patients might not be suit- able for surgery in the outpatient setting. OSM Dr. Katlic ( mk atlic@lifeb ridg ehea lth.org ) is the chief of the department of surgery and surgeon-in-chief at Sinai Hospital and the director of the Sinai Center for Geriatric Surgery in Baltimore, Md. W hen I came to Sinai Hospital in Baltimore, Md., I asked the administration to create a center for geriatric surgery. The idea was to take better care of elderly patients, teach other facilities about what we're doing and how we can all do better. It's both a clinical/ patient care mission and an academic mission.) The Sinai Center for Geriatric Surgery has been open for about a year. It's virtual: The elderly travel along the same surgical circuit that all patients do, but our perioperative staff focuses on their unique clinical needs and sensitivities. Among the many suc- cessful case outcomes I've achieved: lung surgeries performed on a 104-year-old woman who was kept overnight and on a 100-year-old man who was discharged the day of surgery and several patients who were turned down for surgery by other centers. — Mark Katlic, MD, MMM, FACS FACILITY FOCUS The Sinai Center for Geriatric Surgery TARGETED CARE Joann Coleman, RN, clinical coordinator at the Sinai Center for Geriatric Surgery, performs pre-operative testing on an elderly patient. OSE_1402_part3_Layout 1 2/6/14 3:03 PM Page 131

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