Outpatient Surgery Magazine

Creative Ways to Save Money in the OR - May 2016 - 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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W hen your first case misses its scheduled start time, you can be sure that the rest of the day will be nothing but delays. Why was our same-day surgery unit seeing this situa- tion over and over again? We didn't have to do much investigating to see that our chaotic pre-admission charting process was to blame. Missing test information and incomplete pre- procedure orders resulted in delays, downtime and last-minute reworks that frequently postponed, rescheduled or canceled cases. We'd started by job-shadowing the same-day surgery nurse, who complained that when she received patients' charts on the day of the procedure, she occasionally had to scramble for missing information. Hours before surgery and charts were still missing lab tests or H&Ps, 1 0 8 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • M A Y 2 0 1 6 Fixing Our Broken Pre-Admission Process We met our goal of 100% chart readiness by 6 p.m. on the night before surgery. Karen Burns, RN, MSM, & Edward Conklin, CRCST, CHL Salisbury, Md. • CHECKING THE CHARTS Do incomplete charts have your pre-admission nurses perpetually playing catch-up? Pamela Bevelhymer, RN, BSN

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