Editor's Note A quality improvement protocol at the University of Colorado Anschutz Medical campus resulted in a 48.8% decrease in the number of pediatric urology patients returning to the emergency department (ED) unnecessarily within 30 days of surgery. According to a December 2 university report, the initiative has significantly reduced…

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Editor's Note The American Medical Association (AMA) expressed “strong opposition” to a proposed regulation in Washington, DC, that would allow certified registered nurse anesthetists (CRNAs) to use the title “nurse anesthesiologist.” As detailed in a December 2 announcement, a letter to the DC Department of Health from AMA CEO James…

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Editor's Note A study analyzing data from the National Database of Nursing Quality Indicators (NDNQI) revealed that nursing-sensitive quality indicators (NSIs) worsened during the COVID-19 pandemic and remain elevated years after the onset of the pandemic, reflecting ongoing challenges in nursing practice. Published in the journal Nursing Research, the findings…

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Takeaways • The 3A Strategic Thinking Framework and the GOST Framework are examples of tools that can help make the abstract process of strategic thinking more concrete for perioperative leaders. • Carving out dedicated time for planning and fostering strategic thinking in others are important to achieve optimal results. •…

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How should responsibilities associated with C-sections be divided between the OR team and the OB/GYN department at a staff-strapped rural hospital? This was just one of many questions I had never considered prior to attending the 2024 OR Manager Conference, which drew perioperative professionals to the MGM Grand in Las…

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When a speaker at a recent conference asked if anyone had achieved a first-case on-time start (FCOTS) rate above 90%, Jay Parker, BSN, RN, could have been the only one in the room with his hand up. However, Parker was not inclined to call attention to himself. As director of…

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Think of that colleague you would not miss if they called out sick. You may be short-staffed, but you know you are going to have a better shift without their chronic complaining, drama, and lack of productivity sucking all the energy and joy out of the department. Tolerated for too…

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Although certification can be a career accelerator for any nurse, perioperative nurses in particular appear to be getting the message. Consider the most recent data from the American Board of Perianesthesia Nursing Certification, Inc (ABPANC), which offers the Magnet-recognized Certified Postanesthesia Nurse (CPAN) and Certified Ambulatory Perianesthesia Nurse (CAPA) credentials.…

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Editor's Note Amid growing concerns about healthcare workers’ exposure to ionizing radiation and its associated cancer risks, the American Medical Association (AMA) House of Delegates called for increased protective measures and standardized guidelines, including improved exposure metrics, during their interim meeting in Orlando, Florida. MedPage Today reported the news November…

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Enhanced Recovery After Surgery (ERAS) represents a transformative approach in modern surgical care, emphasizing evidence-based, multidisciplinary protocols to optimize patient recovery. Spanning decades, ERAS has grown from a novel concept into a global standard for perioperative care, with benefits that include shorter hospital stays, fewer complications, and reduced healthcare costs.…

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