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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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6. Post-op interventions. A secondary, post-op skin assessment will determine whether a patient needs any specialized care, such as a wound-nurse consult or an alternative support surface. Also, just as we do in pre-op, we'll offload patients from their surgical position — say, having them lie on their side if the procedure had them placed in the supine position. We also educate patients on the need to maintain the offloaded position post-operatively. 7. Monitoring compliance. I recommend auditing 100% of patient charts to make sure everyone is complying with the prevention bun- dle. Our first compliance audits of pre- and post-op documentation screens in our EMRs began in August 2015. After 3 months, once it became clear that staff had embraced the new protocols, we scaled back from the 100% mark. We now audit 10 charts per month, and we're still seeing excellent compliance. 8. Buy-in from all stakeholders. This might be the most impor- tant ingredient, because if you're not getting buy-in from everyone — starting with senior leadership, and so on down the line — you're likely to fail. Pre-op nurses are a fine example. We now bring patients into the pre-op area earlier to perform the skin assessment, which means more work for the pre-op nurses. Educating them about what's at stake if we forgo this crucial step — the potential for patient harm and increased costs, for starters — has made them understand the extra 15 or 30 min- utes it adds to the process are a necessity rather than a chore. Your bundle-prevention team should reflect a diversity of patient-care stakeholders — nurses, wound-care specialists, surgeons, risk manage- ment and C-suite leaders — with passionate champions in each department. 8 4 • 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 U G U S T 2 0 1 7

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