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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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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Coronavirus cases in the US topped 1 million in late April. Although total numbers of cases and deaths change daily and vary greatly among urban vs rural regions of the country, it’s safe to say we haven’t yet seen the last of the surges. Despite ongoing shortages of personal protective…

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Although COVID-19 cases are still emerging in many parts of the country, some businesses have reopened and some elective procedures are once again being performed. Many events that did not take place in the spring will be held in the fall, including the annual OR Manager Conference, September 30 to…

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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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It’s been said we live in a sharing economy: We share our homes through companies like Airbnb, and we share our cars through companies like Uber and Lyft. So it’s not surprising that organizations are now sharing equipment, including OR equipment, with positive results. For example, Kaiser Permanente Southern California…

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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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Routine cleaning and maintenance of the equipment used to process medical devices is important to prevent contamination of medical devices. This article will discuss the required cleaning and maintenance in a sterile processing department (SPD) as well as the guidelines and regulations that inform these practices.   Environmental issues Recommendations…

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Federal regulators have yet to mandate electronic health record (EHR) adoption at ambulatory surgery centers (ASCs). Many facilities remain content to use paper systems. However, one expert advocates preparing now for what may come in the future. Electronic documentation systems can help ASCs better achieve their clinical, financial, operational, and…

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The fast-paced environment in an ambulatory surgery center (ASC) requires meticulous handoffs, and daily huddles—brief (10 to 20 minute) stand-up meetings—can raise awareness of any potential safety issues. That has been the experience at UnityPoint Health in Des Moines, Iowa, and some of what we learned might help others improve…

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