Safety

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November 2025
Home Safety

Practice updates ease steam sterilization balancing act

Reliable and robust enough for daily use on most medical devices, steam is the most common sterilant in healthcare facilities. However, using steam properly requires a balancing act. For example, too much moisture can lead to wet packs, while steam that is too dry might not be sufficient to achieve…

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By: Susan Klacik, BS, FCS, ACE, CHL, CIS, CRCST, AAMIF
November 20, 2024
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Tardiness policies fine-tune rural OR reform efforts

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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By: Matt Danford
November 20, 2024
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Why bullying, incivility demand distinction

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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By: Phyllis S. Quinlan, PhD, RN, NPD
November 20, 2024
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Blast from the past: Best practices for successful implementation of ERAS

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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By: Tarsilla Moura
November 15, 2024
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Traveler tightrope: OR leaders balance best practices, reduction strategies

Takeaways Providers are generally seeking to reduce use of travelers through strategies such as float pools, training programs, and cultural reforms. However, travelers remain useful as a bridge to permanent staff and for difficult-to-fill positions. Best practices for selection, onboarding, team integration, and performance evaluation are essential for maximizing return…

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By: Cynthia Saver, MS, RN
September 25, 2024
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How perioperative staff can combat human trafficking—Part 2

Human trafficking (HT) is a hidden-in-plain-sight crime—victims walk among the public at large, yet they remain essentially invisible. Lack of education and knowledge on HT and anti-trafficking measures is particularly egregious in healthcare. In fact, the literature shows the majority of people being trafficked access the system without being identified…

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By: Dr Francine Bono-Neri, PhD, RN, APRN, PNP
September 25, 2024
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Anesthesia workforce challenges taking center stage

Every year, OR Manager shines a light on staffing issues via the Salary/Career Survey. In this issue, two articles take a careful look at the career and profile of the perioperative leader in both inpatient and outpatient settings. Next month, two more articles will do the same with salary trends…

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By: Tarsilla Moura
August 28, 2024
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Survey: Staffing woes ease slightly, but challenges remain

Data and surveys

Takeaways • Surgical volume continues to increase for most organizations. • Staffing remains a challenge, although some parameters, such as recruiting and turnover, have improved slightly. • Filling an open RN position takes an average of 77 days, and filling a surgical technologist position takes an average of 120 days.…

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By: Cynthia Saver
August 28, 2024
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Water quality: 5 Ws and an H for sterile processing pros

Asking who, what, why, when, where, and how—otherwise known as the “5 Ws and an H”— is a time-tested way for writers and researchers to ensure comprehensive coverage of any topic. Here, we apply this framework from the perspective of sterile processing department (SPD) professionals seeking to start a water…

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By: Angela Lewellyn, LPN, CRCST, CER, CHL
August 28, 2024
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Staffing solutions depend on collaborative, innovative culture

There is no shortage of advice, opinions, and proposed solutions when it comes to staff shortages, but the issue continues to plague healthcare systems nonetheless. For a couple of years now, speakers at the OR Business Management Conference and OR Manager Conference have been asking attendees, “Who still struggles to…

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By: Tarsilla Moura
August 28, 2024
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