Hello, I currently work in an ambulatory surgery center and am wondering how other facilities are set up to facilitate patient flow. Currently, we have a set up with the second recovery area being used for admissions and discharges on day of surgery. Once a patient is admitted, we move on to the next patient assignment whether pre or post op. In the meantime, the physician may arrive with his paperwork including orders. Because we are busy, we may not get back to the chart to take off the orders which is now causing some distress for the OR nurses. They come out to get the patient and feel as though it is our responsibility to stop what we are doing and hang an antibiotic, give heparin, etc. while they are waiting. Unfortunatley, this is adding to that sense of OR vs PACU mentality. Can anyone give me any ideas of how your unit is set up- do you have nurses specifically for admissions, if so what do they do with their down time? Is it the expectation that the OR nurse pick up where the PACU nurse/admission nurse left off? Many of us feel that because we are all RNs that it should be a continuous flow with each nurse picking up where the last one left off. Thank You.