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  Longer block times are more efficient than shorter ones

Fry Eye Stats  2 room privately owned  $1000 per hour ASC  2500 – 3000 cataract  1 eye only OR extractions/ yr  1 pain management OR  About 8 minutes from closing one case to the incision in the next  Mainly cataract surgery  Oculoplastic  3.5 – 4 cases per hour  Cornea  Glaucoma  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 moving to OR