XJBluto

Are there regulatory requirements against this practice of growing your own????

I am interested in how many hospitals are still doing "on the job training " for Surgical Technologists? Thought that this practice went away, but cannot find any objective information to support doing it, and conversely not allowing it. Is this still possible? Thanks in advance.

Thanks. We do the same, but it causes a delay. I am looking for ways hospitals have addressed this in other ways- proactively that prevent delays. For example, cancelling the surgery if the H&P is not present 24 hours pre-op. If the H&P for tomorrow's cases are not on the chart by 5pm, the case is cancelled after notifying the surgeon by phone that it is not present. If the surgeon then faxes it, etc. , the case continues as planned. Otherwise, the case gets cancelled. Obviously, this will not fix add-ons, urgent cases, etc. We are measuring the reasons for case starts and delays in turnover. In a 1 months tome, the H&P was responsible for 80 of 90 total instances of delays. As you know, when the preceeding cases are delayed, it has a ripple effect throughout the schedule. That, and the fact that my nursing staff spends hours of wasted nursing man hours chasing surgeons around to get the H& P requirement fulfilled. What reveolutionary tricks are people doing to get the H&P on the chart proactively??????????? :welcome::balloons::monkeydance:

We are monitoring delay in case starts and turnover times. Number 1 cause for us is that the Surgeon has not dictated or written a current History and Physical in the chart. As this is a regulatory requirement that it be present on the chart, our medical staff made the rule that the patients do not go to the OR unless it is physically present on the chart. This causes delays. Does anyone hold the Holy Grail on this? I have heard that some places cancel the case 24 hours pre-op if the H& P is not available when staff assembles the chart. Any tips on improving compliance? What do you do at your organizations? Thank you. Saint Louis OR Director......................