Health, Wellness and Recovery

I truly believe that we are shifting to a time in history whereby all physicians of all specialties can freely talk to the patients about the total benefits for maintaining health and wellness.  Whether you’re an Orthopedic Surgeon, Spine, Pain Management, OB-GYN, Podiatrist, ENT, or Anesthesiologist it does not matter.  There will be the need for a patient to have access to the best surgical care whether an out-patient ambulatory or office based surgery setting or in-patient hospital setting.  Before and after this process guide your patient to the next level and talk to them about healing products for health, wellness, beauty, vitality, anti-aging, emotional health and recovery.  Don’t leave it just to the anti-aging specialist and holistic practitioners.

During the discharge time, after you added up the aldrete scoring guidelines and the RN is in process of informing the patient that there will be a post-operative phone call let the patient know that you will talk to them about continuing their healing.  This can be done during the post-op visit or in your private practice.

Before I started working in healthcare in 2005 assisting physicians with certification, licensure and build-outs, and operational functions, I worked in the retail sector specializing in training, management, and high-end sales exclusively in the Beverly Hills, CA market.  What I enjoyed most to this present day about this line of work is after I listened to the client’s need I was able to provide the education regarding the benefits of a product and the product information in which would enhance their total well-being.

I want to remind you to incorporate the education process to your patients and clients.  We are here to make a difference so if you find something beneficial on my blogs, my intention is to guide you through whether you need my assistance or not this is the information site for all things pertaining to surgery center accreditation, certification and licesure.  Please remember to give back and educate your patients on recovery and wellness.

Here’s to your success,

NB

 

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Emergency Drills for Fire Safety

Emergency drills need to be performed and documented on a quarterly basis.  Surveyors like to see a variety in your drills and suggest that you perform separate drills for fire safety, CPR, fire extinguisher testing, malignant hyperthermia, and disaster preparedness i.e. earthquake, bomb threat, or bio-terrorism.

Certification or licensure requirement state that you must show proof of documentation that you have contacted your local fire authority or disaster preparedness city official to request to participate in a community wide disaster preparedness drill.  Sometimes it can take months to hear back from these entities to inform you about an upcoming community disaster preparedness meeting.  If you find yourself waiting for a response and you need to get a drill documented in time for your survey just call your local fire marshal and ask to be scheduled for an earthquake drill.  In the state of California you can get a faster response with scheduling an earthquake readiness drill and the fire marshal can get to your facility within a two-week time frame to run the center through the drill. If you live in another state call your local fire authority to schedule your disaster preparedness drill.  They will even provide you with a document stating so.  Just log it away in your fire safety binder.  This shows that you are doing what you can to comply with this condition.

The following is a quick reference to run you through the basic fire safety drill.

In case of a fire the ultimate concern is for the safety of the patients, visitors, employees and professional staff of the surgery center.  If a fire is detected in your facility follow the RACE acronym (Remove-Alarm-Close-Evacuate):

R         REMOVE persons who are in immediate danger of flames/smoke.  Remain calm.  A front office staff member will remain outside to direct emergency personnel to the location of the fire.

A         Activate the ALARM (pull station).  The front office personnel is usually responsible for calling 9-1-1, or otherwise by activation of the pull station the fire alarm monitoring company notifies the fire department.

C         CLOSE all doors in your area to confine the spread of fire and smoke.  Turn off all medical gases and electrical equipment as permitted and leave lights on.  Decisions regarding the provision of medical gases to any patient in the midst of surgery are the responsibility of the attending surgeon.  Piped-in gases will be shut down.

E         Prepare to EVACUATE in a quick and orderly manner using the nearest exit and following your evacuation plan.

It is important to select a designated area outside up to 10-15 feet away from the surgery center or building.  This area will be the meet up place in which you will perform a head count to ensure that everyone was removed safely.  Also denote in your Fire/Evacuation policy each staff member’s role.  If you need to evacuate usually the surgeon, anesthesia provider and RN assist the patient to safety while the scrub tech will shut off medical gases, electrical equipment, and close all doors.  Front office team ensures that the fire department has been called and/or pull station alarm was activated.  Front office staff should also assists visitors and vendors safely out of the building.

For more information I am available for consultation and for service if you need assistance on the surgery center re-accreditation/certification process.  Contact information can be found in the “about me” tab.

Here’s to your success

NB

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Medical Staff Bylaws

The medical staff bylaws describe the purpose of the surgery center and its structure.  It should be recognized in the bylaws that your surgery center will provide an alternative to the high cost of hospital inpatient care.  In fact with your surgery center you are in a better position to provide better quality of care while actually reducing the health care cost to the patient.

 You will need to define in your bylaws that there will be an organized medical staff in which will be responsible for the quality of medical care rendered to the patients of your facility and who is subject under the authority of the facility’s Governing Body.

 Describe in your bylaws the type of medical staff and formal organization of who will be privileged to attend to patients such as licensed physicians including M.D., D.O., D.P.M., etc.  You can also add allied health professionals such as C.R.N.A.’s and nursing personnel.

 You want to clearly identify in your bylaws who is appointed as medical director of the facility and how long he/she will remain in position for example until he/she is relieved of the position by the Governing Body.

 To help assist you with the flow of your bylaws please remember to include, outline and define the following:

A.  The purpose of your organized medical staff.

B.  Qualifications of membership.

C.  Categories of membership i.e. Temporary, Active, Duration of initial appointment, Re-appointment, and In-active privileges.

D.  Primary and second source verification.

E.  Application and supporting documentation for appointment process and peer review recommendation.

F.  Corrective action process.

G.  Process of granting privileges.

H.  Suspension of privileges.

I.  Surgical Care.

J.  Qualifications of officers.

K.  Committees i.e. Quality Improvement, Credentialing, Risk Management, and Infection Control.

L.  Amendments.

For more information I am available for consultation and for service if you need assistance on the surgery center re-accreditation/certification process.  Contact information can be found in the “about me” tab.

 Here’s to your success

 NB

 

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