The PeriOperative Nurse

in an
Ambulatory Surgical
Care Setting

12 July 2016

Objectives:
Learn & appreciate the emerging OR
trend of day surgeries.
Identify the role of the Perioperative
Nurse in ambulatory surgery care.
Identify perioperative strategies in the fast
paced setting of day surgeries

12 July 2016

What is Ambulatory Care*?

*out patient care
- is a MEDICAL care provided on an out patient basis.

What is Ambulatory Surgical Care?

is the provision of SURGICAL care performed on an
ambulatory or out patient basis.

12 July 2016

http://www.ascassociation.org/

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Updated as of June 30, 2015

http:///www.philhealth.gov.ph - as of June 30, 2015

12 July 2016

Convenience

Efficient &
Quality Care

Patient
Satisfaction

Transformative Model for Surgical Services/

PeriOperative Nursing Practice
http://www.ascassociation.org/advancingsurgicalcare/aboutascs/industryoverview/apositivetrendinhealthcare
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Traditional Surgical Practice

Surgery performed in hospital
Days/weeks of appointment to sked for
OR
Requires hosp admission/Length of stay
Out of work for recovery days
Increased cost = longer procedure hours

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services are limited to

elective procedures with
short anesthesia and
operating times
not requiring an overnight stay

www.asge.org/Ambulatory Surgery Centers A Positive Trend in Health Care

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O
N
E
S
T
O
P

S
H
O
P

DIAGNOSIS
LABORATORY
RADIOLOGY /
imaging services
NUCLEAR MEDICINE
CARDIO Services

REHABILITATION
PHYSICAL THERAPY
SPEECH THERAPY
OCCUPATIONAL
THERAPY

AMBULATORY

SURGICAL

OBSERVATION
Multispecialty Clinics:
SURGERY/ ORTHO
& REHAB
NUERO/PSYCHE
CARDIO/NTERNAL
MED /OB GYNE
ORL/DENTAL
PEDIATRICS
IOH
PACU

CENTER

INTERVENTION

SURGERY

TREATMENT

GEN SURGERY

INFUSION/IV THERAPY
CHEMOTHERAPY
HEMODIALYSIS
PHARMACY

ORTHO/PAEDICS
OPHTHA/ OB GYNE.
ENT/ ENDOSCOPY/
MICROSURGERY
PLASTIC/RECON

12 July 2016

Common Procedures in ASC

Phacoemulsification
Endoscopy Procedures
Thyroidectomy
Mastectomy
Minimally Invasive Procedures

Laparoscopic Chole
Arthroscopy

Minimally Access Spine Technique

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10

PreOperative Phase
Scheduling walk ins
Patient Preparation
PreOp Calls / Confirmation
Clearance/s

Resources
Manpower
Equipment/Machines
Instruments/special accessories
Patient Education
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11

IntraOperative Phase

Patient Education establish expectations

Patient Advocate
Established standards/protocols
Efficient activities
Decrease OR time/short operating hours
Prevention of complications

Prevention of infection
Accurate & Complete Documentation
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12

Post Operative Phase

Autonomous Critical thinking esp in
emergency situation
Managed Length of Stay in PACU
Compliance to safety
Referrals & Coordination
Transfer Protocols

Post Op follow through

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13

 Convenience

outside

hospital setting

Safety
Improved quality
Customer satisfaction
Superior Technology
REDUCED COSTS!

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14

Why Ambulatory Surgical Care?

QUALITY

Up to date technology
Clinical Excellence
Competent Team
Reliable Practice

VALUE
Cost Effective

Convenience
Accessible
Time Saving
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15

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