As updates are made, keep in mind that any changes will have impacts on multiple stakeholders across the continuum of perioperative care. It’s very important to engage these various teams in this process so that: 1) you have complete buy-in from everyone involved, and 2) any implant instrument details outside of your department are included in the final policy. The last thing you want to do is update your policy and catch another hospital leader by surprise. It’s always better to pull them in on the front end, build trust, and move forward together. This will insulate you if you ever get pushback from vendors or providers due to the new changes. Then it becomes a “we decided” instead of an “I decided.”

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