orm_asc_october-2024 - 1

OCTOBER
2024
Special Edition
Enjoy this edition of ASC Leader, a biannual
feature from OR Manager, offered
exclusively to attendees of the 2024 OR
Manager Conference. For more ASC-focused
stories, look for the new ASC-specific
subscription option at https://www.
ormanager.com/subscriber-benefits, which
includes access to ASC Leader Weekly,
our new ASC-exclusive weekly newsletter
highlighting critical news and articles impacting
ASC and HOPD leaders.
IN THIS ISSUE
The US News journey to
introduce a new 'best'
ASCs ranking ......................11
ASC management is a skill:
A day in the administrator
role ....................................14
ASC staffing woes persist in
era of increased surgical
volume ...............................16
IMPORTANT
ANNOUNCEMENT
OR Manager is proud to present a
new project-a nursing leadership
survey that seeks to explore the
intersection between top leadership
and perioperative administration.
The data will help periop professionals
like you plan for the next
step in their leadership journey.
Your participation will provide vital
insights to help nurse executives
and periop directors understand
current trends affecting their roles,
responsibilities,
and decisionmaking
power.
Participate in the
periop-CNO survey
today!
LEADERSHIP
BY CYNTHIA SAVER
Ambulatory endoscopy management
strategies keep patients, finances healthy
G
astrointestinal (GI) endoscopy
is one of the most common procedures
in the US. Performed
more than 17.1 million times per year
in inpatient and outpatient hospital settings
as well as ambulatory surgery centers
(ASCs), GI procedures account for
68% of all endoscopies, according to a
May 2022 article in Digestive Diseases
and Sciences. Among Medicare-certified,
single-specialty ASCs, endoscopy
is the most common focus, and 37% of
certified multi-specialty facilities have
an endoscopy service line.
Lauri Santy, MSN,
BS, RN, characterizes
the endoscopy center
environment as one of
" organized chaos. " As
nurse manager of the
endoscopy and pain center
at Saint Francis Hospital
and Medical Center
Lauri Santy,
MSN, BS, RN
in Hartford, Connecticut, Santy oversaw
more than 5,000 outpatient procedures
and more than 800 inpatient procedures
in 2023. With five GI suites, one pulmoContinued
on page 2
AMBULATORY SURGERY CENTERS
BY UYEN VO
Procedural sedation analgesia considerations
for ASC leaders
he promise of quicker recovery
and fewer complications from
sedation, anesthesia, and pain
management have drawn clinicians and
patients alike to procedures performed
in ambulatory surgery centers (ASCs)
and other outpatient settings. However,
sedation, anesthesia, and analgesia
add their own risks to those of the procedure
itself. Understanding the latest
methods and medications in procedural
sedation analgesia (PSA) is critical to
providing safe and effective care before,
during, and after surgical procedures.
The right PSA varies from patient
T
to patient. Factors to consider include
the type and duration of the procedure,
the expected level of pain, the need
for pain control, the patient's condition,
and the patient's ability to tolerate
the procedure. Caretakers also must
stay abreast of the latest developments
as new drugs evolve and others fall
out of favor. Benzoni and Cascella say
the most effective PSA regimen should
have sedative, analgesic, and amnestic
properties with a rapid onset and short
duration to enable a safe and quick recovery
and discharge.
Continued on page 7
https://www.ormanager.com/subscriber-benefits https://www.surveymonkey.com/r/qr_code/ORMCNOSurvey
orm_asc_october-2024

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