This is blog 2 of 3 that explains the ins and outs of pre-admissions cardiac testing from my perspective. As an anesthesiologist, with over 30 years of experience, I’ve done everything from open heart and liver transplant to fast-paced ASCs and pain management. My goal is to provide a common-sense explanation that helps ASC preop nurses to better understand cardiac testing in the context of a preop evaluation for ambulatory surgery.
So here’s what I can tell you: If stranded on a deserted island (or is it a desert island!?) doing anesthesia on old folks and I could have only one cardiac test, the cardiac echo would be it. Hands down. Stop the show.
20 years ago, most ASCs typically cared for ASA 1 and 2 patients: young, relatively healthy patients having simple, relatively non-invasive surgery. Fast forward to 2021 - as advances in anesthesia techniques, surgical techniques, and an overall better understanding of minimizing risk for ambulatory surgical patients has evolved, most ambulatory surgery center preop surgical nurses today will routinely care for at least some ASA 3 patients.
As an ambulatory surgical nurse, you know what that means: older, sicker patients with more cardiac problems. Frequently, these patients come with either (1) a slew of pre-admissions documentation that you have to weed through or (2) nothing at all. It seems like there’s never just the right amount!
Two thousand twenty one.
There were several unexpected issues in 2020 that have impacted the health care industry, and Ambulatory Surgery Centers in particular, in profound ways. If ASCs were paying attention, they have learned some valuable lessons to apply to the coming year to ensure they continue to operate smoothly.
Outpatient total joint replacements are becoming more and more attractive to patients. Particularly in a post-COVID-19 world, patients are attracted to the idea of at-home recovery and a shorter length-of-stay in the acute setting. As demand rises, outpatient joint replacements are expected to increase by nearly 80% over the next few years. Your ASC can meet this increasing demand by optimizing and implementing best practices now for total joint surgery.
With rapidly-changing healthcare regulations, ASCs must consider how to deliver high-quality care while pivoting to meet the demands of changing legal and safety requirements. At the same time, patients want more information and they want it to be easily accessible.
Research has found that undergoing any total joint replacement can make patients feel uncertain, vulnerable, and nervous. They may experience a decrease in trust for their own body. They may have intense anxiety about harming their new joint. As their healthcare provider, you have a crucial role in helping patients feel more confident and at ease. Instead of feeling anxious and uncertain, with your help, patients can experience a significantly improved quality of life.
One of the top questions regarding ambulatory surgery software is data privacy and security. With just one click, cybercriminals can gain access to a network of data. If this happens at your ASC, the results can be devastating.