Outpatient Surgery Magazine - Subscribers

The Economics of Prefilled Syringes - August 2017 - 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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A U G U S T 2 0 1 7 • O U T PA T I E N TS U R G E R Y. N E T • 5 3 T he patient had just been re-draped, re-prepped and re-positioned, from supine to lithotomy, and the surgeon was eager to restart the case — a varicoclectomy followed by a bladder biop- sy — without confirming everyone in the OR was on the same page. Lt. Jessica Naranjo, BSN, RN, CNOR, knew better. Instinct took over, and she voiced her concern: "Sir, I'd like to do a second time out for patient safety." After some initial resistance, the surgeon agreed and the OR team took a second time out to verify the next phase of the procedure. The case proceeded as planned, without incident. "To be able to stand up to the surgeon and to quote policies and stan- dards I had been taught took a lot of courage," says Ms. Naranjo, a peri- operative staff nurse with Naval Hospital Jacksonville (Fla.). "If there's one thing we learn as we're going through our training, it's that you have SURGICAL ERRORS Reducing the Risks of Wrong-Site Surgery Key defenses in the battle to eliminate preventable harm include the time out, pre-operative verification process and site marking. Bill Donahue Senior Editor • LONG-TERM PAIN A wrong-site surgery or other sentinel event can result in staggering costs and cause lasting damage to a facility's reputation.

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