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You Can't Make This Stuff Up
Two seasoned pros share the lessons learned from surgery's head-scratchers.
Nancy Burden, Ann Geier
Publish Date: May 22, 2014
OR Excellence
Ann Geier, MS, RN, CNOR, CASC Ann Geier, MS, RN, CNOR, CASC
Nancy Burden, RN Nancy Burden, RN

Speaker Profile

  • Ms. Geier is a nationally known expert with more than 30 years' experience in ASC management.
  • Source Medical's vice president of clinical informatics.
  • Ms. Burden serves as director of ambulatory surgery for BayCare Health System in South Florida.
  • Overseeing the expansion of the BayCare ASC.

Ann Geier, MS, RN, CNOR, CASC, and Nancy Burden, RN, have seen it all in their 92 years of combined surgical management experience. "You Can't Make This Stuff Up" is an inside look at the good, the bad, the ugly and the just plain weird they've witnessed. Here's a glimpse of the strange-but-true OR tales they'll share.

  • On the head-scratchers they've seen. We'll discuss real-life issues related to infection control, HIPAA, OSHA, personal protective equipment, human resources and staff communication — occurrences we've actually witnessed during surveys or over the many years we've spent managing and consulting. Some of it will curl your hair, like the time a patient let his dog lick a bunionectomy incision. That wasn't going to show up during the center's root cause analysis of the resulting infection. We've gone into centers where there's no RN in sight — only a medical assistant overseeing things — and yet they were Medicare certified. Who missed that? We've seen surgical teams afraid to confront surgeons who make mistakes. Does that sound familiar?
  • Are these things happening in facilities today? We suspect they are. As long as human nature is involved, you can't eliminate all mistakes, but you have to do as much as you can to prevent them. That's why we're sharing all these stories. It's not just for fun or shock value. We want to get across that vigilance is required all the time, that education is essential and every member of your staff needs to be accountable for what goes on at all times. Get out from behind your desk and open your eyes.
  • Why busyness isn't an excuse. Everyone is overwhelmed. Facilities are operating with lean staffs and high case volumes. But busy centers tend to be the ones that do it right, because they're built on a firm foundation. Some administrators and staff simply don't read or stay current with the latest clinical guidelines and standards. They stop paying attention to new regulations as soon as they've passed accreditation surveys and don't start until their turn comes up again.
  • Nicole Overbeck, RN
  • They want to hear from you. How do bad things continue to occur when we all know what we're supposed to do, and how we're supposed to perform? We'll point out true incidents, how they came about and, ideally, make you think long and hard about whether similar things are happening in your workplace. You'll have to listen closely, put yourselves in the shoes of the people in the examples, and take the messages back home to your colleagues. Hopefully, this will improve patient safety and quality of care for all of our patients. We're also counting on the audience to be active participants in the discussion. We want to hear their war stories and share how we might have handled the situations. And just maybe, the attendees can teach these old pros a thing or two.