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November 2024 See the full issue

The anesthesia staffing crisis: How we got here, what hospitals can do

Takeaways • Documentation and coding procedures are rife with opportunity for cost savings. • Passed in 2022, the No Surprises Act is designed to protect insured patients from surprise billing for emergency services from out-of-network providers. However, the result has been nearly 40% cuts in reimbursements to anesthesiologists. • OR…

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By: Brita Belli
November 20, 2024
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Tardiness policies fine-tune rural OR reform efforts

When a speaker at a recent conference asked if anyone had achieved a first-case on-time start (FCOTS) rate above 90%, Jay Parker, BSN, RN, could have been the only one in the room with his hand up. However, Parker was not inclined to call attention to himself. As director of…

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By: Matt Danford
November 20, 2024
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Why bullying, incivility demand distinction

Think of that colleague you would not miss if they called out sick. You may be short-staffed, but you know you are going to have a better shift without their chronic complaining, drama, and lack of productivity sucking all the energy and joy out of the department. Tolerated for too…

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By: Phyllis S. Quinlan, PhD, RN, NPD
November 20, 2024
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Perianesthesia certification protects patients, promotes retention

Although certification can be a career accelerator for any nurse, perioperative nurses in particular appear to be getting the message. Consider the most recent data from the American Board of Perianesthesia Nursing Certification, Inc (ABPANC), which offers the Magnet-recognized Certified Postanesthesia Nurse (CPAN) and Certified Ambulatory Perianesthesia Nurse (CAPA) credentials.…

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By: Judy Huntley, CMP
November 20, 2024
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No construction required—AI uncovers system-wide capacity

Amid rising demand for surgical procedures, improving perioperative operations is a pressing priority for any hospital. For a system serving one of the fastest-growing counties in the US, it becomes an operational imperative. This is the case for WakeMed Health & Hospitals (WakeMed). With ORs spread across multiple facilities in…

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By: Alyssa Arrese, MHA
November 20, 2024
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Conference community-building proves its worth

How should responsibilities associated with C-sections be divided between the OR team and the OB/GYN department at a staff-strapped rural hospital? This was just one of many questions I had never considered prior to attending the 2024 OR Manager Conference, which drew perioperative professionals to the MGM Grand in Las…

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By: Matt Danford
November 20, 2024
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Virtual care enhances perioperative efficiency

Eliminating physical distance as a barrier to communication makes it easier for caretakers to help not only their patients, but also one another. This is the promise of virtual care technology, which offers system-wide potential for providers facing growing demand for high-quality, cost-effective care. For perioperative leaders specifically, advantages of…

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By: Aaron Chau
November 20, 2024
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Practice updates ease steam sterilization balancing act

Reliable and robust enough for daily use on most medical devices, steam is the most common sterilant in healthcare facilities. However, using steam properly requires a balancing act. For example, too much moisture can lead to wet packs, while steam that is too dry might not be sufficient to achieve…

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By: Susan Klacik, BS, FCS, ACE, CHL, CIS, CRCST, AAMIF
November 20, 2024
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Strategic thinking tools, techniques transform vision to reality

Takeaways • The 3A Strategic Thinking Framework and the GOST Framework are examples of tools that can help make the abstract process of strategic thinking more concrete for perioperative leaders. • Carving out dedicated time for planning and fostering strategic thinking in others are important to achieve optimal results. •…

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By: Cynthia Saver, MS, RN
November 20, 2024
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