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 - - 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
High Volume - High Turnover Cases
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
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
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
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
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