OR Efficiency Eric L. Fry, MD Fry Eye Associates Garden City, KS - - PowerPoint PPT Presentation

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OR Efficiency Eric L. Fry, MD Fry Eye Associates Garden City, KS - - PowerPoint PPT Presentation

OR Efficiency Eric L. Fry, MD Fry Eye Associates Garden City, KS High Volume - High Turnover Cases Keys to OR Efficiency Cost per minute of OR time Case start times $15 - $20 Do not be tardy! Block times Control OR turnover


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SLIDE 1

OR Efficiency

Eric L. Fry, MD Fry Eye Associates Garden City, KS

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SLIDE 2

High Volume - High Turnover Cases

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SLIDE 3

Keys to OR Efficiency

 Cost per minute of OR time

$15 - $20

 Block times

 Longer block times are

more efficient than shorter

  • nes

 Case start times

 Do not be tardy!

 Control OR turnover

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SLIDE 4

Fry Eye Stats

 2 room privately owned

ASC

 1 eye only OR  1 pain management OR  Mainly cataract surgery

 Oculoplastic  Cornea  Glaucoma

 $1000 per hour  2500 – 3000 cataract

extractions/ yr

 About 8 minutes from

closing one case to the incision in the next

 3.5 – 4 cases per hour  2 surgeon / 3 MD practice

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SLIDE 5

Pre - Op

 Nurse instills dilating drops x 3 (2.5%

phenlyeperine, tropicamide) every 5 minutes while she/he is explaining procedure to them in the holding area

 Moved to an operating bed

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SLIDE 6
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SLIDE 7

Patient Flow

 Patient stays on the same OR bed until they exit

the post – op area

 Patient stays in their street clothes  Move from Pre – op marking station

Anesthesia station OR Post - op

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SLIDE 8

Anesthesia

 Hep – lock IV  2-3 drops ¼ strength betadine in the fornix  4 x 4 soaked with 5% betadine over lashes held in

place by the patients bonnet

 Viscous lidocaine jelly over eye just before

moving to OR