A new study brings welcome news of a surprising uptick of young people entering nursing, suggesting the RN workforce will grow faster than anticipated over the next 20 years. A second study finds new RNs stick close to home for nursing school and jobs, raising questions about how to improve…

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Hospitals are facing stiff economic winds. They are challenged by shrinking reimbursement from Medicare and Medicare, even as more patients will be covered by these publicly funded programs. Perioperative managers and directors are under pressure to make the most of their department’s resources. You’re being asked to measure every aspect…

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A surgical site infection (SSI) prevention “bundle” is helping OR teams at Maine Medical Center (MMC) in Portland to further a strategic goal of preventing SSIs. Known as Operation Zero, or “Op-Z,” the initiative is led by the chief of surgery, Brad Cushing, MD, with inspiration from a family whose…

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An analysis by Premier of data from 323 of its member hospitals shows they are losing $1.82 billion annually for 12 orthopedic and cardiac case categories because of Medicare reimbursement shortfalls. Lack of evidence-based outcomes data and the rising cost of physician preference items (PPIs) are also cited as reasons…

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Are you following recommended practices when processing implants? Both the Association for the Advancement of Medical Instrumentation (AAMI) and the Association of Perioperative Nurses (AORN) state that a load containing an implant should be quarantined until the results of the biological indicator (BI) testing are available. The rationale is to…

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Patients are getting heavier, and outpatients are no exception. The Centers for Disease Control and Prevention (CDC) classifies nearly one-third of Americans as obese. Meanwhile, the number of procedures deemed suitable for ambulatory surgery centers (ASCs) is increasing. That is not a problem if patients are properly screened, experts agree,…

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Starting now, in January 2012, ambulatory surgery centers (ASC) and hospital outpatient departments need to be using a safe surgery checklist and keep using it through all of the calendar year. That’s one quality measure in Medicare’s new ASC quality reporting program set forth in the 2012 outpatient payment rule…

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OR Manager; Vol. 27 No. 12; December 2011 An occasional column on Joint Commission issues. The reprocessing and storage of laryngoscope blades has been a hot button for Joint Commission surveyors, and OR managers have been asking how they can comply with the expectations. In answer, the Joint Commission on…

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