FDA: Class I recall of Abbott coronary dilatation catheters
Editor's Note The Food & Drug Administration on February 19 identified the recall by Abbott Vascular of its NC Trek RX and NC Traveler RX Coronary Dilatation Catheters (diameter 4.0 mm, 4.5 mm, and 5.00 mm) as Class I, the most serious. The recall was initiated because of failure of…
Effect of total joint bundled payment program on patient selection
Editor's Note In this study, researchers found little to no significant change in the characteristics of patients having total hip and knee replacement surgery after the Centers for Medicare & Medicaid Services introduced the mandatory bundled payment programs in selected metropolitan statistical areas. The analysis included a matched set of…
CMS proposes changes to total joint bundled payment program
Editor's Note The Centers for Medicare & Medicaid Services (CMS) on February 20 issued a rule proposing changes to the Comprehensive Care for Joint Replacement (CJR) program, which bundles payments to acute care hospitals for hip and knee replacement surgical procedures. CMS proposes extending the CJR model for an additional…
Breathing easier in a smoke-free health system
Controlling electrosurgical smoke is a major challenge in many ORs. In 1996, the National Institute for Occupational Safety and Health published a policy on controlling smoke from lasers and electrosurgical procedures, and over the years, studies have linked adverse health effects with electrosurgical smoke exposure. Yet healthcare providers have differing…
Resiliency reinforced through peer support programs
High rates of burnout among healthcare providers—between 35% and 54% of US nurses and physicians, and between 45% and 60% of medical students and residents—have raised concerns about patient and provider safety. Burnout, a psychological syndrome featuring emotional exhaustion, depersonalization, and a reduced sense of personal accomplishment, is increasingly prevalent…
Editorial
This isn’t the first time OR Manager has addressed burnout and the need for greater resiliency, and it probably won’t be the last, judging by the pervasiveness of this problem. But the good news is, peer support programs—in addition to other resources—show promise for helping people get through tough times…
Nuts and bolts of new technology acquisition--Part 2
Technology acquisitions require OR leaders to weigh the competing demands of stakeholders—including physicians, nursing staff, the finance department, and patients—and to make sure they address those demands when justifying a new purchase. “New technology can be what’s needed to keep competitive in the current environment,” says Beth Bozzelli, MBA, RN,…
Latest sterilization packaging guideline backed by evidence
In October 2019, AORN released its updated Guideline for Sterilization Packaging, which is based on evidence from peer-reviewed literature. This article includes recommendations from that guideline and addresses common misconceptions about sterilization packaging. Other resources for proper use of sterilization packaging include the Association for the Advancement of Medical Instrumentation…
Back to basics: How collaboration can improve PACU patient flow
Healthcare technology can be a great thing, but nurses at Abington—Jefferson Health, in Abington, Pennsylvania, have discovered that sometimes stepping back from it is the best way to make progress. Going low-tech was the key that unlocked patient flow gridlock that had plagued the postanesthesia care unit (PACU). Before 2017,…
Using project management principles to hardwire ERAS protocols
Implementation of Enhanced Recovery After Surgery (ERAS) at Virginia Commonwealth University (VCU) Health System in Richmond has been achieved through project and change management tools that transform the current state to the desired future state. To hardwire ERAS protocols in the OR as well as the ambulatory and acute care…