Operating rooms
Our ORs are equipped for the full ambulatory case mix. Rooms are configured for general, regional, and MAC anesthesia, with rapid turnover between cases to protect your scheduled block.
- Room count — fully equipped suites
- Ceiling-mounted surgical booms — frees floor space, keeps cords and gas lines out of the sterile field
- Modern anesthesia machines with integrated monitoring, capnography, and vent modes appropriate for outpatient use
- LED surgical lighting and electrocautery (monopolar + bipolar)
- Laminar-flow ventilation where indicated by the case type
- Standard OR table with attachments for orthopedic, spine, and lithotomy positioning
Imaging
- C-arm fluoroscopy — available for orthopedic, spine, pain management, and vascular cases
- Ultrasound — used for regional blocks, vascular access, and image-guided injections
Video & arthroscopy towers
- HD arthroscopy towers — for orthopedic and sports-medicine cases (shoulder, knee, ankle)
- HD endoscopy — for GI screening / diagnostic and general-surgery endoscopy cases
- ENT video — available for credentialed otolaryngologic cases
Anesthesia
Every case is staffed by a credentialed anesthesia provider — board-certified anesthesiologists and/or CRNAs — matched to the procedure and patient acuity. Anesthesia providers are credentialed through the same Medical Staff process as surgeons. The team manages:
- General anesthesia
- Monitored anesthesia care (MAC)
- Regional and peripheral nerve blocks (ultrasound-guided)
- Spinal / epidural where indicated
- Pediatric anesthesia where credentialed and case-appropriate
Pre-op & PACU
Dedicated pre-operative bays and Phase I / Phase II post-anesthesia recovery bays, staffed by experienced peri-operative RNs. Discharge criteria are standardized; patients leave accompanied by a responsible adult per ambulatory standards.
- Pre-op bays
- Phase I PACU
- Phase II / discharge
- RN-to-patient ratios meeting ambulatory standards
Sterile processing
On-site sterile processing department (SPD) with instrument tracking. Reprocessing workflows comply with AAMI standards for ambulatory surgical settings.
- Decontamination — preparation — sterilization — storage workflow separated by zone
- Instrument tracking by case / tray
- Sterilization cycle validation per AAMI guidance
Pharmacy
On-site medication management with appropriate controls for controlled substances and anesthetic agents. Pharmacy supports the intra-operative and PACU phases of care; take-home prescriptions are handled through the patient’s preferred pharmacy.
IT & integration
- Facility billing separate from professional billing (surgeon bills separately)
- EMR-agnostic operation — we can accommodate paper or electronic dictation workflows
- Pathology routing to the lab of the surgeon’s preference
- Implant & vendor coordination for cases requiring specialty supplies
Patient safety
DOSC operates under facility-wide patient-safety policies including:
- Pre-procedure time-out (Universal Protocol) on every case
- Surgical-site marking verified with the patient
- Infection-prevention program (hand hygiene, surgical-attire standards, environmental monitoring)
- Sentinel-event and near-miss reporting with structured review
- Malignant hyperthermia protocol, difficult-airway cart, code cart on-site
Facility tour & site visits
Surgeons considering credentialing are welcome to tour the facility with our Medical Staff Office before submitting an application. Use the contact below to schedule.