'Second victim' rapid-response team helps fellow clinicians recover from trauma
One Friday evening at University of Missouri Health System (MUHS) in Columbia, Missouri, Tony*, an RN with more than 17 years of critical care nursing experience, had a patient die unexpectedly during a routine procedure requiring moderate sedation. That weekend he was emotionally distressed, reliving the event and second-guessing his…
Stryker's Neptune recall raises stakes for compliance
Strict requirements needed to comply with a recall for the Neptune brand of roving suction devices are raising questions and concern for ORs whose facilities continue to use the devices. The recall of the Neptune Waste Management System from Stryker, used to collect and dispose of fluid waste, was initiated…
The right strategies can help increase OR utilization
OR Business Performance is a series intended to help OR managers and directors improve the success of their business. How do you improve an OR’s financial performance? Last month’s column focused on two key strategies: using data to identify improvement opportunities and rallying support for organizational change. These strategies…
Starting in the office to improve postop outcomes
OR teams are accustomed to using checklists to keep patients safe during surgery. Could extending presurgical checklists to the physician’s office or clinic produce even better results? The new Strong for Surgery initiative in Washington State is introducing checklists into offices and clinics to help address issues like nutrition, glycemic…
Escorts essential for ensuring postop patient safety
Before any elective surgery, patients are expected to arrange for an escort who will take responsibility for them at discharge—someone who will drive them home and possibly care for them as they recover from the effects of anesthesia. Despite a strict policy that patients must have a “responsible adult escort,”…
ORs modifying on-call practices to recruit and retain nursing staff
On-call requirements in perioperative services can be a barrier to recruiting younger RNs and in retaining older nurses. Covering the daily surgical schedule with fatigued staff who have worked during the night can be a safety issue or a staffing issue if the call team is too tired to work…
Safer Surgery: Six steps that aim for excellence in sterile processing
Fourth in a series on ten elements of safer surgery. It’s axiomatic that sterile processing is critical to safe and effective surgical care. The sterile processing department (SPD) is like an “engine room” for the OR, where the staff produce the sterile instruments and other equipment needed for surgical…
Editorial
Last month, we wrote about the long history of unnecessary preoperative testing for healthy patients. This month, we’re happy to report that some leading medical societies are publicly calling for physicians and patients to rethink certain kinds of testing. The recommendations are part of the Choosing Wisely campaign, an effort…
Free Daily News
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Career Center
- Cleveland Clinic Florida- HPB/General Surgery opportunity in Port St. Lucie, FL! - Cleveland Clinic - Port St. Lucie, FL
- CARDIAC SURGERY FACULTY - Medical College of Wisconsin - Milwaukee, WI
- Surgical Oncologist - Mount Sinai Services/Queens Hospital - Jamaica, NY
- Orthopedic Surgeon - Veterans Affairs - Tucson, AZ