Ambulatory Surgery

Latest Issue of OR Manager
February 2021
Home Surgical/Anesthesia > Ambulatory Surgery

ASCs advised to embrace EHRs sooner rather than later

Federal regulators have yet to mandate electronic health record (EHR) adoption at ambulatory surgery centers (ASCs). Many facilities remain content to use paper systems. However, one expert advocates preparing now for what may come in the future. Electronic documentation systems can help ASCs better achieve their clinical, financial, operational, and…

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By: Jennifer Lubell
May 12, 2020
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Implementing safety huddles to improve patient outcomes

The fast-paced environment in an ambulatory surgery center (ASC) requires meticulous handoffs, and daily huddles—brief (10 to 20 minute) stand-up meetings—can raise awareness of any potential safety issues. That has been the experience at UnityPoint Health in Des Moines, Iowa, and some of what we learned might help others improve…

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By: OR Manager
May 12, 2020
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Creative thinking shapes COVID-19 response to expected surge

The COVID-19 pandemic has created unprecedented strains on hospitals and healthcare systems, leaving many organizations with limited resources to care for severely ill patients. States, regions, hospitals, and health systems have had to reassess their resources, identify bottlenecks, and develop strategies for increasing critical care capacity. Creating the critical care…

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By: Judith M. Mathias, MA, RN
April 23, 2020
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Experts address COVID-19 concerns in AORN town halls

OR nurses are being asked to serve in positions outside the operating room and experiencing changes in their schedules, and they are concerned about the uncertainty surrounding the COVID-19 pandemic. To support OR nurses during this time of crisis, AORN has been holding town hall Q&A webinars with infection preventionists,…

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By: Judith M. Mathias, MA, RN
April 23, 2020
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Editorial

The impact of COVID-19 has been devastating, especially for those who have lost loved ones or income due to sudden unemployment. For healthcare workers and emergency services providers, fear of contracting the disease is now a daily part of life. The virus has commanded exclusive coverage in OR a.m. for…

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By: Elizabeth Wood
April 23, 2020
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Using algorithms to contain surgical smoke and aerosolized particulates

The hazards of surgical smoke are well documented. As far back as 2004, AORN began publishing guidelines to reduce exposure to surgical smoke and aerosolized particles during operative and invasive procedures. These guidelines can also be adopted to help protect COVID-19 patients and frontline healthcare staff who are exposed to…

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By: OR Manager
April 23, 2020
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Triaging OR capacity amid COVID-19: Lessons from the field

Health systems nationwide are examining policies and procedures related to their resources, staffing, and scheduling to prepare for anticipated patient surges due to COVID-19. In late March, I talked with perioperative physicians and administrators from two health systems with rapid increases in COVID-positive cases, which have prompted significant changes in…

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By: Jo Quetsch, MA, RN
April 23, 2020
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Developing a COVID-19 Recovery Plan for surgical services

When the coronavirus pandemic begins to subside, hospital leaders will be sorting out the repercussions and trying to resume normal operations. The main impact on ORs has been the widespread cancellation of non-essential procedures. Case cancellations in March and April have reduced elective procedure volumes as much as 90%. Most…

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By: OR Manager
April 23, 2020
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ACS releases new guidance to help healthcare facilities prepare for resuming surgery

Editor' Note The American College of Surgeons (ACS) on April 17 released a new document, “Local Resumption of Elective Surgery Guidance,” to help healthcare facilities prepare to resume elective surgery once COVID-19 has peaked in their area. The document includes four categories: COVID Awareness—addresses the community’s COVID-19 numbers, including prevalence,…

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By: Judy Mathias
April 20, 2020
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Joint Commission offers guidance, resources for creating capacity for COVID-19 surge patients

Editor's Note The Joint Commission, in its April 8 online newsletter, announced the creation of a web portal with resources to assist healthcare workers create capacity for surge patients with COVID-19. Included are: Use of Ambulatory Surgery Centers (ASC) as Alternative Care Sites for Hospitals Emergency Management Healthcare Environment Checklist…

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By: Judy Mathias
April 9, 2020
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