A lot of people have asked about my job so this to update everyone. But for the non medical people it might be kind of boring or difficult to follow.
I oriented to two surgery centers, both part of USPI - so it's a transfer. Both only do orthopedic and pain management, for one group of ortho surgeons - the same group so some of the docs work at both places. Resurgens in located next to St. Joseph's Hospital, in a medical building on the 8th floor. Roswell is in a small strip of offices.
The work is a lot like tempe but also different in several ways. One thing they do is tell the patients they can bring athletic shorts (no metal) to wear into surgery. They are pretty strick about having someone stay but they don't have coffee or anything in the waiting room. Also, they pre-treat every patient for nausea. Resurgens gives everyone a Zantac tablet and Roswell gives everyone a Zantac tablet, a Reglan tablet and IV Zofran. Its ortho so everyone get antibiotic and scrub. Everyone also get IV versed - after the MD marks the site.
Things I like about both places
- They have preadmission nurse calling or seeing every patient. She gathers labs and EKG or has the patient come in to get them. Also gets H&P and MD office consent .
- Every chart has the H&P and a consent from the MD office - much easier to write your OR consent and they must ALL match. (One place calls it a near miss for wrong site if the wording is not exact)
- They have an anesthesiologist in the pre-op/pacu area. The cases are done by CRNA and he goes back to get started but they are there to see the patients pre-op and post op. Also available for the preadmission nurse to get orders. They also do blocks in pre-op, both places have ultrasound machine for blocks. Very few patients need pain meds in pacu.
- The charts are organized with dividers for each area (pre-op, OR, consents etc) At Roswell they are on a clipboard. At Resurgens they three hole punch and put it all in a small 3 ring binder. They also have one spot you place the chart when the patient can be seen by OR or anesthesia. After anesthesia see the patient the chart goes in another spot to show that the patient is ready to go back when the surgeon gets there. The charts are broken down and put into the manila folder for storage. No more shuffling through papers to find what you want. Love this!
- Also I really like the staff, they are all helpful and friendly, of course - no place can be like my dear friends I'm missing at Tempe! Love you guys!
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