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Maximizing the use of your operating or procedure rooms can positively affect your bottom line. Although staff members can reduce turnover time to increase the number of cases each room can handle, what can you do about no-shows on the day of surgery or physicians who don't use all of the time blocked out for their procedures?
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Improper hand washing is the No. 1 way nosocomial infections are spread, says Sharon B. Hampton, MSN, RN, CAPA, patient care nurse manager for the ambulatory care unit, post-anesthesia care unit, pre-op holding unit, short-stay unit, and interventional radiology recovery unit at the University of Texas MD Anderson Cancer Center in Houston.
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Question: Why are our investors not using the surgery center they built after they convinced us to give up our jobs at the local hospital? I am a pretty savvy RN who understands business as well as the next person, but this doesn't make sense. We built out five operating rooms. We are lucky if we are using two, and that is stretching it. Is it us?
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Diagnostic procedures range from easy and unobtrusive (maybe just a quick nasal swab, that's all), to highly obtrusive and uncomfortable (read, colonoscopy), with this spectrum largely determining patient willingness to pursue them.
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In April of this year the Centers for Medicare and Medicaid Services (CMS) proposed changes to the Emergency Medical Treatment and Active Labor Act (EMTALA) regulations that would once again significantly impact EMTALA's patient transfer rules.
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By nature of their training, skills, and in some hospitals, based on their job descriptions, emergency physicians often respond to hospital "Code Blue" alerts. Not surprisingly, many patients involved in Code Blue situations have poor outcomes, and patients or their families may elect to bring medical malpractice claims against the physicians involved in the resuscitation attempts.
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After waiting 22 hours to be transferred to another facility, a homeless man committed suicide in a Douglasville, GA, ED seclusion room. An investigation by the Centers for Medicare and Medicaid Services (CMS) found that the man had not been properly monitored by ED staff.
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ED physicians responding to "code blue" alerts on inpatient units is a common practice but one that exposes them to considerable legal risks.
