Brief background: My instructor requested that I come up with a quality improvement project or recommend a strategy for workflow improvement on behalf of the anesthesia technician staff.
Situation: The staff is currently operating at a 50% and sometimes below staffing rate. There are approximately 23 OR (Operating Rooms), Endoscopy 9 Or’s, and approximately 9 CT rooms. All rooms are equipped with anesthesia equipment that requires essential maintenance from the anesthesia technical and support staff prior to and after operational procedures, It is the sole responsibility of the anesthesia technician staff to properly supply adequate and functioning equipment necessary for daily operations. The medical staff greatly depends on this equipment which is utilized for assisting them in the process of saving lives daily. Working with a 50% or less than staff rate, produces great challenges when your staff is responsible for such a large territory of operation. After Assessing the need for accountability, continuity, efficiency, and a much needed smoother level of operation, I recommended that staff be fragmented into teams to accommodate each aisle of the main OR(Operating Room) location, and two additional teams to cover the Endoscopy and CT areas. I also recommended that there another team stationed in the IV room preparing required pressure lines for the entire team. In addition, I also introduced the ideal of having at minimum 2 persons per team, per each aisle, with at least 2 glide-scopes and 2 Ultrasound / sonosite on hand. The purpose of developing this type of strategy was in attempt to establish and build stronger rapport, communication, accountability, and efficient practice between interacting medical teams and the anesthesia technician staff members. This concept would also improve and contribute to providing greater quality care for lives of those we as a collective medical teams serve. Dr. Judy

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