Turnovers

CuttingEdgeRN · Jul 22, 2007

22 room OR here.

Anesthesia and circ take patient to PACU.

Scrub calls for housekeeping and anesth tech turnover, takes instr. to decontam room, and locates and checks next case cart. Goes back to room to assist with clean up and opens next case with PCT's assistance.

Circ drops off paperwork, specimens, and unused drugs and picks up next case drugs. Then goes to holding area to check in next patient. Returns to room to assist with opening and making sure help is there to tie up scrub gown and pour preps, get needed equip, ect... Returns to holding area to bring patient to the room.

We sometimes count after patient is in the room, while case is starting.

We are supposed to strive for 15 - 20 minute TO's.

ewattsjt · Jul 23, 2007

I work in a 25 room OR. Our facility is trying to increase the efficiency of turnovers with as little help from extra staff as possible. Just wondering who does what job during the turn-over at your hospital?
For example, currenly the circulator and the anest provider takes the pt to pacu, the scrub stays in the room and starts cleaning (sometimes with or without the help of the assistant). After the circ leaves pacu, they drop paperwork and specimens off at the proper locations and return to the room to help clean, set-up, and count for the next case. The circulator than returns to the holding area to check the next pt and bring them to the OR.

We do it the same here.

IsseyM · Jul 23, 2007

We do it the same here.

18 OR. We do the same too.

ewattsjt · Jul 23, 2007

OH, we have 6 rooms here.

bifurcated · Jul 26, 2007

I work in a 25 room OR. Our facility is trying to increase the efficiency of turnovers with as little help from extra staff as possible. Just wondering who does what job during the turn-over at your hospital?
For example, currently the circulator and the anest provider takes the pt to pacu, the scrub stays in the room and starts cleaning (sometimes with or without the help of the assistant). After the circ leaves pacu, they drop paperwork and specimens off at the proper locations and return to the room to help clean, set-up, and count for the next case. The circulator than returns to the holding area to check the next pt and bring them to the OR.

I am not clear on what exactly your asking about. Do you have housekeeping? Aids that help turn rooms? You need everyone to do their jobs like dropping off patient and paper work and specimens. Scrubs clean up back table and take instruments to dirty area for cleaning or send it to a central processing area by dumbwaiter.... then back to room to help with cleaning or getting equipment for next case etc. If you are in an OR where you have the help it goes fast, if you don't it is a bit more of a push. It comes down to hustle and you all apparently need to if they want faster.. Our turnovers are fairly fast... depending on the case that finished and the case that is about to begin.Our housekeeping has been trained to not only clean rooms, but help gather and bring in equipment. Scrubs, circulator's we all help each other. Quality team work is what it takes.

TracyB,RN, RN · Jul 28, 2007

22 room OR here.
Anesthesia and circ take patient to PACU.
Scrub calls for housekeeping and anesth tech turnover, takes instr. to decontam room, and locates and checks next case cart. Goes back to room to assist with clean up and opens next case with PCT's assistance.
Circ drops off paperwork, specimens, and unused drugs and picks up next case drugs. Then goes to holding area to check in next patient. Returns to room to assist with opening and making sure help is there to tie up scrub gown and pour preps, get needed equip, ect... Returns to holding area to bring patient to the room.
We sometimes count after patient is in the room, while case is starting.
We are supposed to strive for 15 - 20 minute TO's.

Pretty much the same here. We have housekeeping to mop, wipe down tables, empty trash, etc while tech is prepping case cart & RN is with anesthesia dropping off pt & going to interview next pt.

Sometimes hskpg will make up bed, too, if they're not too busy.

We have transporters (who are great at sometimes disappearing when needed) get patients from the floors & bring to pre-op holding & one who runs specimens for stat processing, pick up blood, etc.

Our facility is old & not user friendly at all... ER, opposite side of hospital, SPD downstairs, on the opposite side of the hospital, blood bank & lab, also downstairs. All patient units on 2nd floor... even if coming for an outpatient procedure, patient STILL has to go upstairs, to come downstairs for holding & procedure, then to recovery & back UPSTAIRS to be discharged. It's sooooo STUPID. I'd like to :trout: whoever came up with this concept. So many wasted steps & to top it off, we DON'T have a dumbwaiter. Another :trout: