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ORX Awards and the Winners Are ... - September 2014 - 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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STAFFING assigning patients to pre-op beds. (Never mind the emergent cases that would further confuse matters.) The only way to know which nurses were getting which patients ready was to flip through charts. We didn't like the helter-skelter process, and patients deserved a calmer scene before heading into surgery. To reach a solution, we first created a team that included representa- tives from every aspect of perioperative care. We tried to eliminate as many roadblocks as possible, and didn't accept answers that involved adding staff members. Match pre-op beds with ORs Key for us was making use of a secondary pre-op area that contains 8 beds, bumping our total number of pre-op beds to 18. Now, the periop- erative lead or charge nurse previews the next day's surgical schedule and matches pre-op beds with ORs — 2 pre-op beds are assigned to each OR — based on the number and types of cases and expected pro- cedure times. In our case, pairings of 18 pre-op beds staffed by assigned nurses feed patients to one of 9 ORs throughout the day. We give high-volume ORs beds in opposite sides of the pre-op area so as not to impede patient flow. As you can see in the photo, we note the assignments and layout of the pre-op area on a dry erase board for quick reference by the entire surgical team. Much smoother patient flow Among the new system's noticeable improvements: • Smarter staffing. There was a lot of concern about how we could improve patient flow without increasing manpower. We've found that organized assignments eliminate staff running around to locate patients or seek answers to clinical care questions, so the same num- ber of nurses can accomplish more by working smarter, not harder. S E P T E M B E R 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 3 7

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