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Biomedical subjects

C A Covell

Publications and source records attributed to C A Covell.

6 recordsLinked to original sources

Controlling costs in cataract surgery.

A study was done of the supplies used in cataract surgery by the 13 highest-volume surgeons at our hospital. A task force of administration, operating room management, business management, and cataract surgeons, over a 4-week period, developed a standardized list of surgical supplies for all cataract surgeons to use in the operating room. By standardizing the supplies and educating the surgeons about the changes we were able to control costs, to maintain high-quality care, and to position ourselves for the managed-care market through cost-competitive strategies.

Cataract Extraction↗

First assisting in cataract surgery: program results.

1. This program was established to teach non-physicians to first assist in cataract surgery, since third party payors would no longer pay for physicians to first assist. 2. Among the advantages to utilizing non-physician first assistants are: availability, reliability, familiarity with instruments and equipment, and quality of service. 3. The questionnaire results confirm that the advantages of having non-physician first assistants far outweigh the disadvantages.

Cataract Extraction↗

Coordinator teaches staff to operate equipment, handles malfunctioning equipment.

Based on the data collection, a recommendation was made to the OR committee to develop a new full-time position of equipment coordinator. Committee members supported the recommendation, and further recommended that a backup person be trained as an assistant equipment coordinator to cover when the equipment coordinator was not available.

Equipment Failure↗

Conscious sedation in a specialty hospital.

1. The patient under i.v. conscious sedation retains the ability to independently maintain a patent airway and respond appropriately to verbal commands and physical stimulation. He or she also has a depressed level of consciousness, and decreased pain and anxiety. 2. For a nurse to administer conscious sedation, conscious sedation policies, procedures and protocols must be in place within the institution. 3. Patients receiving conscious sedation must be monitored for physical changes in blood pressure, cardiac rate and rhythm, oxygen saturation, skin condition, pain, emotional status, and cognitive ability.

Procedural Sedation↗