"ALWAYS ON TIME"

​​Phone (305) 215-5443

Protocol & Procedure Manuals for Accreditation 


  • Protocol & Procedure Manuals for Purchase 
  • Interpretation of Standards of Care



From 1999 to 2003, Fast-Nurse interpreting three hundred and sixty Standards of Care set forth by the Joint Commission (JCAHO) regarding Ambulatory Surgery Centers, Office Based Surgery Centers and Home Health Agencies. The Protocol and Procedure manuals are genuine, authentic and were authored "In-house". After three years, Nine Protocol & Procedure Manuals were published in Printed and Electronic Form. Since then, Fast-Nurse has adapted the Protocol & Procedure Manuals to fit 


The Joint Commission standards are the basis of an objective evaluation process that can help health care organizations measure, assess and improve performance. The standards focus on important patient, individual, or resident care and organization functions that are essential to providing safe, high quality care. The Joint Commission’s state-of-the-art standards set expectations for organization performance that are reasonable, achievable and surveyable.​​


Joint Commission standards are developed with input from health care professionals, providers, subject matter experts, consumers, government agencies (including the Centers for Medicare & Medicaid Services) and employers. 




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view Ambulatory Surgery Center floor plans After:


7,230 Square Feet 

Operating rooms: 3

Procedure rooms: 4

Private Pre-Op Rooms: 3

Private Post-Op Rooms: 3

Offices: 11


HVAC & Humidification Guidelines 


  • Guidelines for Air Quality and Supply
  • Guidelines for Air Movement and Air Flow
  • Guidelines for Ventilation Rates
  • Guidelines for Room Pressure Differential


The HVAC heating and supply, return, and exhaust ventilation in the OR is supplied by the essential electrical system. The HVAC system chosen for a facility requires special attention to space requirements, maintenance, installation costs, and temperature control. The HVAC controller involves locating a thermostat, a humidistat, and a recorder in the OR. Alternatively, the recorder may be located in a remote location outside of the OR. There should be, at a minimum, two exhaust air grills. If there are more than two exhaust grills, they should be centered on the walls of the OR. If there are only two exhaust grills, they should be located opposite each other. Humidifiers are required in the ORs and can be powered by any fuel source.



healthcare facility design and floor plans



Fast-Nurse creates Floor Plans & Designs for Office-Based Surgery Centers, Ambulatory Surgery Centers and Healthcare Facilities


Fast-Nurse creates Construction Designs and Floor Plans for Surgery Centers by utilizing "FLOW", a term coined by Fast-Nurse Accreditation Consulting to describe the arrangement of walls, hallways, operating rooms, and the traffic flow of Patients, Practitioners, Visitors & Staff throughout the Facility. Fast-Nurse Accreditation Consulting's "FLOW" Designs are aimed at reducing Infection, Promoting Privacy, Enhancing Aesthetics and Maximizing work flow efficiency. Most Ambulatory Surgical Center Floor Plans are not created for Optimal Efficiency, have low Safety Features for Patients, are not arranged in an Aesthetically Pleasant manner nor are they created with Health Care professional performance at work. Why? Because most Hospitals and Surgery Centers are usually designed by Architects without Patient Care experience. Fast-Nurse Accreditation Consulting has seen mistakes after mistakes when it comes to Architects assume to have knowledge regarding sterility, procedures performed, and patient privacy. At Fast-Nurse Accreditation Consulting, we specialize in creating floor plans that integrate day to day operations in a manner that optimizes the comfort and privacy of Patients and reduces contamination and Legal Liabilities for an Organization. In addition, Fast-Nurse Accreditation Consulting creates floor plans that allow direct visualization of Operating Room Patients and separates Administrative work from the Surgical Department. 

Fast-Nurse Accreditation Consulting provides Electrical Power Consulting for determining Backup Power needs for one operating room or more. Fast-Nurse Accreditation Consulting assists in developing Single Line Drawings, CAD Drawings and Submission of Construction Plans to Centers of Medicare and Medicaid for Ambulatory Surgery Center Deemed Status Approval.
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View AMBULATORY SURGERY CENTER Floor Plans BEFORE:


The Fast-Nurse Floor Plans below are an example of how the Principles of Surgery may be applied to Designing an Ambulatory Surgery Center.


contact us for a Complimentary evaluation


Fast Nurse provides Complimentary Evaluations and Pre-Inspections of your Facility and Floor Plans


Call or Email Fast Nurse now and discuss what options are available for your Business. Fast Nurse is available to assess Accounts Payable's concerns, Schedule a Free Consultation, or send you some options for Floor Plans. A Registered Nurse is standing by to provide Information. 


For Information email:   info@fast-nurse.com or Call Us at (305) 215-5443

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​​​​​​​International Healthcare JCI Accreditation


  • Hospital JCI Accreditation Consulting
  • Ambulatory JCI Accreditation Consulting
  • Home Health JCI Accreditation Consulting
  • Laboratory JCI Accreditation Consulting
  • Pharmacy JCI Accreditation Consulting
  • Urgent Clinic JCI Accreditation Consulting
  • Foreign Hospital JCI Accreditation Consulting
  • Cosmetic Surgery JCI Accreditation Consulting
  • Eye Surgery Center JCI Accreditation Consulting
  • Oncology Center JCI Accreditation Consulting
  • GI Center JCI Accreditation Consulting


For International Hospitals "outside the USA" to be Competitive, Reduce Liability, Increase Profits and Reduce Injuries to patients, it is critical that an International Hospital seek JCI Accreditation Consulting and implement Protocols and Procedures that adhere to the highest Standards of Care when compared to the most prestigious Hospitals in the United States. Imagine all the extra business you can receive and all of the Patient's that may travel to your Hospital after hearing your Hospital has obtained JCI Accreditation and is held to same Standards of Care that JCAHO Accreditation Hospitals in the United States are accountable too. Fast Nurse JCI Accreditation Consulting prepares your Hospital for Joint Commission JCI Accreditation by guiding each Hospital Department Director and Manager through the process of performing day to day operations with in a manner that creates accountability and promotes smooth integration of evidence-based processes contained in the JCI Protocols and Procedure manuals that Guide Leaders, Practitioners and staff through delivery optimal healthcare services. Fast Nurse JCI Accreditation Consulting performs teaching of staff in every aspect of Healthcare from caring for Patients to Leadership Responsibilities.


Fast Nurse JCI Accreditation Consulting is Proficient in many languages and features a Business Model that has been Reproduced continuously with consistent Successful Results. Fast Nurse JCI Accreditation Consulting interprets Standards of Care into Protocol and Procedures that are then implemented and further evaluated for Outcomes. Fast Nurse JCI Accreditation Consultants are available for Complimentary Evaluations of your Hospital and/or Ambulatory Care Center. Fast Nurse JCI Accreditation Consulting works in Association with Joint Commission Specialist to facilitate the JCI Accreditation and Teaching Process involved for JCI Hospital Accreditation. 

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​​​​​Medical Equipment for Export


  • Medical Equipment Purchasing Consulting
  • Anesthesia Machines Purchasing Consulting
  • Surgery Device Purchasing Consulting
  • Emergency Power Source Purchasing Consulting
  • Medical Disposables Purchasing Consulting
  • Surgical Supplies Purchasing Consulting
  • Oncology Supplies Purchasing Consulting
  • Surgery Room Equipment Purchasing Consulting
  • Surgical Instruments Purchasing Consulting


Fast Nurse Healthcare Purchasing Consulting specializes in obtaining hard to get medical equipment and medical supplies for Hospitals outside the U.S.A. Fast Nurse Healthcare Consulting does not participate with every request for medical Equipment prices. Instead, Fast-Nurse Purchasing Consulting is knowledgeable regarding which Medical Supplies should be purchased used, and which Medical Equipment should be purchased new and/or from the manufacturer that offers a substantial Warranty and provides Maintenance and repairs to your Medical equipment if necessary. Fast Nurse Purchasing Consulting is knowledgeable about which Medical Products and Medical Supplies are available for Foreign Hospitals direct from the Manufacturer or Equipment Distributor. Purchasing Direct from an authorized Distributor or Direct from the Manufacturer ensures that your Warranty is acknowledged.


Fast Nurse Healthcare Purchasing Consulting notices that Foreign Hospitals sometimes pay up too fourteen times the cost of the exact or similar product in the U.S.A. Other companies are not qualified to sell many medical products because they have never used the item. However, Fast Nurse Healthcare Purchasing Consulting has Twenty-two years of Operating Room and Patient Care experience and skills that has allowed Fast Nurse Purchasing Consulting to be successful in substituting Medical Products without the discern of Physicians, Nurses and Staff. Find out more regarding Fast Nurse Medical Supplies for Export and Purchasing Consulting.




​​Email:  info@fast-nurse.com

​​​​​​​ENTRANCE & EXIT  (Through Elevator Above)




Interesting Facts Regarding Fast-Nurse Floor Plans:


  • Notice how the Traffic "Flow" (Blue & Orange Lines) moves in a Circular Pattern allowing Services to be aligned in a manner that Optimizes Efficiency, eliminates Redundancy, Reduces the Probability of Cross Contamination and reduces the Risk for Injuries or Errors.
  • The Soiled Utility, Gas Supply, Clean Utility, Pre-Op Rooms, Post-Op Rooms, Staff Lounge & Sterile Processing can be Accessed without entering the Surgical Department and, thus, reducing the chance of cross contamination.
  • The Red Doors Isolate the Surgical Department from all other areas.
  • The Pre-Op Rooms are Private and allow patients to go from "Dirty" to "Clean" and be accompanied by a friend or loved one just prior to surgery.
  • The Post-Op Rooms are Private and allow Family and/or Caretakers to Enter for appropriate explanation of Patient Discharge Instructions.
  • The Lobby provides Visitors with a "visual depth" to the windows on the Opposite Side of the facility which adds Light, Openness and an Aesthetically Pleasing atmosphere.
  • The Pre-Op and Post-Op Rooms can be monitored from one Nurse Station simultaneously and, thus, reducing needed staff and space for patient care.
  • The Surgery Center Reception Area "acts" like a Central Control Center for providing services to Visitors and Surgical Staff.



Contact Fast-Nurse for a Complimentary Evaluation of your ASC Floor Plans


info@fast-nurse.com or call (305) 501-0840





View Physical Plant Requirements for ambulatory Centers


​Fast Nurse Offers Guidelines Consulting for Operating Rooms, Ventilation Systems, Electrical Systems and Gas/Vacuum Systems


Type 1 Essential Electrical Systems


  • Backup Power for Office Based Surgery Centers
  • Backup Power for Plastic Surgery Centers
  • Backup Power for Ambulatory Surgery Centers
  • Backup Power for Medical Equipment
  • Backup Power for Clinics


The NFPA defines the need for a Type 1 essential electrical system as a facility with critical care areas or electrical life support systems. Any Type 1 essential electrical system must have emergency electrical power. Whatever method of emergency power is used, the need for a supply of 60-HZ (AC) power to the essential electrical system must be established within 10 seconds of power failure. Battery-operated OR lights are required to prevent danger to a patient during the potential 10 seconds of darkness. For ambulatory units that do not have electric life support systems or critical care areas, the NFPA defines the need for a Type 3 essential electrical system. A Type 3 system would require power for life safety and the termination of the current procedures. Life safety is battery power for lights, fire alarm systems, and emergency exits. The NFPA requires that the life safety power remain for 1.5 hours after interruption of normal power.



​​​​​​​Healthcare Accreditation Consulting


  • Office Surgery  Healthcare Accreditation Consulting
  • Ambulatory Surgery Healthcare Accreditation Consulting
  • Board of Medicine  Healthcare Accreditation Consulting
  • Home Health Agency Healthcare Accreditation Consulting
  • Pain Surgery Center Healthcare Accreditation Consulting
  • AAAASF Healthcare Accreditation Consulting
  • AAAHC Healthcare Accreditation Consulting
  • JCAHO Healthcare Accreditation Consulting
  • ​DNV Healthcare Accreditation Consulting
  • ​HFAP Healthcare Accreditation Consulting


Fast-Nurse Healthcare Accreditation Consultants assist Business Owners and Physicians with obtaining Certification for Office Based Surgery Centers, Ambulatory Surgery Centers and Home Health Agencies . Unlike other Accreditation Consulting Companies, Fast-Nurse Healthcare Accreditation Consulting "Physically Stand Beside You" during your Inspection. Even more, Fast-Nurse Healthcare Accreditation Consulting assist Facility Owners assist with the Purchasing of Instruments, Operating Room Equipment, Pharmaceuticals, Emergency Power Sources, Bio-Medical Waste Disposal, Medical Gas Services at Group Purchasing Organization Prices. 

Fast-Nurse Healthcare Accreditation Consulting quickly prepares Office Surgery Accreditation and may be capable of obtaining temporary authorization from the Board of Medicine to perform Level II and Level III Surgical Procedures in-office before the Board of Medicine has performed their preliminary On-Site Inspection of your office. The temporary authorization from the Board of Medicine allows you to begin performing Level II ( IV Sedation ) and Level III ( General Anesthesia ) procedures as long as you have the necessary equipment, staff and documents in place to proceed without the Board of Medicine Inspection.


Fast-Nurse Healthcare Accreditation Consulting assist you in determining the operating rooms electrical power needs, each equipment necessary in the Operating Room for the procedures you perform and Fast-Nurse Healthcare Accreditation Consulting helps gather the necessary documents, floor plans and Disposables to begin performing your first procedures. Find out more: regarding Fast Nurse Healthcare Accreditation Consulting Complimentary Facility Evaluations.


​​​​​​​​​​​Chemotherapy Retreat & Surgery Recovery


  • Cancer Retreat for Chemotherapy Treatment
  • Cancer Retreat Recovery from Surgical Procedures
  • Cancer Retreat for Chemotherapy Administration 
  • Cancer Retreat Holistic & Interventional Medicine
  • ​​​​​​​​​Cancer Retreat Meditation and Inner Engineering 
  • Cancer Retreat Recreational & Nature Activities
  • Cancer Retreat "You and a Guest".
  • Cancer Retreat Health Promotion and Activities
  • ​Cancer Retreat Coping Mechanisms and Support
  • Cancer Retreat and Palliative Care for Oncology
  • Surgery Recovery for Fixation Device Surgeries
  • Surgery Recovery for Long term recovery Processes
  • Surgery Recovery to Relax, "Hide" and get Away
  • Surgery Recovery for Plastic Surgery Recovery


The Fast-Nurse Key Largo ​​​​​​​​​Cancer Retreat & Surgery Recovery Retreat is a gorgeous, secluded "Get Away Retreat" located in the Beautiful Florida Keys. A Bohemian Island Town known for its pristine aqua sea colors that inspired the Jimmy Buffet Song "Margaritaville" and was coined the "Fishing Capital of the World". Lets face it, there are no "Gurus" at the Hospital. Unfortunately, Doctors want you to remain at the Hospital because they can receive and observe Daily Reports regarding your treatment. However, the Fast Nurse Key Largo ​​​​​​​​​Cancer Retreat and Surgery Recovery Retreat can perform those tasks while you are receiving Chemo Treatment and Recovering in the proper atmosphere, away from Nonsocomial infections and MRSA. Why Wait all day in a Hospital Bed to Receive Results when you can be in a Quiet, Tranquil Key Largo ​​​​​​​​​Cancer Retreat and Surgery Recovery Retreat near Nature and the Hospital.
Stay with us the Key Largo ​​​​​​​​​Cancer Retreat and Surgery Recovery Retreat while you receive your Chemo treatment. You and your Family may discuss your Therapeutic Regimen via Fast Nurse's Teleconferencing Video System that avoids commutes to the Doctors Office to obtain results and allows you to have a "one on one" conversation face to face on our video teleconferencing system. Professionals Fast Nurse Key Largo ​​​​​​​​​Cancer Retreat and Surgery Recovery Retreat works with your Oncologist and/or Operating Surgeon to Develop a Care Plan for Post Operative Recovery, Chemotherapy Regimens, Treatments of Adverse Affects, Administration of Pharmaceuticals, Patient & Family Teaching, Evaluation of Outcomes and for establishing Support Services and Coping Mechanisms for "Seeing things through"'.
How Dedicated are We? The Fast-Nurse ​​​​​​​​​Cancer Retreat and Surgery Recovery Retreat specializes in analyzing the five senses (sound, sight, touch, smell, and taste) and ensuring that the correct balance is present at every second of the day. Fast Nurse and all of its staff adhere to strict codes of conduct and discretion. Fast-Nurse Key Largo ​​​​​​​​​Cancer Retreat and Surgery Recovery Retreat upholds HIPPA Privacy Protocols and goes beyond duty to ensure that the privacy of each visitor to the Fast-Nurse Key Largo ​​​​​​​​​Cancer Retreat and Surgery Recovery Retreat is maintained Confidential. Find out More regarding Fast-Nurse Cancer Retreat and Amenities.


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Emergency Power System for Healthcare 


  • Emergency Power System for Office Surgery Centers
  • Emergency Power System for Plastic Surgery Centers
  • Emergency Power System for Ambulatory Surgery
  • Emergency Power System for Medical Equipment
  • Emergency Power System for Clinics
  • Emergency Power System Operating Rooms
  • Emergency Power System for Life Safety
  • Emergency Power System for Critical Areas
  • Emergency Power System for HVAC Systems
  • Emergency Power System for Pain Surgery Centers
  • Emergency Power System for Oxygen concentrators
  • Emergency Power System for E.M.S. Trucks


The Geneforce Emergency Power System is a "Gas-Free", Solar Rechargeable Indoor Generator perfect for Office Buildings and locations where gas is prohibited or not practical. The Geneforce Emergency Power System does not rely on gas and, thus is safe for indoors. Plug equipment directly into the Geneforce Emergency Power System outlets. Next plug the Geneforce Emergency Power System into any wall outlet. When a power failure occurs, the Geneforce will automatically provide power to your equipment. When the power is restored, the Geneforce Emergency Power System will automatically resume charging. The Geneforce Emergency Power System arrives fully charged and ready to work. The Geneforce Emergency Power System does not require Maintenance, Installation nor Permits. The Geneforce Emergency Power System Meets requirements for NFPA Type I Essential Electrical Systems for Ambulatory Surgical Center Accreditation as defined by NFPA 99-111 .

Do not be fooled by Imitations. The smallest Geneforce Emergency Power System provides the Two Hour minimum Backup Power requirement for Operating Room Emergency Power Systems. When a Power Failure occurs, the Operating Surgeon has sufficient time to complete a procedure, obtain Optimal Results, and avoid "Bringing Back the patient" for another day of Unnecessary Anesthesia, Anesthesia Provider Fee's and Staff required to Circulate, Scrub and Recover a patient. The Geneforce Emergency Power System gives you "Peace of Mind". Fast-Nurse's Team of O.R. Registered Nurses are Risk Management Consulting experts and avoid any possible litigation by following Accreditation Requirements to their fullest interpretation. 


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​​​Russian Child Care Center & Nursery Center


  • Russian Child Care Center by Registered Nurses
  • Russian Child Care Center for Working Parents 
  • Russian Child Care Center Infants & Preschooler
  • Russian Child Care Center for ADHD & Hyperactivity
  • Russian Child Care Center for Special Needs
  • Russian Child Care Center Outdoor Activities & Games
  • Russian Child Care Center for Feeding Tubes & Ports
  • Russian Child Care Center Scheduled Medications
  • Russian Child Care Center in a Sterile Environment
  • Russian Child Care Center with Real Time Video Care
  • Russian Child Care Center by Bachelors in Nursing 
  • Russian Child Care Center with Dietitian & Nutricionist 


The Fast-Nurse Russian Day Care provides Parents with a Russian Nursery & Child Care located near Ojus, Golden Beach & Sunny Isles Beach, Florida that features Child Life Services, Educational Activities, Field Trips, Exercises, Nourishment and other activities held to Optimal Standards and Directed by Licensed and experienced Registered Nurses and Managed by Female Educators Proficient in Russian, Kazakh, Spanish, English and French.​

Fast-Nurse Russian Child Care Center provides a Safe, Peaceful, and Professional atmosphere at the Sunny Isle's Location where Fast-Nurse Child Life Specialists and Registered Nurses provide appropriate Activities, Nourishment, Teaching and Specialized Care for those who require it. Fast-Nurse Russian Child Care Center is accustomed and skilled when communicating with children from "Abroad" or "Other Countries" that may be in a "Culture Shock"'. Fast-Nurse Russian Child Care Center understands the Social, Cultural, and Religious Influences on Child Health Promotion. When it comes to Teaching, Fast-Nurse Russian Child Care Center takes Child Care to a whole other Level. At Fast-Nurse Russian Child Care Center, the Role of Play in Child Health Promotion and Development determines the Classification, Content, Social Character and Function of Play. As a result, Russian Child Care Center activities are provided "at the correct age" to promote Sensorimotor Development, Intellectual Development, Socialization, Self-Awareness and Moral Value. The Fast-Nurse Russian Child Care Center provides care for Infants, Toddlers and Preschoolers for working Parents in Sunny Isles, Florida. Similarly, Fast-Nurse Special Needs Child Care Center offers medical attention and Registered Nurses for Children with Special Needs, ADHD, Hyperactivity, and Learning Disabilities. 
Fast-Nurse Russian Child Care Center has Twenty-four years of experience in the Healthcare Field and has authored over Twenty-Five Protocol and Procedure manuals by interpreting three hundred and sixty Standards of Care set forth by the Joint Commission JCAHO on Healthcare Accreditation. When it comes to Experts, "we wrote the books". Fast-Nurse Russian Child Care Center is staffed by Home Makers, Care Assistants, Child Life Specialist, Registered Nurses and an Adolescent Medicine Physician fluent in Russian, Spanish and English. Daily Nourishment, Special Diets, Medication Administration and Outdoor Activities are regularly scheduled. Special Diet plans and administration of medicines can be scheduled with the Registered Nurse. Find out more regarding Fast-Nurse Russian Child Care Center and our specialized Healthcare Skills and Services.




​Operating Room Construction Guidelines 


  • Guidelines for Class A Surgery 
  • Guidelines for Class B Surgery 
  • Guidelines for Class C Surgery


The number and size of the OR's in the unit must be determined first. Each OR should have a substerile room adjacent for entry and scrub sinks in the immediate area. There should be one scrub sink per two ORs. In the OR, there should be sufficient space for sterile supplies and equipment as well as an anesthesia machine (if desired) and anesthesia supplies. In general, approximately 3000 sq ft of surgery center space is needed for each OR, with each OR providing 1000-1500 cases per year. In addition, three preoperative and three postoperative bays per OR should be included in the design for maximum efficiency. The OR size should range from 14 × 16 to 14 × 20 sq ft. Find out more regarding Operating Room Design and Construction.



Hospital Purchasing Consultants


  • Purchasing Consulting forAccounts Payable's 
  • Purchasing Consulting & Contract Negotiators
  • Purchasing Consulting for Validate Purchase Orders
  • Purchasing Consulting to Evaluate Costs& Value 
  • Purchasing Consulting that Develops Vendors
  • Purchasing Consulting to oversee New Projects
  • Purchasing Consulting to Lease Buses & Cars
  • Purchasing Consulting to find Urgent Products
  • Purchasing Consulting that "Pay for Themselves"


Is your Hospital in the "Red"? Fast-Nurse Purchasing Consulting receives no payment if you do not save Money. You do not have to reach in your pocket and give us any money. We make money off of what we can save you. Fast-Nurse Purchasing Consulting develops highly strategic, vendor relationships that best addresses the hospitals needs. Fast-Nurse Purchasing Consulting accomplishes this by utilizing it broad sales and purchasing experience and combining it with a clinical background in medicine and manufacturing of goods.  As a result, Fast Nurse’s evidence-based process improves margins, cash flow, quality of care and patient satisfaction. Moreover, Fast-Nurse Purchasing Consulting becomes an extension of the Material’s Management Department and assists in processing purchase orders above four thousand dollars. 
​Fast-Nurse Purchasing Consulting provides assistance to the Director of Information Technology by negotiating prices for services and equipment required to keep up with the times. Fast-Nurse Purchasing Consulting negotiates services and Parts for the Plant Operations Department. Fast-Nurse Purchasing Consulting assists the Director of Surgery with analyzing high costs, finding comparative services or Items and assist in bringing strategic vendors in communication with Operating Room Surgeons to substitute medical supplies and equipment for lower cost items with equal quality. Fast-Nurse Purchasing Consulting are at the Top of the Game when it comes to Purchasing Transportation Buses and obtaining Financing with unlimited mileage. Find out more about Fast-Nurse Purchasing Consulting, our Services and Outcomes.



​​​​​​​​Risk Management for Healthcare


  • Hospital Risk Management Consulting
  • Office Surgery Risk Management Consulting  
  • Ambulatory Surgery Risk Management Consulting
  • Board of Medicine Risk Management Consulting
  • Home Health Agency Risk Management Consulting
  • Pain Surgery Clinics ​Risk Management Consulting
  • JCAHO Accreditation Risk Management Consulting 
  • AAAHC Accreditation Risk Management Consulting 
  • AAAHC Accreditation Risk Management Consulting 
  • Deemed Status CMS Risk Management Consulting


Fast-Nurse Risk Management Consulting has Twenty-four years of experience in the Healthcare Field and has authored over Twenty-Five Protocol and Procedure manuals for JCAHO Ambulatory Surgery Accreditation, Office Based Surgery Accreditation and JCAHO Home Health Agency Accreditation.

Fast-Nurse Risk Management Consulting assists Facility owners with authoring & developing Bylaws for the benefit of the Organization.

Fast-Nurse Risk Management Consulting can bring Your Facility "Up to Date" with Documentation, Risk Management Drills, Peer Review, Surgical Logs and More.

Fast-Nurse Risk Management Consulting gathers information about your Practice, Assesses the Potential for Risks and Implements a Quality Improvement Program to address issues and concerns regarding Patients, Practitioners, the Facility and Business Owners.

Fast-Nurse Risk Management Consulting offers quick service for updating Risk management Documents and performing Quality Improvement tasks that involve Office Based Surgery Certification or Ambulatory Surgery Accreditation Inspections. Fast-Nurse Risk Management Consulting has a Team of experienced Registered Nurses that perform teaching to Staff, Practitioners and Business Owners regarding Patient Safety, Work Flow, Redundancies, Legal Aspects and Risks for Liabilities. In addition, Fast-Nurse Risk Management Consulting proposes cost saving tactics that are aimed at reducing costs and increasing Performance. Find out more regarding Risk Management Consulting and obtaining a Complimentary Facility Inspection and Proposal of Services.

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​Healthcare Resources & Information


  • Medical Equipment for Hospital Export
  • Medical Disposables for Hospital Export 
  • Surgical Supplies for Hospital Export 
  • Oncology Supplies for Hospital Export
  • Operating Room Equipment for Hospital Export
  • Surgical Instruments for Hospital Export


Fast Nurse provides Resources, Links and Information for Contractors, Architects, Engineers, Administrators, Physicians, Registered Nurses and Business Owners regarding Ambulatory Surgery Center Construction and Accreditation. to facilitate the Design, Construction, Certification and obtaining an Emergency Power Source for your Office Based Surgery Center or Ambulatory Surgery Center. Fast Nurse Resources and Information Page provides valuable links to sources of information regarding submission of Ambulatory Surgery Center Construction Plans to the Centers for Medicare and Medicaid (CMS) for obtaining a "Deemed Status". Fast Nurse Resources and Information Page provides Protocol and Procedure Manuals for Home Health Care, Ambulatory Surgery Centers and Office Based Surgery Centers. Fast Nurse is available to answer questions and provide information regarding most types of Healthcare Practices. Fast Nurse makes available Protocols and Procedures for implementing Standards of Care throughout your Healthcare Facility. Fast-Nurse is knowledgeable in the most important issues regarding Healthcare Costs, Liability, Patient Safety and Increasing Profits while reducing Costs. View some of Fast Nurse's Resources and Information regarding Office Based Surgery Certification and Ambulatory Surgery Center Accreditation. In addition, View details about how Fast Nurse has performed for other facilities and where we place emphasis.




Medical Gas & Vacuum System Guidelines 


  • Guidelines for Multiple Pumps 
  • Guidelines for Vacuum Outlets
  • Guidelines for Medical Gas Flow Rates


The National Fire Protection Association (NFPA) has set guidelines for electrical systems as well as medical gas and vacuum systems in the health care center. Their recommendations are the basis for a number of Joint Commission and CMS standards and regulations. Ambulatory ORs require level one or level two piped gas and vacuum systems. Most free-standing centers would be either level one or two since the administration of general anesthesia frequently occurs. 


​There is no code or requirement for the number of medical gas and vacuum outlets per OR. General recommendations include one oxygen and one vacuum station for minor surgery ORs, two oxygen and two vacuum stations for intermediate surgery ORs, and two oxygen and three vacuum stations for major surgery OR stations. Each station must have an adequate flow rate for proper delivery to the patient and adequate functioning of connected equipment. All medical piped gases must be identified by a color coding system.
Medical gas and vacuum piping can be delivered through surgical ceiling columns. 
The total oxygen needs and consumption for the facility must be calculated. One must consider the procedures done at the facility, number of oxygen stations, and the number of procedures to be performed monthly. Any facility requiring more than 35,000ft3/month must have a bulk storage system of oxygen. Those requiring less than 35,000 ft3/month can use a cylinder manifold system for oxygen supply. Find out more regarding Medical Gas and Vacuum Systems for Ambulatory Surgery Centers.





view additional healthcare services for Hospitals

Fast Nurse provides Purchasing Consulting, Risk Management and International Accreditation Consulting for Hospitals


​​​​​​​​​​Anesthesia Services & Nurse Staffing 


  • IV Sedation Surgery Anesthesia Services staffing
  • General Surgery Anesthesia Services staffing
  • Level II Surgery Anesthesia Services staffing
  • Level III Surgery Anesthesia Services staffing
  • Office Surgery Anesthesia Services staffing
  • Ambulatory Surgery Anesthesia Services staffing
  • Urgent Care Surgery Anesthesia Services staffing
  • Outpatient Surgery Anesthesia Services staffing
  • ​Hospital Surgery Anesthesia Services staffing
  • Recovery Room Registered Nurse staffing
  • Surgery Circulators Registered Nurse staffing
  • Sclerotherapy Registered Nurse staffing
  • Phlebotomy & IV Registered Nurse staffing
  • Post-Op Home Visiting Registered Nurse staffing


Fast-Nurse Anesthesia Services and Registered Nurses Provide Staffing for Level II (I.V. Sedation) and Level III (General Anesthesia) for Office Surgery Centers, Ambulatory Surgery Centers, Hospitals and Not-for-Profit Organizations. In addition, Fast-Nurse Licensed Healthcare Workers provide Recovery Room Registered Nurse Staffing, Surgery Circulator Registered Nurse Staffing, Home Post-Op Registered Nurse Staffing and Registered Nurses that administer IV Sedation for Level II Surgical Procedures. 

Fast-Nurse Anesthesia Services and Registered Nurses offers a two hour minimum requirement for staffing and does not involve any contracts. In Florida, Registered Nurses are permitted to Administer IV Sedation (Level II) Anesthesia under the supervision of the Operating Room Surgeon. According to rule 64B8-9.009 Standard of Care for Office Surgery. The surgeon must be assisted by a qualified anesthesia provider as follows: An Anesthesiologist, Certified Registered Nurse Anesthesist, or Physician Assistant qualified as set forth in subparagraph 64B8-30.012(2)(b)6., F.A.C., or a registered nurse may be utilized to assist with the anesthesia, if the surgeon is ACLS certified. See Rule 64B8-9.009(4), F.A.C. for more information. In addition, Fast Nurse Anesthesia Services and Registered Nurses provides Skilled Registered Nurse's for visiting Patients in their home or recovery location to perform Wound Care, IV Therapy, Labwork, Teaching and over Night stay with Patients recovering from Cosmetic Surgery Procedures.

In addition, Florida Law requires patients in the Recovery Room to be discharged by a Registered Nurse or Independent Licensed Practitioners. Licensed Health Care providers are required to monitor the recovery of a patient who has been given anesthesia. A physician, osteopathic physician, physician assistant (PA), or a licensed registered nurse (RN) with post-anesthesia training and experience must be available.  You may also see Rule 64B8-9.009(4)(b)4., F.A.C. for Level II office surgery and see Rule 64B8-9.009(6)(b)4., F.A.C. for Level III office surgery. Also, at least two monitors should be in the recovery room, one of which must be certified in Advanced Cardiac Life Support ( ACLS ).  You may also see Rule 64B8-9.009(2)(h)1., F.A.C. for more information. Find out more Regarding Fast Nurse Independent Healthcare Providers.





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Fast Nurse provides Purchasing Consulting, Risk Management and International Accreditation Consulting for Hospitals


​​​​​​Legal Nurse Consulting


  • Surgery Malpractice Legal Nurse Consulting
  • Anesthesia Mishaps Legal Nurse Consulting
  • ALF Negligence Legal Nurse Consulting
  • Nursing Homes Abuse Legal Nurse Consulting
  • Hospitals Errors Legal Nurse Consulting
  • Standards of Care Legal Nurse Consulting 
  • Assault & Battery Legal Nurse Consulting
  • Facility Hazards Legal Nurse Consulting
  • ​Chart Review Legal Nurse Consulting
  • Medication Errors Legal Nurse Consulting 
  • Surgery Fatalities Legal Nurse Consulting


Fast-Nurse Legal Nurse Consulting Experts have experienced a Multi-Dimensional view of Healthcare by starting at the "bottom of the ladder" as Care Assistants, moving up to Scrub Techs, and eventually becoming Registered Nurse's, Administrators and Hospital Executives. With Twenty-three years of Healthcare Experience, Fast-Nurse Legal Nurse Consulting has witnessed events and scenarios that most Healthcare Workers only read about. Before Fast-Nurse's Legal Nurse Consulting Experts were Licensed as Registered Nurses, our Professionals Bathed, Fed, Dressed and viewed how the Disease Process consumes the Human Body on a Daily Basis. Watching the Disease Process in slow motion has allowed Fast-Nurse Legal Nurse Consulting to gain experience that just cannot be bought with a one month course certificate in Legal Nursing. Fast-Nurse Legal Nurse Consulting is knowledgeable regarding the correct manner of caring for a Patient on a daily basis. Fast-Nurse Legal Nurse Consulting "knows" the correct way of performing Assisted Living Activities and can Identify Negligence, Malpractice, Assault and Battery almost instantaneously. 

After Twenty-four years of experience in the Healthcare field, Fast-Nurse's Legal Nurse Consulting has seen the way things were performed in the "Old Days" and how they supposed to be performed "now". Fast Nurse is a Leader in Legal Nurse Consulting because Fast-Nurse has the ability to view and decipher information to reveal the true facts of a scenario by just viewing notes and asking questions. Moreover, Fast-Nurse Legal Nurse Consulting has Authored over Twenty-five Protocols and Procedure Manuals by Interpreting three hundred and sixty Standards of Care set forth by the Joint Commission ( JCAHO ). Fast-Nurse Legal Nurse Consulting combines 24 years of Healthcare Experience with Military experience and, thus, performs a diligent review of the facts and discloses which Protocols & Procedure were not followed. 

Next, Fast-Nurse Legal Nurse Consulting proposes the proper procedure for Caring of Patients, performing Therapeutic Treatments, Administration of Drugs and Implementation of Protocols . Fast-Nurse Legal Nurse Consulting offers a Complimentary Legal Consultation and review. Find out more regarding Fast-Nurse Legal Nurse Consulting.


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