I'm curious to know what other facilities consider to be an "appropriate" turnover time between cases. How long between the time you leave your patient in PACU until you roll your next patient into the room?
sandiegojames 42 Posts Jan 19, 2008 30 minutues is the standard from room exit to room entrance. But obviously depends on the case. Total shoulder vs hernia room setup etc....
MamaCheese 177 Posts Specializes in OR. Has 5 years experience. Jan 21, 2008 Our goal is 19 minutes or less. It rarely happens :icon_roll
Mourkoth 22 Posts Specializes in ICU and Perioperative. Jan 21, 2008 Our goal is 30 minutes However it rarely happens. Our schedulers seem to be oblivious to the proper flow. For example they will schedule a femur fx with an OSI traction table then to follow they want a vascular case with the radioluscent table which is at the other end of the building. (We have 24 OR rooms running). Or they schedule a abdomen washout on a VRE patient then a total shoulder to follow. The room must be terminally cleaned and the ortho setup gathered. When it would make better sense to schedule the VRE and MRSA cases last or in the same rooms and the ortho procedures to be done in the same room so that we could use the same table for consecutive cases. That would be too easy!
suzanne4, RN 26,410 Posts Jan 21, 2008 I have has 30 minutes to completely turn over a heart room from the time the first patient wheeled out of the room to the ICU and the time that the next patient was brought into the room.And this was at several different facilities. Not much time but we got it done.
suzanne4, RN 26,410 Posts Jan 21, 2008 Patients with known infections like VRE should be the scheduled as the last case in the room for the day. But each room should actually be treated as if the patient had an infection previously because many times you do not find out until the cultures have come back and that is two days later, or so.
Scrubby 1,313 Posts Specializes in Operating Room Nursing. Has 6 years experience. Jan 22, 2008 In eyes the turnover time can be about 7 minutes. For general surgery about 20-30 minutes. Ortho can take much longer because of all the setting up we do.The surgeons recently tried complaining about slow turnover times. We proved to them that our times are pretty average, from statistics in an AORN journal.
heather2084, BSN 101 Posts Specializes in Surgery, Ob/Gyn. Has 16 years experience. Jan 25, 2008 In eyes the turnover time can be about 7 minutes. For general surgery about 20-30 minutes. Ortho can take much longer because of all the setting up we do.The surgeons recently tried complaining about slow turnover times. We proved to them that our times are pretty average, from statistics in an AORN journal.The way we do eyes, we can do turnover in 3 minutes when everything runs smoothly. Thats the one thing I love about eyes....turning it into a competition to see how fast we can get said amount of cases done
ewattsjt 448 Posts Jan 26, 2008 it really depends on the cases and how much help we get. sometimes housekeeping will pitch in and help and other times not. it is usually about 20-30 mins (quicker with the extra help) on generals and longer on cases with lots of equipment or instruments. our real time goal is 15-20 mins.
mcmike55 369 Posts Specializes in surgical, emergency. Has 40 years experience. Jan 26, 2008 I think we are all pretty much on the same page here.In our small 3 OR rural hospital, we are right around 15 minutes, give or take.We're closer to 30 mins following a total, or a real busy case, if you know what I mean.Eyes, we are under 5 minutes for the most. Our one doc often is given two rooms, and two teams. He bounces from one room to another. Over the years, we have done down time study after another. Does not matter, different anes. docs, different nurses/techs, different surgeons, all pretty much the same times.We've had a few surgeons locum with us, and they say we do very well with our turn overs.Mike
ronarmynurse 2 Posts Jan 29, 2008 There are national standards for OR turnover time. The standards say 18 minutes. Take into consideration that this is for all the ORs in your hospital averaged together. As some others have said. Proper planning is important. It is impossible to go from laproscopic to total joint quickly. If you do back to back lap gallbladders and lap appys you should be able to do this in 15 mins or less. Same with ENT Eyes etc. This will offset your 30 minutes for total joint. I have a total joint team that can average 17min turnovers with back to back totals.GOOD LUCKPS we range between 17 and 19 mins on any given month.
maritimegirl 24 Posts Feb 10, 2008 We have 20 minutes from when one patient leaves the room, til the next one enters.
