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San Leandro Surgery Center Evaluation Outcome

Nurse Talking with Senior Patient Provider in Home with Senior Patients
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Thursday, October 18, 2018

When Rosalyn Mercado (San Leandro Surgery Center) agreed to become an Infection Preventionist (IP) in 2017, she lacked a true understanding of what the position entailed. After attending the CASA IP Seminar, Rosalyn began to grasp what it meant to be an IP and she embraced her role. Months later, San Leandro Surgery Center underwent its unannounced Centers for Medicare & Medicaid Services (CMS) evaluation. Though Rosalyn was still not completely confident in her abilities at the time, the end result proved San Leandro Surgery Center's ongoing IP efforts—CMS deemed the ASC “substantially compliant” without any standard violations.

What San Leandro Surgery Center Learned

As team members working in an ambulatory surgery center (ASC), the staff members are exactly that—members of a team. To achieve these results, San Leandro Surgery Center reviewed relevant policies and procedures, referred to their valuable corporate resources and professional guidelines (Association of periOperative Registered Nurses [AORN], Association for the Advancement of Medical Instrumentation [AAMI], HSAG), and invested time to ensure their IP plan was relevant, with ongoing surveillance techniques. San Leandro Surgery Center demonstrated the evaluation was not too far from ordinary as these are the same efforts IPs put forth each and every day. The Perioperative team puts their hearts into the work they do, and situations such as being evaluated by CMS simply highlights these efforts.

For more information, please contact: Rosalyn Mercado, RN, Infection Preventionist; Jeanne Linda, MBA, CASC, RHIA, CPHQ, CPMSM, Administrator, San Leandro Surgery Center, 15035 E 14th St, San Leandro, CA 94578.

San Leandro Surgery Center