Malignant hyperthermia (MH) is a rare but life-threatening surgical complication that seems to turn the effects of general anesthesia upside down. Instead of relaxing, muscles become rigid, releasing large amounts of acid and potassium into the blood. Instead of a normal slowing of breathing, respirations quicken, and end-tidal CO2 rises.…

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Retaining well-performing staff reduces the amount of resources, particularly time and money, that OR leaders need to spend on recruiting and training new employees. Part 1 of this two-part series provided an overview of retention issues and discussed the importance of the leader’s role and a positive work culture (OR…

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Producing OR Manager each month and OR a.m. at the start of every day imposes a perpetual sense of time speeding by as we curate a wealth of information to help readers excel in their daily mission. We believe that OR Manager and OR a.m. together direct readers to the…

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Editor's Note A state-mandated policy restricting opioid prescriptions in Vermont greatly reduced opioid prescribing and use by surgical patients at the University of Vermont Medical Center without affecting patient satisfaction with their postoperative pain management, finds this study presented October 29 at the American College of Surgeons Clinical Congress 2019…

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The Big Easy put on a big program for the more than 1,400 perioperative nurse leaders and other healthcare professionals who flocked to New Orleans in September for the annual OR Manager Conference. Both the conference and PACU Manager Summit offered provocative new input and highly entertaining networking events. The…

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OR nurse leaders are struggling not only to recruit staff, but to retain them—especially as younger generations begin to dominate the work pool. A 2019 study by Dowling Dols and colleagues found that Millennials were generally satisfied with their jobs, yet they anticipated staying with their current employer for 3.03…

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Recruiting OR staff who will best meet culture and competency expectations is a three-pronged process that starts with a sound marketing strategy, progresses to the application and interview stage, and concludes with the decision to hire and onboard. Parts 1 and 2 of this three-part series covered the roles that…

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Editor's Note This study found that the MINDBODYSTRONG for Healthcare Professionals program has excellent potential as an intervention for improving the mental health, healthy lifestyle beliefs and behaviors, and job satisfaction in newly licensed RNs. Of 89 new RNs (divided into two groups, intervention and control) participating in a nurse…

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Editor's Note The University of California San Diego School of Medicine announced October 14 that it has expanded its Center for the Future of Surgery, one of few facilities in the world that teaches surgery in high-tech simulated ORs. This fall, the 22,000 sq-ft center added a new hybrid OR…

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Editor's Note This survey of Harvard Medical School students’ perceptions of barriers to a career in surgery found high rates of verbal discouragement and concerns about family aspirations. Of 729 medical students surveyed, 261 completed the questionnaire (58.6% women, 41% men, 0.4% transgender). Results showed: no significant gender difference in…

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