Instrument Pods | The Surgeon Perspective

Speaker 1We're gonna move to our next, uh, educational spotlight. Uh, this is gonna be by, uh, Doctor Sean Hacker. He's gonna be talking about the instrument pod, a surgeon's perspective, and this is supported by Turbit Surgical.

Speaker 1John.

Speaker 2What entices me about this product really has to do with time because everything we work toward in the OR is more time to do more cases and to be more efficient. I thought that this would be a game changer for ORs and increasing the time that they can utilize to do cases. I saw its value in that. OR time is at such a premium and it's very expensive. They've quoted OR time at $100 a minute.

Speaker 2If this product can save an OR 15 minutes per case over a 4 to 5 to 6 case day, you can save an hour. That's a lot of time. You can do another Surgery in an hour. You can get rid of overtime in an hour. And not to mention, you take the Sterile Processing department and you make it more efficient. You take the arduous task of wrapping a tray and you get rid of it.

Speaker 2Traditional wrap trays, the failure rate due to holes is approximately 5 to 15%. This product had close to 100% success rate in sterilization. So I'm Doctor Peter Ronchetti. I'm a board certified orthopedic surgeon, and this would change the face of sterilization and the way we move instruments around the OR.

Speaker 1Sean, thank you. I appreciate it.

Speaker 3As you can tell, I did a lot of special editing for that short video tonight. Um, I wanted to first thank you guys for, um, having me. This has been short notice, uh, by Rob to, uh, just speak briefly on what the turbit has been for my practice, and it's always fun following up after Goose. We spent a lot of time together at Duke, and he's, you guys are doing great things, and I've enjoyed the meeting so far. So.

Speaker 3To give you a little perspective of uh why I was asked to speak on this, our hospital went to this system a year and a half ago and it has been

Speaker 3Uh, an invaluable tool as we, uh, continue to try to, uh, build successful, uh, efficient OR teams. Uh, just as a, as a reminder, I, I do have financial disclosures. Um, I don't have any, uh, disclosure with this company Other than the honorarium they're giving me for tonight. It's always interesting when people, uh, disclose their finances. I think it's always more revealing who the person is when you find out where the finances go.

Speaker 3Uh, so, I practice in Wilmington, North Carolina, where my wife has unlimited purchases. My daughter is in horseback riding, and my sons, uh, create multiple home repairs. So, from my perspective, this has become a volume game. I'm a 700, uh, surgeries a year surgeon. 6 of them, 600 of them are, uh, Joint replacement, 75 of them are Shoulder arthroplasty.

Speaker 3And so to get that volume in a hospital that is community-owned, uh, the surgeon and the hospital had need to have mutual engagement. So, we both have a shared priority and that's volume. Uh, we're a very profitable service line for the hospital system in Wilmington, North Carolina, so, uh, they want us to hum, uh, just like we want to make, uh, sure we're viable, especially, uh, in the recent COVID environment.

Speaker 3We have entered into co-management arrangements seven years ago where we help run the ortho service line and that gives us the ability for, uh, HR recruitment and more importantly, retention. Uh, this allows in return for a surgeon to have a higher volume with flip rooms and it's helped me, uh, map out strategic scheduling.

Speaker 3So for me, I have a PA in each room, so that way I have somebody that uh is eyeing the uh preparation and closure and answer to me that are not hospital employees. But the key uh team for me is my CRNA scrub nurse, circulating nurse. On my shoulders, I use a second scrub only when I'm exposing the, uh, glenoid.

Speaker 3And work between my PA and the 2nd scrub, and as soon as the implants are in, the 2nd scrub leaves. You have your manufacturing rep, and then the room to turnover, staff and processing for each room, and this is where the turbit really shines.

Speaker 3So, for me, uh, I'd like to make sure I have familiarity cases for posting. I'd, um, I'd like to do 8 and be out of there before 5 o'clock. So for me, everything's based on a 1-joint equivalent, uh, Knee Replacement is 1, a Hip is 1 to 1.5 based on complexity or the size of the patient, and a Shoulder arthroplasty is a 1.5 joint equivalent. So, uh, by the end of the day, I'll have an 8-joint replacement equivalent. We should be out of there long before 5 o'clock.

Speaker 3Having this, uh, set up really helps, uh, for the uh limit the room changes. So if I'm going from a Hip to a Knee, a Knee to a Shoulder, I make sure that the rooms that are there are limiting those changeovers. And then you don't schedule your worst-case first with all the cases behind it, or you may just do it on a different day with a disasterplasty, uh, day, not on a, a full workday flip room.

Speaker 3So, each one of one of my teams are familiar. We've, we've stopped the turnstile of, of introducing ourselves to the uh OR staff and the circulators, and that way, everybody knows their job and more importantly, they know Other people's jobs so they can help assist and facilitate Efficiency in the OR movements are not wasted, um, and, and something unforeseen happens, which it always does, uh, the reactions are quick.

Speaker 3This is where the turbit has been uh an absolute uh boom for our Efficiency. Essentially, you put everything you need into the, uh, for the OR into one box and, uh, and if you have a seldom-used instrument, you can put it in a peel pack, but everything, including your instruments and retractors that are specific to your needs because everybody has that equivalent that's different than a

Speaker 3Uh, Fukuda, uh, you can put it all into one box. This limits the multiple wrapping, uh, from the processing to unwrapping for the OR, limits the contamination risk. So those are my

Speaker 3Uh, circulators up on the upper right picture giving a thumbs up that they're not sitting there feverishly unwrapping between 8 cases in a day, and then my, uh, scrub is in there in one box is getting everything we need for the case. It facilitates the speed of processing. It comes in a cart, so there's less manual labor by the staff.

Speaker 3Um, and while many companies are going to a one-tray design, the, the space and size of this, uh, turbit really, uh, doesn't force you to make compromises between what you want and don't want if you're trying to get everything squeezed into one, weight-limited, uh, trade.

Speaker 3So, this also provides pressure relief valves. These nurses that I work with are HR employees of my hospital system. They don't work for me. Um, and so having the turbot helps, uh, decompress so they can have breaks between cases as we're, uh, moving fast from morning till night.

Speaker 3Um, and so, you know, for me, I can't bonus the staff for Productivity. Uh, they've asked me not to. Um, and so, uh, for me, I have to use different strategies like the turbit where we cut down on the sweat equity between cases to facilitate the day and that for me, we really put a lot of celebration into the success of the team, uh, with, uh, copious amounts of, uh, holiday uh, partying.

Speaker 3Uh, and for that, I open up to any questions regarding the turbit, the onboarding into any facility as it is easily streamlined to any sterilizer, uh, and whether you're in a single room or in two rooms, it will definitely facilitate the, the speed of your ORD.