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What Will the OR of the Future Look Like? - July 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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8 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 | J U LY 2 0 1 4 Better than the ER Our surgeons operate and are on call at local hospitals. They've seen how long it takes for patients who have presented in the emergency department with fractures, even simple cases, to be treated. They thought they could accommodate emergent cases in a more efficient manner. As it turns out, they've proven themselves right. Consider the typical visit to a hospital's emergency department or a general urgent care center. Patients with uncomplicated fractures will, by necessity, be triaged to the end of the line, behind the cardiac, trau- ma and other critical cases that arrive in the meantime. There's a sub- stantial wait just to be evaluated and taken to radiology for an X-ray, then another wait for an on-call physician to issue a diagnosis. Then they're waiting again for the orthopedic specialist. If he's not immedi- ately available, they might be referred to his office for treatment the following day. In short, there are long waits and a lot of hoops to jump through. Since our ASC's surgical schedule isn't triaged with life-threatening injuries, we're usually able to provide same-day access to the appro- priate orthopedic expert for fairly immediate, streamlined treatment and more continuity of care. Patients who arrive with a fracture can be seen, evaluated, X-rayed and, in the event the fracture needs to be set, treated and discharged in relatively short order. It's possible they'll be back home before they would've even been seen in the emergency department. If several immediate-care cases arrive at once, we'll triage them based on patient age (the youngest are treated first), the severity of injury (compound fractures take precedence over simple ones) and the length of time the case can wait (leg fractures typically should be done sooner than wrists). And, of course, we'll verify patients' overall general health status to ensure they're appropriate to treat in the sur- O R T H O P E D I C S OSE_1407_part2_Layout 1 7/3/14 8:49 AM Page 84

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