OR Manager November December 2022 - 9

Success Story
in areas like feeding, endoscopic evaluation
of swallowing, voice evaluations,
velopharyngeal insufficiency (hypernasal
speech), and other areas, providing expertise
in all fields of pediatric speech
therapy. The team evaluates patients
who exhibit signs and symptoms of
feeding and communication dysfunction,
taking a close look at how a child
swallows and if it causes any disruption
in breathing.
Aerodigestive cases are generally
three cases in one; a typical case comprises
microlaryngoscopy/bronchoscopy,
pulmonary flexible bronchoscopy,
and gastrointestinal upper endoscopy.
Such cases require OR nurses and
the surgical teams to multitask to ensure
that:
* surgical timeouts are performed
* specimens are properly labeled and
sent
* anesthesia providers and the scrub
nurse/certified scrub technologist
are assisted.
The complexity of these cases has
helped enhance OR nursing skills by
directing the nurse to be task oriented,
with a sharper awareness of time management.
Nurses who participate in
these multidisciplinary cases are practicing
their skills in multiple services,
both in circulating and scrubbing, while
ensuring that patient safety is prioritized.
The aerodigestive program has
given a unique opportunity for nurses to
grow specialized OR skills.
Outcomes and lessons learned
The aerodigestive program went from
seeing 71 cases in the fiscal year following
its establishment to performing
117 procedures in 2021 (sidebar,
Aerodigestive cases by fiscal year). We
are preparing for more volume in the
new year.
There have been lessons learned-it
was through the increased volume of
aerodigestive cases that the utilization
of a third nurse was found to be not
www.ormanager.com
only beneficial but vital, leading to a
positive impact on the efficiency of the
room.
Aerodigestive cases require a lot
from both the scrub technologist/nurse
and the circulating nurse because there
are three surgical set-ups that require
different tasks as well as their own
charting.
The third nurse plays an essential
role in helping to prepare the room and
the patient for a multilayered procedure.
In addition, besides running three cases
at once, the teams also have to attend
to other tasks that might arise in the
middle of a case, which makes having
an extra set of hands more of a need
rather than a want. The third nurse may
then act as a runner for supplies, specimens,
and instrumentation.
Revolutionizing the practice of upper
airway surgery through cutting-edge innovation,
Lurie Children's has emerged
with a nationally recognized aerodigestive
program. Our teams are willing to
take on many challenging cases with a
creative and thoughtful approach for solutions
to tackle and address complex
laryngotracheal problems.
Our aerodigestive surgeons today
perform the most airway reconstructions,
open and endoscopic, in Illinois
and among the most of any pediatric
institution in the US. The surgeons, OR
nurses and staff, and other multispecialty
collaborators join forces daily to
ensure a safe multidisciplined approach
to care for our pediatric patients. We
take pride in being able to reassure
caretakers that their children are receiving
well-rounded care from different specialties
working together. ORM
- W. Zeh Wellington,
DNP, RN,
NE-BC, is director
of procedural care
and surgical services
and Aisha Badla, BSN, RN, CPN, is
clinical coordinator at Lurie Children's.
OR Manager | Nov/Dec 2022
9
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OR Manager November December 2022

Table of Contents for the Digital Edition of OR Manager November December 2022

OR Manager November December 2022 - 1
OR Manager November December 2022 - 2
OR Manager November December 2022 - 3
OR Manager November December 2022 - 4
OR Manager November December 2022 - 5
OR Manager November December 2022 - 6
OR Manager November December 2022 - 7
OR Manager November December 2022 - 8
OR Manager November December 2022 - 9
OR Manager November December 2022 - 10
OR Manager November December 2022 - 11
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