Shands Operating Room

Description of the Unit

North Tower: The North Tower consists of 23 operating rooms. The department is located on the second floor adjacent to the PACU. The Shands OR is staffed 24 hours a day, seven days a week with an in-house surgical team. The Shands OR also staffs the burn unit in the burn ICU 4 days per week as needed.

The South Tower consists of 13 operating rooms. It is located on the second floor of the South Tower adjacent to the pre-op and PACU. The South Tower OR is staffed 24 hours a day, seven days a week with an in-house surgical team. There is an OR immediately available 24/7 to support the level one trauma center emergency department on the first floor of the South Tower. The OR also has access to interventional radiology which is staffed by radiology and is within the operating room.

Both operating room towers are staffed with Registered Nurses, Surgical Technologists and ancillary support personnel. The staffing patterns are based on the needs of the operating room.

Patient Population

The facilities serve all patient populations and all levels of the ASA physical classification system. The surgical specialties include orthopedics, neurosurgery, general surgery, gynecology, plastic surgery, urology, pediatrics, vascular, oral, cardiovascular/thoracic, ENT, trauma, ophthalmology and burn.  These specialties utilize the latest in operating room techniques and equipment. Inpatients and outpatients are cared for in both towers.

Nursing Care

The Perioperative nursing staff are licensed Registered Nurses by the Florida State Board of Nursing. Surgical Technologists are graduates of community college-based Surgical Technology programs, or comparable programs which function under the direction of the RN. New staff are oriented to the unit during a planned orientation ranging from two to six months, depending on previous Perioperative nursing experience. Professional certification (CNOR) in Perioperative nursing is available from the Association of Perioperative Registered Nurses (AORN) and ASPAN.  Certification in Surgical Technology (CST) is available from the Association of Surgical Technologists (AST). All staff that are responsible for direct patient care pass Basic Life Support (BLS) skills. Operating room staff are provided educational opportunities to attain and maintain competence in their role as defined by the job description for the specific role and by the Departmental Education Plan.

Health Care Team

The Medical Director is an appointed Board Certified Anesthesiologist. The anesthesiologists provide in-house coverage 24 hours a day, 7 days a week. The Associate Vice President of Perioperative Services is responsible for the strategic vision of Perioperative Services and all quality and safety practices. The nursing leadership for the towers includes registered nurses in the position of a Nurse Manager and Clinical Leaders. They are responsible for the day to day activities of the operating rooms. 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. The Clinical Leader has the responsibility of assisting the Associate Vice President of Surgical Services and Nurse Manager with program development, marketing activities, financial and productivity goals. In the absent of the Clinical Leader another RN will be designated as the team leader for the day.

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