Editor's Note This prospective Danish study finds that transfer to a postanesthesia care unit (PACU) immediately after elective hip and knee arthroplasty might be unnecessary in low-risk patients. A total of 696 total knee (274), total hip (287), and unicompartmental knee (135) arthroplasty patients were analyzed. Of those, 307 bypassed…

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Editor's Note Overall healthcare employment in the US was up in November to a seasonally adjusted 16,623,800 workers, the Bureau of Labor Statistics reported on December 2. That’s up 44,700 since October. Hospital employment also was up by 11,000 jobs. The overall unemployment rate for November was 3.7%, for a…

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Editor's Note The OR Manager Conference program committee is seeking presentation proposals for the 2023 conference, to be held September 18–20 at Music City Center in Nashville, Tennessee. Perioperative leaders who have experience or a story to share in the following categories are encouraged to submit a proposal by December…

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Today’s chat is with Cynthia Hess, MSN, RN, FNP-C, RT(R)(CT)(ARRT), Director of Nursing, Northeast Missouri Ambulatory Surgery Center, Hannibal, MO. Q: What is something that went right at your facility and/or that you are thankful for this year? What I’m thankful for, hands down, is my staff. They take such…

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After writing my latest article on surgical robots (Operationalizing a robotics program for evenings, weekends, pp 13–15, 19) for this issue of OR Manager, I reminisced on how the surgical robot has evolved and how my interest in surgical robots began.   Reminiscing about robots It all began with the…

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The St Elizabeth Healthcare organization in northern Kentucky has eight facilities, including two surgery centers. The flagship hospital on the Edgewood campus has 534 beds and 22 ORs and typically performs some 14,000 surgical procedures per year. Robots help manage the volume. The Edgewood, Florence, and Ft Thomas hospitals have…

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David Shapiro, MD, who is a risk manager/medical director at several ambulatory surgery centers (ASCs) near Tallahassee, Florida, has seen his fair share of contracts with anesthesia services. Navigating these types of contracts at a time when anesthesiology is suffering from a workforce shortage and high costs for services is…

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Editor's Note This study led by researchers at Yale New Haven Hospital, New Haven, Connecticut, finds that many patients have unplanned hospital visits within 7 days of outpatient surgical procedures performed in hospital outpatient departments (HOPDs), often for potentially preventable reasons. The analysis included 1,135,441 outpatient surgical procedures performed at…

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Today’s chat is with Tracy Hoeft-Hoffman, MSN, MBA, RN, CASC, Administrator, Heartland Surgery Center, Kearney, Nebraska. Q: What is something that went right at your facility and/or that you are thankful for this year? What has gone right this year and makes our center so successful every year is the…

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Editor's Note Reducing noise in the OR positively affects children’s postoperative behavior, according to research presented October 24 at the Anesthesiology 2022 annual meeting in New Orleans. The study, led by researchers at Nationwide Children’s Hospital, Columbus, Ohio, included 64 preschool children (ages 4 to 5 years old) having general…

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