VOL a, NO. 10 * OCTOBER 2008
In This Issue:
Preventing Pressure Ulcers:
Is Your OR Ready?
ASC Payment Rates:
Is a Change in Order?
I
Wholesome Homemade Bars:
Perfect for Snacking
*KP
Body Smart?? Sol
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a VOL a, NO. 10 * OCTOBER 2008 In This Issue: Preventing Pressure Ulcers: Is Your OR Ready? ASC Payment Rates: Is a Change in Order? I Wholesome Homemade Bars: Perfect for Snacking *KP Body Smart?? Sol
stryker You ask for smart solutions. Stryker SmartPump Tourniquet System The product you need. The technology you want. The name you trust. We deliver.. ??? Single & dual channels ??? Complete select
Chlorascrub" is the first and only skin antiseptic for use prior to surgery or injection to deliver 50% more CHG than standard 2% brands and may be used with semi occlusive dressings. In Vitro and In
Surgical otes 6688 N. Central Expressway Suite 1140 Dallas, Texas 75206 www.surgicalnotes.com 1-800-459-5616
ECOLAB THERE'S ONE REASON WE'VE DEVELOPED SO MANY SURGICAL EQUIPMENT DRAPES. Each is designed for a single purpose: Surgical Microscopes, C-Arm Imaging. Ultrasound Probes, Endoscopic Camera Drapes, a
ACS 2008 Booth # 2412 Medvix is a leading display manufacturer dedicated to providing superior products that are trusted in healthcare facilities worldwide. The AMVX® series offers featu
contents Vol. 8, No.10 • oCToBER 2008 22 46 28 Industry Insights 12 Corporate Profile — Preventing Pressure Ulcers: Is Your OR Ready? 16 News Briefs 18 Fellowship Status Underscore
contents Vol. 8, No.10 • oCToBER 2008 Health & Fitness 50 Quick and Sweaty Workouts: Make the Most of Limited Exercise Time 52 To Eat What you Want, Keep your Body in Gear 57 Nutrition
GELLI-ROLL The Warm Way to Reduce Pressure Introducing, the Gelli-RoU . The Innovative Gelli-RoU is effective before, during and alter surgery providing the benefits of both patient temperature manag
10 October 2008 Life in and out of the ORLakeside can make a difference for your facility! LI Improved workflow rj improved supply delivery
PUBLISHERS PAGE Fro thePublisherm oHFpoepraolthrhtoucsaneriteyofCfoyeronuytroawulhStoemrsvhigcoehwt&yboeSuturenrsiaulewpPpaoroertc,eoOsfcsthionebgseeWr 1he2aerk-d1.-A8w,so2sr0ku0irng8gi,c–ahlayse
CORPORATE PROFILE PreveNtiNg Pressure ulcers: is Your or readY? by RobeRt b. Dybec RN, MS, cPSN, cNoR NEWSFlASH: “The Centers for Medicare and Medicaid Ser- vices (CMS) announced that beginning oct
CORPORATE PROFILE tients pre-operatively using the Braden Scale. Perioperative Systems and Fiscal Year 2009. Published April 30, 2008. Available nurses are encouraged to learn more about press
Prevent ^^^k Hospital Acquired Pressure Injuries Medicare changes and industry standards demand that your surgical team proactively seek solutions to pressure injury challenges within the OR. Meet th
Life in and out of the OR October 2008 15[AAA ASF Ambulatory Facility Accreditation / ^ AMERICANA \ AMBULA I
INDUSTRY INSIGHTS NEWSbriefs sliM, FleXiBle steNts aPProved to treat heart disease by Avery comarow A new generation of drug-coated stents – the small scaffoldlike devices that hold clogged a
FDA Approved Enriched Intraocular Irrigating Solution TSHMiisra ND SAFETY WITH BSS PLUS FDA approved for irrigation during ophthalmic surgery only. Postoperative inflammatory reactions, as well as
INDUSTRY INSIGHTS FeLLoWSHIP StAtUS UNDeRScoReS DeDIcAtIoN to PRoFeSSIoN t hose in the Central Service discipline who are 3 Must
writing style, format, punctuation, and grammar. Submis- sions failing to meet specified criteria will not be consid- ered. [See more detailed rules in “Fellowship Standards for Acceptance of Written
20 October 2008 Life in and out of the OROTTTHFA9TFRN We sPc<ialixe in: ^^ L rii:'n0 l IJJV1>I ??? Soles of New and Recondit
SUBURBAN SURGICAL ' MPANY, INC. "T, the DIAMOND J <-/in. Industry ???% *lc: 800323.7366 847.537.9320 ??*: 847.537.9061 r VufiuHsnuufti Our products ar *. instruments
INDUSTRY INSIGHTS asc PaYMeNt rates: IS A cHANGe IN oRDeR? by KAtHy bRyANt, PReSIDeNt,ASc ASSocIAtIoN As we near the fall elections, both presidential candidates are striving to convince the elec
providing surgical services increase more slowly than other services and decrease them when the costs are increasing more rapidly. More to the point, CMS can not only stave off increases but ac
New & Refurbished Anesthesia Equipment A .1,:: -..*????? i-HP New PM8000 New PM9000 New Philips MP5 New Philips MP20 $3,450 w/EtC02/agent ID Touchscreen
Life in and out of the OR October 2008 2595% of All Surgical Procedures Create SURGICAL SMOKE Scientific evidence has shown that 1 gram of
FEATURED PRODUCTS & SERVICES Drapes [ ] alcoN laBoratories, iNc. eyePak® SurgicaL draPeS FoR THE BEST IN oPHTHAlMIC DRAPES, THINK VISEo™ Alcon’s popular line of EYE-PAK® ophthalmic Surgical Drap
Patient Warming [ ] hot dog usa, llc Hot dog® PAtient wArming Introducing the much-anticipated US availability of the Hot Dog® Patient Warming System. Hot Dog is an air-free system that ef
CONTINUING EDUCATION 236-60D 28 October 2008 Life in and out of
doN’t WorrY, Be h aPPY! HARMoNIze DIVeRSIty tHRoUGH PeRSoNALIty SeNSItIVIty by RoSALINDA ALFARo-LeFeVRe, RN, MSN Haveyoueverspentasleeplessnighttrying to decide how to get through to someone
CONTINUING EDUCATION 236-60D Th h p m h p m z w h p w p A h m p h w Exp — h hp w p mp p L x mp hp h wp m p D H m C ® C h h m h h p m steneseitgriov
ative, caring, committed, reliable, and sincere. They have the gift of service and quality. on the flip side, they tend to be judgmental, worry prone, doubtful, and moody and often have unrealistic e
CONTINUING EDUCATION 236-60D done (Yellows tend to need prodding and structure to stay on task). Think about the difference between a Red-type patient and Yellow-type patient and how you might nee
is, “Problems with interpersonal relationships.” Another important point is that critical thinking today frequently requires collaborative thinking. We need every- one’s brains, talents, and in
CONTINUING EDUCATION 236-60D one problem facilitators encounter, no matter what tool they’re using, is that some individuals resist the idea of personality typing because they feel it’s “placing p
ce236-60d – don’t worry, be HAPPy! HArmonize diversity tHrougH PersonAlity sensitivity 1. a personality-sensitive healthcare facility is one in which all key staff members, not just manager
CONTINUING EDUCATION 236-60D How to Earn Continuing Education Credit This course is 1 Contact Hour 1. Read the Continuing Education article. 2. Take the test on the previous page. Complete the ent
When the claims comef pouring in. t Your Lifeline For Medical Equipment Insurance Solutions ProTek: mm I f / ? ProTek An Insurance Program Exclusively for the Medical Device Industry administered b
-??? ^h***i At Piedmont Medical, we only know one direction to lead our customers - "The Right Way", providing value through our commitment to deliver superior quality and workmanship. Our stretchers are guaran
rifKWfSfftftay^fciutftiis Solutions for a world Mobile X-Ray Solutions . .. enhancing imaging through innovation! We're the undisputed leader in the remanufacturing industry delivering quality remanu
Spotlight On… Guilt-free VendinG Move over candy and chips, healthier options drop into view by Julie E. Williamson Life in and out of the OR
Spotlight On… W hen I was trudging away in my last semester of journalism school, I had a
“ Working in a hospital is stressful. We work long hours and we get worn down. It’s
44 October 2008 Life in and out of the ORumommp Fine Screen Traps Even The Smalfest Specimen * NO MORE STRAINING OR FISHING! * NO LOST OR D
ExASpK TeHErt ? Q: Is there any leniency on the AOrN policy regarding a CHILD rESTrAINT DurING INDuCTION? Q: I’m wondering how to hold a child still during induction? methods. One is the “smothe
Balanced Living Don’t be a statistic:According to a 2006 survey Harris Interaction and expedia, 36% of workers don’t plan to use all their paid vacation days, and 37% never take more than a week
QuESTION THrEE: Are You Taking All Your Allotted vacation Days This Year? (Remember: we’re on the honor system.) If you answered NO, you’re making me cry. (Deduct 50 points). Vacation Deficit Disord
Airflow OR Patient Positioning Aids Air channels create increased air flow for greater comfort. Donuts Ulnar Nerve Pads Heel Protectors Abduction Pillows Arm Board Pads OR Table Pads CYGNUS Medical F
[ ] Balanced Living Nurses, assert yourselves! If you frequent- ly find yourself being harshly scrutinized
Health & Fitness Don’t think you have enough time to exercise after a long day in the oR? think again.A University of Pittsburgh study showed that breaking up your exercise into short, ten-minute s
from minimal to high effort and back down again may im- prove fitness more than simply plugging along at a medium pace. In addition to improving aerobic fitness, interval training can burn more
Health & Fitness to eat What You WaNt, KeeP yoUR boDy IN GeAR by cyNtHIA bILLHARtz GReGoRIAN on a Tuesday morning, Dr. Ed Wolfgram wolfed down an apple fritter, a weekly treat, after his 4-mile
against the unhealthful foods they eat. This doesn’t give avid exercisers a free pass to eat all the high-calorie, high-fat, sugary foods they can shovel in. (Unless, of course, you’re a gold m
Nutrition DIetARy URbAN LeGeNDS by betSy KLeIN RD, LD Just as with people, there are a lot of foods out there that suffer from undeservedly bad reputations. Especially now with the Inte
In addition, eggs contain one NuTrITION/ENErGY BArS: of the highest amounts of choline
Nutrition << continued from page 55 blood pressure) as bananas. A serving size is equal to 1/5th of an avocado. Remem- ber, a small amount is beneficial; a lot doesn’t correlate to real go
Nutrition tWo’s coMPaNY: bLUe cHeeSe, LettUce AND toMAto SALAD by beV beNNett of all the types of cheese you’ll find in a better supermarket, perhaps none offers greater variation than bl
58 October 2008 Life in and out of the ORAll the Performance. Half of the Cost. The Premier Medical Equipment Provider. m ???* m ft P ?? l
Nutrition WholesoMe hoMeMade Bars PeRFect FoR SNAcKING by NIcK MALGIeRI From grades one through 12, my school lunch always con- tained a few cookies or a cupcake. Forty to 50 years ago, n
Nutrition << continued from page 59 Cranberry Oatmeal Bars these moist, chewy bars are a perfect snack.the dried cranber- ries add a tangy note that makes them really satisfying. 3 cups ro
Granola Bars these bar cookies resemble an energy bar, but taste a lot better. they’re rich and satisfying, but low in calories at the same time. these contain no flour - the peanut butter binds the
62 October 2008 Life in and out of the ORYour Medical & Surgical Equipment Specialists ::akw| MEDICAL Providing premium new & refurbished M
Pre-Owned Surgical Equipment from Mobile Instrument... Saves You Money! * Quality equipment at a fraction of the cost of new. * Extensive Inventories. * All equipment is refurbished by our repair
Did You Know “SteALtH”tIPS FoR ADDING eXeRcISe to yoUR DAy – WItHoUt GoING to tHe GyM Regular exercise can lower your risk for heart disease, diabetes, and even some forms of cancer.yet many
3. BE PArT OF THE FuN. Adults shouldn’t miss a chance to jump into the fray if kids are playing on a playground or splashing around in the water. Play- ing along will strengthen muscles and bones and
SPECIALIZED TECHNOLOGIES We Offer Our Best in Quality, Value, Technology and Customer Service SPECIALIZING in Transesophageal Probe Repair We offer repair capabilities for most HP/Agilent/Phillips/Ac
Life in and out of the OR October 2008 67The pi!h to providing quality health care is clear Tha Accreditation Association tor Ambulatory Ha
68 October 2008 Life in and out of the OR3-D Technical Services LAPAROSCOPIC TRAINING AIDS ModtMTRLCOOa Practice procedures at your conveni
si r???T?? I t. ^ Government Liquidation FOR A LIST OF U*??COMING SALES CALL: 480. 367. 1300
70 October 2008 Life in and out of the ORQUALITY EQUIPMENT AT AFFORDABLE PRICES Specialists in outfitting entire healthcare facilities with
Fun & Games Life in and out of th e OR October 2008 71??faW/<$0&Q MSTMUCDONS Fndaa i**rm wore*
CATEGORICAL INDEX ANESTHESIA AKW Medical…………………………… 62 b. braun Medical, Inc…………………… Ibc Lakeside Manufacturing, Inc. …………… 10 Paragon Service………………………… 24 Propper Manufacturing ………………… 20 APP
3-D Technical …………………………… 68 Ph: 937.746.2901 • www.3-dmed.com AAAASF ………………………………… 15 Ph: 888.545.5222 • www.aaaasf.org AAAHC …………………………………… 67 Ph: 847.853.6060 • www.aaahc.org Action Products,
UKfi ^/v Km&v < Xfu^L I One Company, One Source for ALL your Laser Needs! yr Surgical and Aesthetic Laser Rentals and Sales Newest Laser Technology Certified Laser Operators Laser Accessories and
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