Ether Resources for Anesthesia Research and Education

Stanford ASC Perioperative Coordinator(ASC Scheduling Rotation)

Welcome to the ASC scheduling rotation – this elective was established to help expose residents to concepts in operating room scheduling, as well as too allow hands on experience in managing an ever-evolving OR Board. Through literature review, active participation in scheduling meetings, and most importantly direct communication with anesthesia residents, staff, nurses and surgeons one will be able to cultivate skills in ACGME competencies of interpersonal and communication skills, system-based practice, practice-based learning and professionalism. You have been afforded a unique opportunity to approach a day in an ambulatory surgery center from a different perspective – one that will hopefully allow you to better understand the complex dynamics involved everyday “behind the scenes”. Please find below a list of faculty that have expertise/interest in scheduling, several articles that detail key terms and concepts in ambulatory scheduling, and an attached worksheet that may help you get started when you get to “take the phone”.

 

Key Faculty

Anesthesia Schedulers Dr Lemmens, Dr Macario Dr Brodsky, Dr. Adriano and  Dr Schmiesing. Wealth of experience and knowledge on OR scheduling and how to “manage” the board. Leader in scheduling meetings, and overall great resources.
Dr. Alex Macario Authored several the articles you will find below, director of fellowship in management of perioperative services, has numerous contacts in the community of practitioners with scheduling experience/interest.
Dr. Pedro Tanaka Academic focus on education and leadership, currently developing leadership curriculum and assembling resources that will help expand managerial skills.
Dr. Bassam Kadry Focus on computer modeling and utilization analysis to  better prognosticate needs and maximize efficiency.

 

Support

The rotation is designed to give you a large amount of autonomy in managing the ASC. However, you are not without support and supervision. The main OR scheduler is ultimately responsible and always available for consultation and assistance, please do not hesitate to ask for help/advice as needed.


Key Articles

Scheduling Of Cases In An Ambulatory Center (Dexter, PMID 12812402)

Determining Optimum Operating Room Utilization (Tyler, D et al  PMID: 12651670)

A Strategy For Deciding Operating Room Assignments For Second-Shift Anesthesiologist (Dexter and Macario, PMID: 10512265)

 

Important Contact Numbers and Tips

ASC Scheduler Phone – 33430
Main OR  scheduler Phone – 60249
ASC Desk – 5-6102      
ASC Pre-op/SAU – 3-5991
ASC Pacu – 3-5917

ASC Tech – 6-2120

ASC CHARGE NURSE - 49420

 

Patient Care Comes First!!! At the end of the day our job is to deliver excellent and safe patient care. Efficiency and optimization are important, but patient care comes first. Always keep this in mind as you approach your day.
Less is More You will be tempted to make “many” moves in trying to shave minutes from the day, this often never works. Unless you can save approx 1 hr consider keep things as is. By moving surgeons/anesthesia/nurses you will disturb many people’s day and often make them unhappy in the process. Moving several cases to save 15-30 min is rarely worth it.
Golden Rule “Do Unto Others” For two years you have been on the receiving end of both very good and very bad scheduling, remember that. Try to be fair, friendly and transparent.

 

General Outline For The Day

6:45
Arrive ASC, obtain phone and lists from front desk and try to plan you day
9:00
Or scheduling meeting – meeting with MOR scheduler and key nurses for the upcoming days OR scheduling and trying to place add-ons. (to find room go to anesthesia call rooms and walk down the hall to you are approx across from locker rooms and look for small conference room next to Monique’s office. Everyone arrives at 9 am sharp, and it is a fast paced and fun meeting)
9:00-2:15
Run the board, give breaks and be available to help in anyway to keep the day going and everyone happy.
2:15
Second OR scheduling meeting – review the next day’s schedule one more time and try to optimize the schedule two days in advance (same location as first meeting)
2:15 – finish
Continue to run the board, the afternoon is where time can be made or lost, work with the charge nurses and check in with you staff to see how all rooms are going in attempts to optimize the day.

 

Leadership Development

Before the start of your rotation read “One Minute Manager” (copy will be placed in your mailbox), and complete attached LEAD SELF assessment tool and scoring rubric.  Throughout the rotation be mindful of not only your particular style, but also the styles of those you are leading.  At the end of your rotation write a short narrative exploring an encounter/situation you experienced during your rotation where your role as a leader was either successful, or unsuccessful, based upon identifying key differences in styles (please upload this document to your portfolio in Medhub and CC Dr. Tanaka with this document so that you can meet to discuss).


ASC Charge - 49420
ASC Pre-op/SAU – 3-5991
ASC Desk 5-6102ASC Pacu – 3-5917

                                                                                                                       
MOR Scheduler      ___________________                ASC 1            ________________________

ASC Charge Nurse  ____________________             ASC 2             ________________________

OB call                         _____________________

½ Day                          ______________________

Resident Lecture    _______________________________________________________________  

X-Shift                         ________________________________________________________________ 

 

Single Covered Attending

AM

Lunch

PM

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Residents and Attendings are to check in with MAIN OR scheduler when done in ASC. 

When leaving for the evening, be sure to give the phone to an attending with the ability to respond to an emergency (Ie one with a resident in their room). 

 

Best,
Chris Painter
650-529-5600 (cell)
painter1@stanford.edu

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