For five years I worked out patient surgery. It was part of an acute care hospital, not a free standing out patient surgery clinic. We admitted and recovered both "in" patients to be admitted to the hospital, and "out" patients going home the same day
We did a garden variety of surgeries and it was not uncommon to do spinal anesthesia. Some for orthopedic procedures and some for whatever other cases where the surgeon or anesthesiologists decided spinal was a better way to go.
I know we weren't thrilled when in the early afternoon we realized an "out" patient spinal was coming to PACU. But I honestly only remember one case that took about 6 hours for the spinal to wear off. Most wore off sooner. But I admit my memory isn't perfect!
I moved and currently work in a free standing out patient surgery clinic. When anesthesia even hints that they might want to do a spinal my co-workers look askance and say "we can't, don't, do spinals, it takes 8 hours, or too long, for them to wear off." This isn't a "policy" just the nurses preference.
What has been your experiences? Do other out patient surgery facilities do, allow, spinals?