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Battle Post-op Pain Without Opioids - April 2016 - 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 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 • A P R I L 2 0 1 6 Outpatient Surgery R Magazine www outpatientsurgery.net April 2016 Ethicon Pulls Sedasys Propofol Machine p. 10 Are Pre-Filled Syringes Right for You? p. 32 Pupil Dilation Drugs and Devices p. 64 Lonely Life of a Travel Nurse p. 72 Battle Post-op Pain Without Opioids 5 multimodal approaches that work best when pain from surgery is at its worst. P. 26 10:45 AM Page 1 On the Cover Mindful of the nationwide opioid epidemic, surgeons are rethink- ing prescribing addictive painkillers to control post-op pain. Although eliminating the use of opioids to ease post-op pain might be unrealistic, we've witnessed exciting new advances in multimodal pain control. See how ultrasound- guided nerve blocks, pain pumps, injections of local anes- thetic in and around the surgical site, IV NSAIDs and slow-release opioids are attacking surgical pain safely and effectively. Cover design by Ethan Anderson Photo by Pamela Bevelhymer, RN, BSN 12 Editor's Page Prescription to Addiction? Dan O'Connor | Editor-in-Chief 16 The Sinking of Sedasys What doomed the much-ballyhooed computerized sedation system to failure? Kendal Gapinski | Associate Editor 22 Ideas That Work • Pre-oxygenate claustrophobic patients • Warm blankets in the waiting room • 4 smart staffing solutions 32 Coding & Billing When Payers Demand Refunds and Takebacks Karlene Dittrich, CBCS, CPMA 36 Staffing Do Your Surgeons Intimidate or Inspire? Yue-Yung Hu, MD 41 Medical Malpractice How to Avoid Product Liability Lawsuits Alex Stein, PhD, JD 104 Thinking of Buying … Pupil Dilation Solutions Drugs and devices to tame even the most difficult pupils. T. Hunter Newsom, MD 115 Infection Prevention Housekeepers Are Your SSI Foot Soldiers Rodney E. Rohde, PhD, MS, SV, SM(ASCP) CM , MB CM 119 Cutting Remarks Are We Going Overboard With Patient Safety? John D. Kelly IV, MD 122 Behind Closed Doors The Lonely Life of a Travel Nurse Paula Watkins, RN, CNOR 36 115 Departments Contents

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