What is the patient’s process when it comes to having surgery in our clinic?
When surgery is recommended to a patient, they generally have been trying to manage their issues with more conservative options and have now opted to proceed with surgery.
Upon the recommendation of surgery, the patient will meet with one of our staff, often times our RN, to go over their medical history and prepare them for care before and after surgery. On the day of surgery, the patient will come a little before the scheduled surgery time to prepare them for their surgery. During this time, the RN will perform an assessment and start an IV; to give any medications needed before and during surgery. Once in the operating room, the patient will get comfortable on our surgery bed and medication will be given through the IV to help the patient relax and fall asleep. While the patient is sleeping, the OR team is working together to repair the necessary issue. Once the surgery is over, the patient wakes up very quickly on their own and most of the time will walk out of the OR to our recovery room, where the RN will resume care of the patient until discharge. The average time that a patient will stay with us is between 2-3 hours.
Our surgery team consists of one of our doctors, an anesthesiologist, scrub tech, circulator and RN.
Each of our six doctors have privileges at our Surgery Center.
For surgery cases that involve anesthesia, we have two anesthesiologist that provide care for our patients.
A scrub tech serves as an assistant to the surgeon or doctor that is performing surgery.
Our circulator is person that is in the OR who documents certain aspects of the surgery while it is being performed. This person also assists in assisting the doctor when additional supplies or equipment are needed throughout the surgery.
The RN cares for the patients in the pre-operative and post-operative setting.
During a normal surgery day, where we are using an anesthesiologist, my role is to prepare the patients for the surgery by going over their medical history, performing an assessment on the patient, starting an IV and then recovering them after the surgery is complete. I will go over discharge instructions with the patient and family, take out their IV and make sure they are stable enough to be discharged from our ASC.
Kyla what role do you play?
My roll on a normal day is to circulate within the cases. I prep the room in the morning make sure that the equipment needed for cases are available to the doctors. To start off cases I bring back the patient and verifying that I we are doing the correct procedure and have the correct patient for the cases. Once the patient is the OR I handle all the documentation of the cases, equipment needs and patient safety. Once the case is complete I help the anesthesiologist to move the patient to the next room.
Guillermo and I then turn over the room quickly and efficiently to start the next case. I clean all the tools and autoclave them, while Guillermo is cleaning and setting up the table and room for the next patient.
Kyla what are your favorite types of cases to assist with?
Ankle Arthroscopy is one of my favorite cases to circulate during and most stressful due to the amount of equipment needed to do the case and how important the care of that equipment is that falls on me. I love when the doctor finds pieces of loose bodies and has to remove the pieces. Those pieces can be scar tissue, cartilage or bone. This can cause the locking up of the ankle or clicking with movement.
Evie what is your favorite part about working in the SX center?
My favorite part about working in a surgery center is be able to provide excellent care to a wide range of patients in a small setting. I also enjoy being able to follow them from when they are establishing care with us for an issue, to seeing them through the entire surgery and recovery process. We get to see the process unfold right in front of us and that is pretty special process to be a part of.
Kyla what is your favorite part?
The opportunity it has given to me to grow as an individual. Before this I had no surgical experience and now I have been able to grow with FASA within the ASC.
What are the highlights of having an in house SX center?
I think one of the best parts to having a surgery center in house is the ability to get to know our patients on a much more personal level. We take care of them through their entire process of preparing for surgery and through the recovery. I will see my patients at their pre op appointment and then again on the day of surgery. I believe that this is a great way to keep the continuity of care going through the patient's entire surgical experience.