Ambulatory Surgery Centers

Author(s):
Carissa H. McGinnis, RN, MSN, CIC Manager, Infection Prevention

CaroMont Regional Medical Center
Gastonia, NC

Candice Fearon, MSGH, BSN, RN, CIC Supervisor, Infection Prevention

Ohio State Wexner Medical Center
Columbus, OH

Original Publication:
July 2, 2025
Declarations of Conflicts of Interest:
  • Candice Fearon, MSGH, BSN, RN, CIC declares no conflicts of interest.
  • Carissa H. McGinnis, RN, MSN, CIC declares no conflicts of interest.
Acknowledgments:

Special thanks to Mary Temple Post, RN, MS, CNS, CIC, for writing the 2014 chapter. 

Abstract

Ambulatory Surgery Centers (ASCs) are modern healthcare facilities that function as distinct entities operating exclusively to provide same-day surgical services, including diagnostic and preventative procedures. According to the Centers for Disease Control and Prevention (CDC), nearly two-thirds of all operations are performed in an outpatient facility and can take as little as a few minutes to a few hours. These procedures are not for medical emergencies and can range from mole removal or hernia repair to a knee replacement. As a revolutionized alternative for providing quality care with positive patient outcomes, ASCs have made it more convenient, accessible, and cost-effective for millions of beneficiaries not requiring hospitalization to receive hospital-based outpatient procedures. Ref 65-1 NC Medicaid Division of Health Benefits (NCDHHS). Ambulatory Surgical Center Services. https://medicaid.ncdhhs.gov/providers/programs-and-... - You do not have permission to view this object.  Ref 65-2 Ambulatory Surgery Center Association (ASCA). What is an ASC? https://www.ascassociation.org/asca/about-ascs/surgery-centers. Last reviewe... - You do not have permission to view this object.  Ref 65-3 American Society of Anesthesiologists. Outpatient Surgery. https://www.asahq.org/madeforthismoment/preparing-for-surgery/procedures/outpat... - You do not have permission to view this object.  ASCs are highly regulated healthcare facilities that must comply with a wide range of laws, rules, regulations, and statutes. To maintain compliance, ASCs are required to establish and maintain programs and procedures for preventing infections, thus maintaining a strict sanitary environment. Ref 65-4 Ambulatory Surgery Center Association (ASCA). Quality and Safety. https://www.ascassociation.org/about-ascs/quality-and-safety. Last revie... - You do not have permission to view this object.