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PROFILE
The Same Day Surgical Unit (SDSU) is a complex area, composed of five contiguous units: the preoperative area (a 20-32 bed holding area for processing and preparing patients for both surgical and non-surgical procedures), the Ambulatory Operating Rooms (10 OR suites), recovery room (a 15 bed area), the post recovery/discharge area (accommodating for 10 patients), and the pediatric area (4 bed preoperative area and 4 bed recovery area).

UNIT FOCUS
The SDSU is a specialty perioperative area. Patients are cared for preoperatively, intraoperatively and post operatively by a dedicated and caring nursing staff.

Operations Coordinator
Jane Wardrobe

Clinical Nurse Specialist
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PATIENT CARE DELIVERY MODEL
The patient care delivery model is a patient-focused model providing care that is high quality, comprehensive, accessible, supportive and personalized. In our pediatric setting we provide a family centered care delivery model focusing not only on the needs of the pediatric patient yet the family needs and expectations as well.

TEAM MEMBERS
The RN staff is supported by surgical technologists, patient care assistants and nursing students. The support staff consists of operation associates and unit service associates. To inquire about positions available on this unit, please contact Karen Jarosz at kjarosz@partners.org.

SCHEDULING PRACTICES
Staff schedules are driven by patient need. The scheduling process is staff driven and flexible to accommodate personal and educational needs. Once the schedule is posted, the staff manages changes. The SDSU is open from 5:30am until 8pm daily Monday through Friday for full operational activities. On Saturday's the SDSU is open 7am-3pm for preoperative preparation of patients having surgery in the Main OR.

STAFF ORIENTATION
All staff attends a one- week nursing orientation program. Unit orientation is preceptor based, individualized and determined by the Nursing Director, clinical nurse specialist and the new employee. The length of orientation is also individually determined based upon past clinical experience in perioperative nursing. All SDSU Nurses participate in crosstraining to all areas of the SDSU. Nurses are provided education through the Northeastern University Perioperative Nurse Credential Course to develop competencies to the Operating Rooms. Required competencies in the SDSU: IV Admixtures (RN's only), Conscious Sedation (RN's only), Glucometry testing, LASER Safety (OR personnel), IV insertion (RN's only), Phlebotomy (RN's, PCA's)

EDUCATIONAL AND DEVELOPMENT OPPORTUNITIES
Staff education and development is supported by The Norman Knight Nursing Center for Clinical & Professional Development. Full and partial day programs are offered. Staff may also access outside educational opportunities. The teaching environment provides staff with a daily opportunity to discuss patient care related educational issues with members of the graduate medical education program and with other members of the care-delivery team.

Clinical Nurse Specialists provide professional development and educational support to staff on the nursing units. Clinical Nurse Specialists in conjunction with the Nursing Director and Staff promote highest quality nursing care and optimal clinical practices based upon professional organization standards. Staff has time allocated and the necessary support to offer educational programs to other staff members. Nursing Grand Rounds programs are offered on a regular basis.

Staff RNs have the opportunity to participate as a nurse preceptor or a team leader. RNs may advance in their clinical practice and demonstrate proficiency through the Clinical Recognition Program.