One of the last things ambulatory surgery center (ASC) staff want to do is transfer a patient to a hospital because it increases the risk of infection and patient discomfort, and it’s a Centers for Medicare & Medicaid Services (CMS) quality measure (ASC-4). CMS and most states traditionally have not…
Nurses, surgeons, and anesthesia providers all have one main goal for patients undergoing surgery—a smooth recovery that returns patients to their daily lives as quickly as possible. Some healthcare providers have adopted enhanced recovery after surgery (ERAS) protocols as a strategy for meeting that goal, and preliminary research suggests merits…
Hundreds of nurse leaders filled the room for a presentation on dealing with difficult people during the annual OR Manager Conference in October 2015—a testament to the prevalence of bullies and disruptive behavior in the OR environment. “In early 2011, a Google search was run using the terms ‘nurse bullying’…
Workplace violence reached a whole new level with the San Bernardino mass shooting earlier this month that left 14 dead just a week after three people died in a shooting at a Planned Parenthood facility in Colorado Springs. These incidents occurred for different reasons, but both cut short people’s lives…
Many countries, including the United States and United Kingdom, rely on nurses trained abroad during times of nursing shortages. However, little is known about how this practice affects quality of care and patient satisfaction. A new study examines whether patient satisfaction with nursing care in National Health Service hospitals in…
Frequently OR leaders are at the forefront of implementing enhanced recovery after surgery (ERAS) protocols. They have the skills to facilitate implementation of ERAS and to dispel any misconceptions about it, says Donna Watson, MSN, RN, CNOR, FNP. Watson, director for Medtronic Health Systems Advantage in Boulder, Colorado, is an…
The use of storytelling and listening to staff stories can be a valuable tool to help OR managers understand and mitigate workplace challenges and incivility. These are the findings of a doctoral study by Patricia Littlejohn, MBA, RN, CNOR, director, neurosciences and program development, Regional Medical Center, San Jose, California.…
The most successful perioperative services leaders are those who have built excellent teams that balance individual responsibility and accountability with respect for all team members, regardless of the roles they play. To create that culture, OR leaders must model the behavior and attitudes they expect from their staffs. One way…