The fast-paced environment in an ambulatory surgery center (ASC) requires meticulous handoffs, and daily huddles—brief (10 to 20 minute) stand-up meetings—can raise awareness of any potential safety issues. That has been the experience at UnityPoint Health in Des Moines, Iowa, and some of what we learned might help others improve…

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The COVID-19 pandemic has created unprecedented strains on hospitals and healthcare systems, leaving many organizations with limited resources to care for severely ill patients. States, regions, hospitals, and health systems have had to reassess their resources, identify bottlenecks, and develop strategies for increasing critical care capacity. Creating the critical care…

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OR nurses are being asked to serve in positions outside the operating room and experiencing changes in their schedules, and they are concerned about the uncertainty surrounding the COVID-19 pandemic. To support OR nurses during this time of crisis, AORN has been holding town hall Q&A webinars with infection preventionists,…

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The impact of COVID-19 has been devastating, especially for those who have lost loved ones or income due to sudden unemployment. For healthcare workers and emergency services providers, fear of contracting the disease is now a daily part of life. The virus has commanded exclusive coverage in OR a.m. for…

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Traditional patient care challenges have risen to a whole new level in the wake of COVID-19. Healthcare providers have assumed new roles and performed tasks they never imagined doing. With conditions and expectations changing daily if not hourly, one thing that hasn’t changed is the need to provide safe patient…

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The hazards of surgical smoke are well documented. As far back as 2004, AORN began publishing guidelines to reduce exposure to surgical smoke and aerosolized particles during operative and invasive procedures. These guidelines can also be adopted to help protect COVID-19 patients and frontline healthcare staff who are exposed to…

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Health systems nationwide are examining policies and procedures related to their resources, staffing, and scheduling to prepare for anticipated patient surges due to COVID-19. In late March, I talked with perioperative physicians and administrators from two health systems with rapid increases in COVID-positive cases, which have prompted significant changes in…

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When the coronavirus pandemic begins to subside, hospital leaders will be sorting out the repercussions and trying to resume normal operations. The main impact on ORs has been the widespread cancellation of non-essential procedures. Case cancellations in March and April have reduced elective procedure volumes as much as 90%. Most…

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