277 - Improving Nurses' Comfort Circulating Spine Surgery Cases
As the Bone and Joint Institute at Hartford Hospital expanded to incorporate the orthopedic spine surgery service, additional training and resources were requested by staff to decrease confusion and increase their comfort in circulating these new procedures. Team included RN circulators working directly with CSTs and Orthopedic Spine Surgeons to outline and review case preferences. Discussed with RN circulators what information was needed for setting up each case and feeling comfortable throughout. Identified how to make RN circulators feel supported and ready for cases. Created organized resource to expand on case preference cards – Spinous Process Resource Book is organized by surgeon and case type. For each procedure, it details items: surgeon glove sizes, patient positioning and OR table set up, medication, ESU settings, surgical prepping, instrument sets, and other helpful hints (headlights, urethral catheter, step stools, biologic requirements). Also describes where biologic items are stored and how to prepare them on the field. Listed frequent Sales Representative contact information and which instrumentation systems fall under which brand. The book is easily accessible with a copy stored in the dedicated spine surgery OR. The format allows for clear and quick review, helping to prepare for surgery. The resource can be quickly adjusted and updated. Qualitative feedback from staff and surgeons to continue to adjust resource and weigh success. Staff feel more competent in surgery and surgeons more confident in staff, therefore all now able to focus on safe patient care.