First in a series on selecting and hiring perioperative nurses and integrating them into the staff. OR managers have often sought the magic bullet for recruiting and retaining qualified RN circulators. In 10 years of developing a successful model for onboarding perioperative RNs, we've learned that success requires a kaleidoscope…

Read More

Perioperative managers and directors give 12-hour shifts mixed reviews. Two-thirds responding to an online survey by OR Manager say they use these extended shifts. On the plus side, they say the shifts help in covering off shifts and weekends and aid recruitment and retention. Negatives include juggling a mix of…

Read More

For the first time, all hospitals will have to report data on infections to receive their full payment update from Medicare in future years. Data will be collected on 2 types of infection: central line-associated bloodstream infections (CLABSI) starting January 1, 2011, for a full payment update in 2013 surgical…

Read More

Earnest Peachy, a perioperative tech, and Shandlee Woodward, a student nurse intern, are removing a trash bag from the scanner. Safety checklists are not the only concept the operating room has gleaned from aviation. Ten years ago, the 26-room OR suite at the Ohio State University (OSU) Medical Center in…

Read More

Surgical patients who take part in a longer discussion of informed consent—15 to 30 minutes—understand their proposed operation better than those who have shorter discussions, according to a report in the June 2010 Journal of the American College of Surgeons. Asking patients to repeat back their understanding of the procedure…

Read More

Evidence indicates extended work hours are a hazard to patients as well as to nurses. Now two nursing professors who have studied nurses' working conditions call for alternatives to 12-hour shifts and urge the profession to rethink their extensive use. "Nurses often prefer working a bunch of 12-hour shifts and…

Read More

In this issue: A nursing professor challenges nurse leaders to seek alternatives to 12-hour shifts, page 15. Read results of OR Manager's online survey on 12-hour shifts, page 17. Twelve-hour shifts are popular. Many nurses like working 3 12-hour days and having 4 days off. The extended shifts also help…

Read More

Wrong-site surgery is a stubborn problem across the country. Rhode Island Hospital in Providence has used its well-publicized experience with wrong-site surgery to dissect the process and learn how to prevent these events. The 719-bed hospital, which performs about 25,500 surgical procedures a year, has had 3 wrong-site surgeries in…

Read More