Issue link: https://beckershealthcare.uberflip.com/i/679218
Key Specialties 64 Designed to meet the challenges of extremity imaging Fluoroscan ® InSight ™ FD Mini C-Arm Visit us online at www.fluoroscan.com See more detail when viewing larger and brighter images on our new 24" HD color display. *Data on file. Change positioning to best suit the anatomy with our rotating flat detector and collimator. Image at up to 39% less dose than the competition – without the need for pulsed fluoroscopy.* From Pre-op to Post-op: A Team-Based Approach to Adding TJR to an ASC By Mary Rechtoris H ealthcare is continuing to demand lower costs and optimal patient care, thus driving the de- mand for efficient ASCs. Outpatient centers are increasingly adding new procedures, including total joint replacement procedures. Benita Tapia, RN, CASC, has served as Beverley Hills, Calif.-based 90210 Medical Center's administra- tor since it opened in 2006. e multispecialty ASC offers patients various specialties including spine, orthopedics, general, podiatry, urology, gynecology, ophthalmology, plastics and most recently, TJR. Pre-implementation steps 90210 Medical Center started plans to add TJR nearly a year ago, and as- sembled a team to put that plan into action. "A great surgeon makes all the difference and we knew someone who was creating terrific outcomes at a nearby hospital who we could work with," Ms. Tapia says. "From there we put the team together." 90210's team includes an anesthetist, director of nursing, physician's assistant, physical therapist and patient-physician coordinator. As administrator, Ms. Tapia's goal was to organize the team and ensure everyone met their specific re- sponsibilities to launch the program. For instance, whereas a surgeon is primarily responsible for bringing in cases, a director of nursing heads staff education. Guiding the patient from pre-op to post-op Most ASC procedures are elective, and therefore ASCs can choose viable candidates for surgery. 90210 accepts healthy patients to reduce the chance of infection. Additionally, patients' procedures are not rescheduled for emergency procedures, which can oen happen in hospitals. Teamwork is an essential part of the total joint program, and the patient can see 90210 staff members striving to work together through the entire surgical process. "Pre-op starts in the surgeon's office a few weeks before the procedure," she says. "Patient education including pre- and post-op education and home environment evaluation is a major part of our joint replacement policies." Pre-op education is a critical component of the total joint program to en- sure the ASC can discharge patients the same-day of the procedure. Prior to surgery, staff members tell the patient: • What they can expect • Analyze the patient's home environment to ensure it is suitable for a successful recovery • Go over the physical therapy plan • Check their medications e center also utilizes spinal blocks and adductor canal blocks, resulting in reduced nausea and pain for the patient. Benita Tapia