Turnover Time (TOT) does not have an ideal value of zero. When you finally learn how to make it zero (or negative) you’ll discover the idiosyncrasies of your surgeon. If fact, you will have achieved the proper TOT for your surgeon when you learn what those idiosyncrasies are.
Some surgeons write long surgical notes immediately following each surgery… they may need 10-30 minutes.
Some want to see patients on the floor. (this can really screw up your surgical case flow)
Some older male surgeons may need a few extra minutes in the loo.
Some surgeons want 5 minutes to check their stocks between cases.
Some need a smoke…
Some want coffee for a few minutes between cases.
Some need 5 or 10 minutes to check with their offices between each case.
The point is (once again) that you need to communicate frequently and coordinate activities. You don’t need to know why the surgeon wants 5, 10 or 30 minutes—just that he wants them. Of course, if you never get your TOT that low, you might never discover your surgeon’s more interesting habits.
Then there’s the question of whether it’s the surgeon’s TOT that you should be concerned about.