--- title: One Mnet Health Blog | Stephen Punzak MD description: Dr. Stephen Punzak, M.D., Founded One Medical Passport in 2000 and serves as its Chief Executive Officer. For the past 17 years Dr. Punzak has worked as an anesthesiologist for large tertiary hospitals and ambulatory surgery centers. --- [![One Mnet Health Logo (Full Color)](https://blog.onemnethealth.com/hs-fs/hubfs/fullcolor.black-3.png?width=1840&height=663&name=fullcolor.black-3.png "One Mnet Health Logo (Full Color)")](https://www.onemedicalpassport.com/facility/) - [Home](https://onemnethealth.com) - [Solutions](https://onemnethealth.com/solutions/) - [ONEflow](https://onemnethealth.com/oneflow/) - [Medical Passport](https://onemnethealth.com/medical-passport/) - [Engage](https://onemnethealth.com/engage/) - [Payments (1st & 3rd Party)](https://onemnethealth.com/payments/) - [Success Stories](https://onemnethealth.com/success-stories/) - [News & Events](https://onemnethealth.com/news/) - [About](https://onemnethealth.com/about/) - [Careers](https://onemnethealth.com/careers/) - [FAQs](https://onemnethealth.com/faq/) - [Request A Demo](https://onemnethealth.com/contact/) ### Want to stay in the know on the latest ASC tips and topics? ### Recent Posts ### Looking for Something? ### Categories - 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[physician offices (1)](https://blog.onemnethealth.com/tag/physician-offices) - [pricing (1)](https://blog.onemnethealth.com/tag/pricing) - [recovery (1)](https://blog.onemnethealth.com/tag/recovery) - [screening (1)](https://blog.onemnethealth.com/tag/screening) - [sleep apnea (1)](https://blog.onemnethealth.com/tag/sleep-apnea) - [staff burden (1)](https://blog.onemnethealth.com/tag/staff-burden) - [staffing shortage (1)](https://blog.onemnethealth.com/tag/staffing-shortage) - [top 12 (1)](https://blog.onemnethealth.com/tag/top-12) - [vendor communication (1)](https://blog.onemnethealth.com/tag/vendor-communication) - [vendors (1)](https://blog.onemnethealth.com/tag/vendors) See all [![iStock-178888644](https://blog.onemnethealth.com/hubfs/iStock-178888644.jpg)](https://blog.onemnethealth.com/an-ambulatory-surgery-center-preop-nurses-guide-to-cardiac-testing-part-3-nuclear-medicine-stress-test) 02.03.2021[Stephen Punzak MD](https://blog.onemnethealth.com/author/stephen-punzak-md) ## [An Ambulatory Surgery Center PreOp Nurse’s Guide To Cardiac Testing – Part 3 Nuclear Medicine Stress Test](https://blog.onemnethealth.com/an-ambulatory-surgery-center-preop-nurses-guide-to-cardiac-testing-part-3-nuclear-medicine-stress-test) This is blog 3 of 3 explaining the most common types of cardiac testing encountered when doing preop evaluations of patients at ambulatory surgery centers. I’ve already talked about two of the best cardiac tests: [EKG](https://blog.onemnethealth.com/an-ambulatory-surgery-center-preop-nurses-guide-to-cardiac-testing-part-1-ekg) and [ECHO.](https://blog.onemnethealth.com/an-ambulatory-surgery-center-preop-nurses-guide-to-cardiac-testing-part-2-the-echocardiogram) [Read More](https://blog.onemnethealth.com/an-ambulatory-surgery-center-preop-nurses-guide-to-cardiac-testing-part-3-nuclear-medicine-stress-test) [![iStock-471488578](https://blog.onemnethealth.com/hubfs/iStock-471488578.jpg)](https://blog.onemnethealth.com/an-ambulatory-surgery-center-preop-nurses-guide-to-cardiac-testing-part-2-the-echocardiogram) 01.27.2021[Stephen Punzak MD](https://blog.onemnethealth.com/author/stephen-punzak-md) ## [An Ambulatory Surgery Center PreOp Nurse’s Guide To Cardiac Testing – Part 2 The Echocardiogram](https://blog.onemnethealth.com/an-ambulatory-surgery-center-preop-nurses-guide-to-cardiac-testing-part-2-the-echocardiogram) This is blog 2 of 3 that explains the ins and outs of pre-admissions cardiac testing from my perspective. As an anesthesiologist, with over 30 years of experience, I’ve done everything from open heart and liver transplant to fast-paced ASCs and pain management. My goal is to provide a common-sense explanation that helps ASC preop nurses to better understand cardiac testing in the context of a preop evaluation for ambulatory surgery.  So here’s what I can tell you: If stranded on a deserted island (or is it a desert island!?) doing anesthesia on old folks and I could have only one cardiac test, the cardiac echo would be it. Hands down. Stop the show. [Read More](https://blog.onemnethealth.com/an-ambulatory-surgery-center-preop-nurses-guide-to-cardiac-testing-part-2-the-echocardiogram) [![iStock-1047533856](https://blog.onemnethealth.com/hubfs/iStock-1047533856.jpg)](https://blog.onemnethealth.com/an-ambulatory-surgery-center-preop-nurses-guide-to-cardiac-testing-part-1-ekg) 01.18.2021[Stephen Punzak MD](https://blog.onemnethealth.com/author/stephen-punzak-md) ## [An Ambulatory Surgery Center PreOp Nurse’s Guide to Cardiac Testing - Part 1 EKG](https://blog.onemnethealth.com/an-ambulatory-surgery-center-preop-nurses-guide-to-cardiac-testing-part-1-ekg) 20 years ago, most ASCs typically cared for ASA 1 and 2 patients: young, relatively healthy patients having simple, relatively non-invasive surgery. Fast forward to 2021 - as advances in anesthesia techniques, surgical techniques, and an overall better understanding of minimizing risk for ambulatory surgical patients has evolved, most ambulatory surgery center preop surgical nurses today will routinely care for at least some ASA 3 patients.  As an ambulatory surgical nurse, you know what that means: older, sicker patients with more cardiac problems. Frequently, these patients come with either (1) a slew of pre-admissions documentation that you have to weed through or (2) nothing at all. It seems like there’s never just the right amount! [Read More](https://blog.onemnethealth.com/an-ambulatory-surgery-center-preop-nurses-guide-to-cardiac-testing-part-1-ekg) [![](https://blog.onemnethealth.com/hubfs/iStock-160961160.jpg)](https://blog.onemnethealth.com/patient-satisfaction-our-top-5-tips) 08.31.2020[Stephen Punzak MD](https://blog.onemnethealth.com/author/stephen-punzak-md) ## [Patient Satisfaction: Our Top 5 Tips](https://blog.onemnethealth.com/patient-satisfaction-our-top-5-tips) Patient satisfaction can make or break the success of your ASC. As an anesthesiologist, I broke down 5 changes you can implement to keep your patients happy without costing you anything!  Here are my thoughts: [Read More](https://blog.onemnethealth.com/patient-satisfaction-our-top-5-tips) [![](https://blog.onemnethealth.com/hubfs/iStock-1212566914-1.jpg)](https://blog.onemnethealth.com/are-you-prepared-for-the-boom-ahead) 04.27.2020[Stephen Punzak MD](https://blog.onemnethealth.com/author/stephen-punzak-md) ## [Are You Prepared for the Boom Ahead?](https://blog.onemnethealth.com/are-you-prepared-for-the-boom-ahead) In these dark days of closed facilities and furloughed/terminated staff, it is easy to get caught up in how unfair, unforeseen, and terribly depressing this situation has been for ambulatory surgery centers and the world.   [Read More](https://blog.onemnethealth.com/are-you-prepared-for-the-boom-ahead) [![](https://blog.onemnethealth.com/hubfs/iStock-1171741983.jpg)](https://blog.onemnethealth.com/code-pineapple) 04.23.2020[Stephen Punzak MD](https://blog.onemnethealth.com/author/stephen-punzak-md) ## [Code Pineapple](https://blog.onemnethealth.com/code-pineapple) We live in a hyper-partisan, hyper-sensitive, hyper-litigious society. We are also addicted to our social media. The two can be an explosive combination. [Read More](https://blog.onemnethealth.com/code-pineapple) [![](https://blog.onemnethealth.com/hubfs/iStock-175245308.jpg)](https://blog.onemnethealth.com/10-things-to-do-today-while-your-asc-is-shut-down/slowed-down-part-2) 04.08.2020[Stephen Punzak MD](https://blog.onemnethealth.com/author/stephen-punzak-md) ## [10 Things To Do TODAY While Your ASC Is Shut Down/Slowed Down – Part 2](https://blog.onemnethealth.com/10-things-to-do-today-while-your-asc-is-shut-down/slowed-down-part-2) So you’re shut down or slowed down because of the coronavirus. We are all a bit worried, fearful and even angry about what has happened. In dark times like these, I find it helps to stay busy, and know that very soon, to rip-off the classic line from Annie – “The Sun Will Come Out Tomorrow”. This pandemic WILL end in the near future, and the end is likely to be just as rapid as the onset. So what to do while you are waiting? Here’s Part 2 of my list of 10 things every ASC can do to stay busy and come out the other side of this pandemic stronger and more prepared than ever: [Read More](https://blog.onemnethealth.com/10-things-to-do-today-while-your-asc-is-shut-down/slowed-down-part-2) [![10 Things to do TODAY!](https://blog.onemnethealth.com/hubfs/iStock-1139878451.jpg)](https://blog.onemnethealth.com/10-things-to-do-today-while-your-asc-is-shut-down/slowed-down) 03.23.2020[Stephen Punzak MD](https://blog.onemnethealth.com/author/stephen-punzak-md) ## [10 Things To Do TODAY While Your ASC Is Shut Down/Slowed Down](https://blog.onemnethealth.com/10-things-to-do-today-while-your-asc-is-shut-down/slowed-down) So you’re shut down or slowed down because of the coronavirus.  We are all a bit worried, fearful and even angry about what has happened.  In dark times like these, I find it helps to stay busy, and know that very soon, to rip-off the classic line from Annie – “The Sun Will Come Out Tomorrow”.  This pandemic WILL end in the near future, and the end is likely to be just as rapid as the onset. [Read More](https://blog.onemnethealth.com/10-things-to-do-today-while-your-asc-is-shut-down/slowed-down) [![](https://blog.onemnethealth.com/hubfs/mcgrath%20.png)](https://blog.onemnethealth.com/why-a-mcgrath-is-the-only-laryngoscope-you-need) 03.16.2020[Stephen Punzak MD](https://blog.onemnethealth.com/author/stephen-punzak-md) ## [Why a McGrath is the Only Laryngoscope You Need](https://blog.onemnethealth.com/why-a-mcgrath-is-the-only-laryngoscope-you-need) First things first: I have ZERO, ZIP, NADA relationship with McGrath. [Read More](https://blog.onemnethealth.com/why-a-mcgrath-is-the-only-laryngoscope-you-need) [![iStock-535080099](https://blog.onemnethealth.com/hubfs/iStock-535080099.jpg)](https://blog.onemnethealth.com/an-asc-nursess-guide-on-how-to-start-a-painless-iv) 12.27.2019[Stephen Punzak MD](https://blog.onemnethealth.com/author/stephen-punzak-md) ## [A New ASC Nurses's Guide on How to Start a Painless IV](https://blog.onemnethealth.com/an-asc-nursess-guide-on-how-to-start-a-painless-iv) Starting IVs is a crucial part of being an excellent ambulatory care nurse. While painless IV cannulations can be a challenging skill to master, they are vital to your patient’s recovery. Here’s our 5 steps to starting an IV for new nurses (or nurses who need a refresher): [Read More](https://blog.onemnethealth.com/an-asc-nursess-guide-on-how-to-start-a-painless-iv) [All posts](https://blog.onemnethealth.com/all) [Next](https://blog.onemnethealth.com/author/stephen-punzak-md/page/2) ## Related Blogs ### [An Ambulatory Surgery Center PreOp Nurse’s Guide to Cardiac Testing - Part 1 EKG](https://blog.onemnethealth.com/an-ambulatory-surgery-center-preop-nurses-guide-to-cardiac-testing-part-1-ekg) ### [An Ambulatory Surgery Center PreOp Nurse’s Guide To Cardiac Testing – Part 3 Nuclear Medicine Stress Test](https://blog.onemnethealth.com/an-ambulatory-surgery-center-preop-nurses-guide-to-cardiac-testing-part-3-nuclear-medicine-stress-test) ### [An Ambulatory Surgery Center PreOp Nurse’s Guide To Cardiac Testing – Part 2 The Echocardiogram](https://blog.onemnethealth.com/an-ambulatory-surgery-center-preop-nurses-guide-to-cardiac-testing-part-2-the-echocardiogram) #### COMPANY - [One Mnet Health](https://onemnethealth.com/) #### CONTACT SALES - *![phone](https://www.svgrepo.com/show/524807/phone.svg)* ##### PHONE [888.807.7709](tel:8888077709) #### CONTACT SUPPORT - ##### FACILITIES [Click here to contact the Passport Care Team for facility support.](https://www.onemedicalpassport.com/facility/) Phone: [800.540.7527, ext. 2](tel:8005407527) - ##### PATIENTS [Start your Patient Registration (Medical Passport) here](https://www.onemedicalpassport.com/?help) ![one medical](https://blog.onemnethealth.com/hubfs/OneMedicalPassport_June2019/Images/one-medical-logo-dark.svg) - - - © 2023 One Mnet Health. 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