Ayers Surgery Center
Ayers Surgery Center is an outpatient surgical facility located on the first floor of Ayers Medical Plaza.
The normal hours of operation at the center are 7 a.m to 5 p.m. Monday through Friday. The center has four operating rooms, seven pre-op holding areas, seven Post-Anesthesia Care Unit (PACU) Phase I areas and seven PACU Phase II areas. The Center averages 225 patients monthly.
Patient populations exclude neonates and ASA Class V anesthesia risk patients. Safety of the patient is the first factor in the selection of any patient or procedure for admission to the center. Selection of patients is based on the physician’s and anesthesiologist’s review of the individual’s patient history, physical status, diagnostic data and assessment of the risks and benefits of the procedure.
Surgical specialists provide general surgery, gynecology (OB/GYN), ophthalmology, orthopaedics, otolaryngology (ENT), plastic surgery, pain management, podiatry and urologic care. Anesthesiologists and certified registered nurse anesthetists (CRNAs) provide general, spinal, regional and monitored anesthesia care.
- David Burdette, M.D., is the medical director for the Center. Dr. Burdette is board-certified in anesthesiology.
- Barbara McClenathan, R.N., is the director of Surgical Services and is responsible for the overall management of the center.
- Tammy Phillips, R.N., B.S.N., C.N.O.R., is the clinical manager for the center. Her responsibilities are to provide management for all patient care activities within the scope of Ayers Surgical Center. This encompasses all operational activities, from the time the patient is scheduled for surgery until the patient is discharged home or transferred to another level of care. As manager, she has the responsibility of assisting the director of surgical services with program development, marketing activities and financial and productivity goals.
A clinical coordinator is responsible for facilitating clinical care delivery and serves as a resource for problem resolution on a daily basis. In the absence of the clinical manager and clinical coordinator, an R.N. will be designated as team leader for the day.
The center is staffed with registered nurses, licensed practical nurses, surgical technologists and ancillary support personnel.
The nursing staff are currently licensed registered or practical nurses by the Florida Board of Nursing. New staff are oriented to the unit during orientation. All direct patient care staff are BLS-certified.
The nursing care delivery model is team nursing. Staffing of caregivers is based upon the actual number of planned cases and anticipated acuity on a daily basis. Scheduled working hours are flexible, based upon distribution of caseload.
There are always at least two registered nurses in the center when patient care is being provided. The OR will utilize one R.N. and one surgical technologists or two R.N.s to staff each surgical procedure. Local/sedation cases will be staffed with an additional R.N. The pre-op and PACU will be staffed according to American Society of PeriAnesthesia Nurses (ASPAN) guidelines utilizing R.N.s, L.P.N.s and patient care assistants (P.C.A.s). An anesthesia tech is available to assist the anesthesiologists. A surgical technologist is responsible for the sterile processing area.
The nursing staff is committed to patient advocacy. The scope of practice for each individual perioperative nurse may include, but is not limited to, roles such as pre-admission nurse, pre-op nurse, circulator, scrub, educator, team leader, service coordinator and PACU nurse. The perioperative nurse works in collaboration with other health professionals to assess, plan and meet patient care needs throughout the surgical experience. The R.N. has primary responsibility and accountability for the nursing care of patients having surgical interventions.
The clinical manager, clinical coordinator or designated R.N. will make assignments of patient care. Assignments will be based on the patients’ needs, acuity and staff competency.