Earlier this summer a friend revealed that for the last nine years she has been a patient in a concierge, or boutique, primary care practice. For $350 each month, she is guaranteed around-the-clock access to her doctor, appointments within 24 hours of calling, longer office visits and the kind of personalized attention and care coordination she felt was missing with all her previous doctors.
I got a flat tire this weekend. There were clues that I chose to ignore – the alignment going out suddenly, the steering wheel jiggling when I drove – but the sudden thwacking sound as I sped down I-20 was a clue I couldn't ignore. I pulled off, then unknowingly stood in a fire ant bed while I changed my tire.
Preventing surgical errors is the responsibility of the entire healthcare team and should involve educating the patient – who has the greatest stake in avoiding problems – according to new recommendations from the American College of Obstetricians and Gynecologists. Carefully designing checklists for each step of the operation, eliminating distractions in the operating room (e.
"I can predict the future. No, this doesn’t involve a crystal ball, Ouija board, or looking at the entrails of a freshly slaughtered surgical intern. My limited skill gives me a little insight into how general surgeons will be treated - and, more importantly, how they will respond to such treatment.
Richard Schule, director of clinical education, STERIS Corporation www.steris.com 1. Identify the original equipment manufacturers (OEM) and consult their instructions for use (IFU). According to FDA label requirements, the IFU provides the customer with cleaning and sterilization requirements.
Not long ago, we interviewed a physician for possible partnership in our practice. After showing him around our town, some of us partners had dinner with him to discuss business. He was a quite pleasant fellow, well trained, and seemed to be a good ‘fit’ for our practice. As dessert was being served, he said he needed to get one more thing off his chest: he prays aloud in the operating room before starting each surgical case.
Kathy Carlson discusses how online continuing education programs such as Nursing CE Portal provides perioperative nurses affordable and accessible continuing education. Surgical Products: Can you provide some background on Nursing CE Portal? How did it start and how long has it been available? Carlson: It started out as a friend’s idea.
How can surgical professionals ensure they maximize the use of their surgical instruments with proper care? 1. Stringing instruments in decontam for more effective cleaning. By stringing the instruments with a wide stringer, the instrument, including the hinges, is completely open and exposed to water and cleaning solution in the instrument washer.
One afternoon, I overheard a nurse asking another physician how she was feeling. The physician, a young woman known throughout the hospital for her cheery disposition and sunny bedside manner, looked ashen. She smiled weakly in response and insisted that nothing was wrong. “She’s lying,” the nurse whispered to me as the doctor walked away.
I will never understand some surgeons’ fascination with the pancreas. What happened to them in childhood that made them yearn for the approval of such a shallow organ? One of my colleague’s eyes light up like a Christmas tree at the mere mention of a pancreas.
How can surgical professionals ensure they maximize the use of their surgical instruments with proper care? August 20, 2010 As recently indicated in ST79:2006/A2:2009; “The written recommendations of the device manufacturer should always be followed. The reusable medical device manufacturer is responsible for ensuring that the device can be effectively cleaned and sterilized.
While breast reconstruction after a mastectomy is covered by insurers in New York, many poor, minority, and less educated women do not seek out the procedure. Now, NY Gov. David A. Paterson has signed into law a bill that is aimed at reversing this trend. "A disproportionate number of women who are at a socioeconomic disadvantage do not get breast reconstruction surgery after a mastectomy for one of several reasons.
She was not my patient. Actually, she was nobody’s patient, she was just a wife; she was “the family.” She was a rough, stern looking woman, and with good reason as she had weathered many difficult times. Her husband had been severely demented for many years; however, it was only in the past few months that he required such intensive inpatient care.
Maximizing the use of surgical instruments and ensuring many years of productive and satisfactory performance starts with caring for your instruments. New Instruments - Newly purchased instruments must be cleaned, lubricated and autoclaved immediately before use. Proper Use - Instruments are designed for a specific purpose and should be used only for that purpose Water and Stainless Steel - Tap water contains minerals that can cause staining.
Perhaps the most important principle in practicing medicine, drummed into medical students and junior doctors time and time again, is to do no harm. Our medical interventions and treatments can be given either too early, too late, or inappropriately, with sometimes terrible and tragic results.