6 • 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 8
On the Cover
Two sponges were left inside a
patient in the closing minutes of
a case performed at Alton (Ill.)
Memorial Hospital. Luckily, the
surgical team realized their mis-
take and removed the foreign
objects before the patient left
the OR. But what series of
errors led to the near-miss?
Read about what happened
when clinical leaders launched
an investigation, proposed solu-
tions and made process
improvements so the near never
event never happens again.
On the Cover
Cover design by Ethan Anderson
Photo by Pamela Bevelhymer,
RN, BSN, CNOR
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26
8 Editor's Page
We All Make Mistakes, But Few Talk About Them
Dan O'Connor | Editor-in-Chief
12 Ideas That Work
• Survive the fentanyl shortage
• A cool tip for tough IV starts
• Quick and easy kid-friendly touches
22 Staffing
Help Tomorrow's OR Leaders With Their Capes
Leslie Mattson, RN, BSHM, LNC
26 Anesthesia Alert
Cataract Surgeons Giving Anesthesia?
JoEllen McBride, PhD
104 Product News
107 Behind Closed Doors
Practical Jokers
Paula Watkins, RN, CNOR
Departments
96 Get Up to Speed On GERD
An update on minimally invasive treatments
designed
to turn down the burn of acid reflux.
Daniel Cook | Executive Editor
Features
