Ambulatory Surgery in a Freestanding Unit

Ambulatory Surgery in a Freestanding Unit

Application of Strategies 2. How to Use Imagery in Nursing Care: Session 1 3. The Dilemma of Nonnursing Degrees 4. Esophageal Resection with Colon Int...

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Application of Strategies 2. How to Use Imagery in Nursing Care: Session 1 3. The Dilemma of Nonnursing Degrees 4. Esophageal Resection with Colon Interposition 5. BSN as Entry into Practice: Implications for Nursing Service and Nursing Education, 1980s 6. Comprehensive Care, Enlightened Care Givers 7. Nurses as Models of Self-care 8. Autotutorial Lab Exhibits, 11 am to 3 pm House of Delegates, 3:15 to 5 pm Educational sessions, 3:15 to 5 pm 1. How to Use Imagery in Nursing Care: Session 2

2. Nurses' Role ,in Radiation Accidents 3. Chain of Evidence: Nurses' Responsibility 4. Making Your Own Audiovisuals 5. Autotutorial Lab Friday, March 13 Registration, 8 to 10 am Educational sessioins, 8 to 10 am 1. Solving the Manager's Timewasters 2. Health Planning in the 1980s versus Free Enterprise 3. Physical and Sexual Abuse of Children 4. Implications Prom SENIC (Study on the Efficacy of Nosocomial Infection Control) for the OR Nurse Closing Session, 10:30 am to noon President's Reception, noon

Film review: Ambulatory Surgery in a Freestanding Unit Ambulatory Surgery in a Freestanding Unit, a 24-minute film made in 1978, stresses an alternative method of giving surgical care. The author, William W Funderburk, MD, presents data to illustrate that patients do better without hospital Iconfinement. The film emphasizes that space, design, equipment, supplies, and staff are all geared toward the maintenance of a safe and attractive environment for the patient and the surgeon. Major factors that are promoting the concept of ambulatory surgery in freestanding units are (1) the use of short-acting anesthetic agents that contribute to rapid recovery and early ambulation and (2) an increased emphasis on cost-effective measures in the delivery of health care. The film examines whether the ambulatory setting is cost effective. It cites the Orkand report, stating ambulatory surgery costs in a freestanding unit are 55% less than in a hospital, 11O/0 less than in an outpatient clinic, ,and 18% less than in a hospital-affiliated program.

Ambulatory surgery centers must be oriented to people and patients. The centers must be designed with input from surgeons, anesthesiologists, and nurses and be constructed to maintain patient privacy. They should not be viewed as elaborate offices. This film identifies the surgical procedures most commonly performed in an ambulatory setting and serves as an excellent overview of such units. Nursing interventions and patient teaching, however, are conspiciously absent. Therefore, the usefulness of the film for a nursing audience is limited to those interested in an overview of ambulatory surgery. Ambulatory Surgery in a Freestanding Unit, DG-1331, is available for a rental fee of $15 in a 16 mm film version or may, be purchased as a 314 inch U-Matic or 1/2 inch Beta or VHS for $100. It may be ordered from the Surgical Film Library, Davis + Geck, One Casper St, Danbury, Conn 06810. Alicia C Arvidson, RN Chairman, Audiovisual Committee

AORN Journal, December 1980, Vol32, No 6

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