Experiences of staff nurses transitioning to managers
Editor's Note In this study to discover the experiences of 10 nurse managers who transitioned from a staff nurse position, participants said they experienced role insufficiency because of a lack of support and resources. During the interviews, five themes were identified: expectations essential knowledge and skills graduate education prepared sought…
CMS considering reimbursement for coronary interventions at ASCs
Editor's Note In a proposed rule, the Centers for Medicare & Medicaid Services (CMS) is considering whether to reimburse for percutaneous coronary interventions (PCIs) at ambulatory surgical centers (ASCs), the September 20 tctMD reports. As of May 1, 2019, approximately 22 states allowed for coronary interventions to be done outside…
Effect of patient comorbidities on SSIs after hip, knee replacement
Editor's Note This study found that surgical site infections (SSIs) occurred most commonly after total joint replacement revision procedures and were related to many patient comorbidities, which were significantly associated with a higher risk of SSIs. In this analysis of 335,134 total knee replacements (TKRs) and 163,547 total hip replacements…
Joint Commission: Deadline for submitting Eisenberg Awards applications nearing
Editor's Note The Joint Commission announced on September 18 that the deadline for submitting applications for the John M. Eisenberg Patient Safety and Quality Awards is October 1. Started by the Joint Commission and the National Quality Forum (NQF) in 2002, the awards recognize the outstanding work of individuals and…
OR manager job satisfaction ranks high despite flat compensation
OR leaders live with many challenges, ranging from obtaining adequate reimbursement to having sufficient staff on hand. Despite constant pressures, most respondents to the 2019 annual OR Manager Salary/Career Survey remain satisfied with their jobs. In all, 70% are satisfied with their current jobs or positions, comparable to the 67%…
Enhanced Recovery After Surgery: The new standard for perioperative care
Enhanced Recovery After Surgery (ERAS®) is a comprehensive, multifaceted, and multidisciplinary approach to the care of the surgical patient. ERAS bundles evidence-based elements to facilitate a faster recovery with fewer complications.1 Spanning the continuum of perioperative care, ERAS elements include: • patient engagement and education • preoperative optimization of nutrition…
Editorial
A surprising 70% of respondents to the 2019 OR Manager Salary/Career Survey report overall satisfaction with their jobs—surprising in light of their significant workload, relatively flat salaries, number of staff vacancies, and industry-wide prevalence of clinician burnout. Burnout is defined as a state of physical or emotional exhaustion that also…
Soup to nuts recruitment: Finding and onboarding OR nurses--Part 2
Recruitment is a daunting part of any OR leader’s job because of the time it takes to identify and evaluate candidates, who must then complete an extensive orientation program once they are hired. Part 1 of this three-part series covered marketing and application strategies for achieving recruitment goals (OR Manager,…
Seminar eases nurses' discomfort with sudden patient declines
A patient’s condition can change in the blink of an eye. Are you prepared to respond? And what happens if the patient dies? This is the focus of an annual seminar at Houston Methodist Hospital that was developed to increase the comfort level of perioperative nurses caring for a patient…
Is point-of-use treatment an integral part of your sterilization process?
Providing sterile instrumentation for patient care is a basic fundamental of surgery, and ensuring sterility means that instrumentation must first be thoroughly cleaned, step by step. Point-of-use treatment, an important part of this process, is gaining the attention of accrediting agencies such as the Joint Commission, and it is included…