Situational awareness is the perception of events occurring around a person in a particular environment. Knowing what is happening helps that person make better decisions. But how does that apply in the perioperative context? In 2004, The Joint Commission made situational awareness the cornerstone of its surgical timeout requirement. The…

Takeaways Gun-related violence is an increasing threat in healthcare settings, including perianesthesia departments and ASCs. Small hospitals and ACS are not immune to active shooter events. New requirements from The Joint Commission require planning and preparation for active shooter events. Elizabeth Dalton, BSN, RN, will never forget the day her…

Float teams have been a staple of nurse-staffing plans for many years, but they have not been widely used in the operating room. Utah Valley Hospital, a Level II trauma center in Provo, Utah, and part of the Intermountain Healthcare system, has been developing float teams for nearly 2 decades.…

Takeaways • Children are not small adults. Greater attention should be paid to their fears and anxiety, and equipment and medication should be tailored to meet their needs. • All staff should have Pediatric Advanced Life Support (PALS) certification. • ASCs can use toys and games as distractions to ease…

The Centers for Medicare and Medicaid Services (CMS) develops conditions of participation (CoPs) and Conditions for Coverage (CfCs) that healthcare organizations must meet in order to participate in Medicare and Medicaid programs. Payers, including government payers, require facility certification or accreditation for reimbursement. “Reimbursement is the critical piece,” says Becky…

According to the 2022 OR Manager Salary/Career Survey, many ambulatory surgery centers (ASCs) are facing a critical shortage of surgical technologists (STs). The percentage of leaders reporting an increase in the number of ST open positions jumped from 22% in 2020 and 28% in 2021 to 42% in 2022, and…

Many healthcare professionals are aware of single-use device reprocessing and its benefits. According to the Association of Medical Device Reprocessors, the savings generated by such programs can strengthen a facility’s financial sustainability and help provide a path for more responsible environmental stewardship. Sometimes, ambulatory surgery centers (ASCs) may experience situations…

Navigating contracts with anesthesia when anesthesiology services are suffering from workforce shortages and high costs is often tricky and complex. The biggest mistake ambulatory surgery centers (ASCs) make is that they do not know what they want when entering a contract negotiation with an anesthesia provider. As a result, ASCs…

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…

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…