Ambulatory Surgery

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January 2025
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Closed claims analysis identifies wrong-site surgery risks

Editor's Note This study, published in The Joint Commission Journal on Quality and Patient Safety, analyzes 68 closed claims cases on wrong-site surgery from 2013 to 2020. The services most frequently responsible for these cases were: Orthopedics (35.3%) Neurosurgery (22.1%) Urology (8.8%). The most common types of procedures involving wrong-site…

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By: Judy Mathias
April 26, 2023
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AAAHC updates Certification Handbook for Advanced Orthopaedics

Editor's Note The Accreditation Association for Ambulatory Health Care (AAAHC), on April 10, announced the release of updated standards for its 3-year Advanced Orthopaedic Certification program, which will take effect July 1, 2023. The updated Certification Handbook for Advanced Orthopaedics, v42, introduces new terminology and standards architecture plus a revised…

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By: Judy Mathias
April 26, 2023
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FDA updates Safety Communication on Halyard surgical N95 respirators

Editor's Note In response to questions, on April 21, the Food and Drug Administration (FDA) provided an update to its Safety Communication that enables the use of existing inventory of the O&M Halyard FLUIDSHIELD Surgical N95 Respirator Masks, Orange (Regular), Level 3, (Model 46727). The FDA recommends that, if necessary,…

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By: Judy Mathias
April 25, 2023
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Effectiveness of alcohol flush, drying cycles of AERs

Editor's Note This study, led by researchers at the University of Pittsburgh School of Medicine, finds that air flush cycles used in automated endoscope reprocessors (AERs) may not adequately dry endoscope channels, particularly narrow air/water channels. Endoscopes were reprocessed per protocol with a 3-minute or 10-minute air flush following reprocessing.…

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By: Judy Mathias
April 24, 2023
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US pauses green card applications for foreign nurses

Editor's Note The US State Department will not accept any more applications for green cards for foreign nurses this year, and only applications that were submitted by June 2022 will be processed until the backlog eases, the April 24 Becker’s Clinical Leadership & Infection Control reports. Current green card processing…

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By: Judy Mathias
April 24, 2023
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State of perioperative workforce in 2023: Part 2

healthcare nurse staff

Takeaways Perianesthesia and sterile processing leaders are feeling the pain of staffing shortages. Strategies to recruit and retain staff include raising pay, establishing clinical ladders, training programs, and a positive work environment. A 2022 study found that Certified Post Anesthesia nurses are more satisfied with their jobs than noncertified nurses.…

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By: Cynthia Saver, MS, RN
April 24, 2023
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ASC nurse leaders can wear many hats

The role of a nurse leader in an ambulatory surgery center (ASC) can take many forms depending on the ASC’s size, structure, and governing environment. Larger ASCs can support a number of leaders and roles. Factors that influence this number are whether the ASC is part of a network, the…

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By: Marian McCann Kleinman, MBA, BSN, RN, CASC(E), CNOR(E), CSSM
April 24, 2023
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A day in the life in SPD

Ambulatory surgery centers (ASCs) are continuing to perform more and more surgical procedures. According to Fortune Business Insights, ASCs can expect to see even greater case volumes as the number of outpatient procedures is estimated to increase by 15% by 2028. With an increase in procedures, it is essential that…

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By: Erica Smith, MBA
April 24, 2023
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ASCs and the expanding role of nurse leaders

Ambulatory service centers (ASCs) are back in expansion mode after a slow-down during the COVID-19 pandemic. In 2020, as the pandemic took hold, ASCs saw a decrease in growth as people delayed or opted out of elective surgeries. But that delay only served to highlight the importance of ASCs to…

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By: Brita Belli
April 24, 2023
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Perioperative workforce 2023: Focus on ASC

Leaders of ambulatory surgery centers (ASCs) continue to face many challenges in 2023, with staffing at the top of the list. OR Manager wanted to know more about what ASC leaders on the frontlines are experiencing related to the workforce and what strategies they are using (or plan to use)…

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By: Cynthia Saver, MS, RN
April 24, 2023
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