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Panel issues guidelines for safe resumption of elective orthopedic surgery

Editor's Note An expert panel from the American Association of Hip and Knee Surgeons on July 15 issued guidelines that include recommendations for when hospitals and surgical centers can resume elective orthopedic procedures. A set of 30 recommendations are presented in four categories: General—includes criteria based on factors, such as…

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By: Judy Mathias
July 20, 2020
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CDC: Absenteeism increased in essential workers during March, April of COVID-19 pandemic

Editor's Note The Centers for Disease Control & Prevention (CDC) on July 10 reported that health-related workplace absenteeism rates were significantly higher than expected in March and April for some occupational groups in essential critical infrastructure categories. The following significantly exceeded their epidemic thresholds: personal care and services, including childcare…

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By: Judy Mathias
July 13, 2020
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Joint Commission revises position statement on preventing nosocomial COVID-19 infections

Editor's Note The Joint Commission announced June 24 that it has revised its position statement on preventing nosocomial COVID-19 infections as healthcare organizations resume regular care delivery. The Joint Commission supports the following positions: Continuing to follow Centers for Disease Control and Prevention’s recommendations for universal masking of staff, patients,…

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By: Judy Mathias
June 25, 2020
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Pre-COVID initiatives pave way for successful crisis management

Proactive leadership, early preparation, and ongoing planning and communication have helped mitigate COVID-19 threats at Tampa General Hospital in Tampa, Florida. As a result, resuming elective surgical cases in early May was a relatively seamless process thanks to process improvements made before the pandemic hit. “We started working on COVID-19…

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By: Elizabeth Wood
June 17, 2020
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Anesthesiologists’, intensive care providers’ exposure to COVID-19 and development of antibodies

Editor's Note Within 6 to 8 weeks of the COVID-19-outbreak, a small proportion of anesthesiologists and intensive care providers reported COVID-19 symptoms after a work-related exposure, and fewer had detectable COVID-19 antibodies, this study finds. Of 105 anesthesiologists and intensive care providers at New York City’s Columbia University Irving Medical…

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By: Judy Mathias
June 11, 2020
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OR leaders chart new territory for resuming elective surgery

Elective surgical procedures that were temporarily suspended in mid-March are now on the table—or soon will be—at some US facilities. The ban, announced on March 18 by the Centers for Medicare & Medicaid Services (CMS), was enacted to free up resources for facilities overwhelmed by surges of COVID-19 patients. On…

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By: Elizabeth Wood
May 12, 2020
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Children's hospital revises patient care criteria for COVID-19

The COVID-19 pandemic is having a major impact on all aspects of healthcare delivery worldwide. For children’s hospitals, the crisis has created unique challenges in ensuring patient and provider safety as well as helping to contain the spread of COVID-19 through their communities. According to the Centers for Disease Control…

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By: Judith M. Mathias, MA, RN
May 12, 2020
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ASCs following new rules for safety during pandemic

Coronavirus Disease 2019 (COVID-19) is a global pandemic that led the United States to declare a national emergency and implement a ban on all elective diagnostic and therapeutic procedures, as well as elective surgery in inpatient and outpatient settings. On March 19, the Ambulatory Surgery Center Association (ASCA) released guidance…

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By: Judith M. Mathias, MA, RN
May 12, 2020
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Hospital-wide ERAS adoption hinges on leadership support

Enhanced Recovery After Surgery (ERAS) is arguably the greatest advancement in surgery in the last 20 years. But even healthcare leaders who support the use of ERAS to achieve better outcomes can find it daunting to implement the protocols throughout their hospital systems. Standardizing practices across areas that have historically…

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By: OR Manager
May 12, 2020
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Australian researchers test lung ventilation of two patients with one ventilator

Editor's Note In this experimental study from Australia, researchers investigate the effect of ventilator splitting on system variables (ie, inspiratory pressure, flow, and volume) and the possibility of different ventilation targets for each limb. Connecting two patients to the same ventilator presents many challenges: ventilation requirements are different for different…

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By: Judy Mathias
April 14, 2020
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