Decrease uncertainty to combat burnout, boost retention
Provider burnout in the OR has been a problem for years, but the COVID-19 pandemic has brought staff morale to a low point in hospitals across the US. Many OR leaders are facing staffing shortages just as demand for elective surgery is increasing. This is a significant problem for hospitals…
Think ahead: Plan today for tomorrow's staffing gaps
Planning ahead isn’t always intuitive in ambulatory surgery centers (ASCs). However, when a business manager or clinical coordinator suddenly falls ill, announces plans to retire, or quits unexpectedly, ASC leaders need to respond nimbly and effectively. Someone has to step in and take over to make a seamless transition without…
Humble giants of leadership
This series, written by OR Manager’s clinical editor, Judy Mathias, MA, RN, presents the management approaches of top leaders from around the country and describes the qualities that make them exemplary leaders. These articles are intended to inspire nurse leaders to achieve the highest levels of success in their careers…
First assistants bring expertise and efficiency to the OR table--Part 2
First assistants (FAs) can play an important role in achieving optimal outcomes and higher surgical case volumes. Part 1 of this two-part series discussed types, education, and certification of FAs (OR Manager, May 2021, pp 1, 15-18). Part 2 answers questions related to risk management and oversight, and discusses possible…
Crisis management takes new leaders to the next level
Unexpected benefits can arise from unexpected circumstances. Relatively new nurse leaders at two different facilities have found this to be true, for different reasons. Both have faced sudden changes that made their jobs more difficult but also gave them opportunities for growth. When the director of ambulatory care at Brigham…
Building a good 'marriage' with hospitals: A primer for ASCs
A global pandemic did not stop the proliferation of joint ventures between ambulatory surgery centers (ASCs) and hospitals in 2020. The trend continues in 2021, as federal regulators expand on the types of procedures that can be performed in the ambulatory setting. Hospitals are recognizing the need for a surgery…
Logistics, clinical outcomes associated with converting ORs into an ICU for COVID-19 patients
Editor's Note This study by researchers from the department of anesthesiology, Columbia University Irving Medical Center, and the department of perioperative services-nursing, New York-Presbyterian Hospital, both in New York City, describes how OR and anesthesia personnel converted 23 ORs into an 82-bed operating room intensive care unit (ORICU), ensured staff…
The Joint Commission's safety alert supports removal of surgical smoke
Surgical smoke is a complex issue that has not gained a lot of traction over the years. Legislation to mandate smoke evacuation was introduced more than 20 years ago, but the first law wasn’t passed until 2018, and only three US states thus far have enacted legislation. Release of The…
First assistants bring expertise and efficiency to the OR table--Part 1
Non-physician surgical first assistants (FAs) perform a variety of tasks—everything from closing an incision and inserting drains to harvesting veins for bypass procedures and preparing anterior cruciate ligament grafts. A significant benefit of FAs is shorter case times, which may help reduce patient morbidity and mortality and increase case volumes.…
Editorial
The increasing availability of COVID-19 vaccines, along with proposed healthcare industry funding from the federal government, are reasons to feel hopeful about recovering from the pandemic. For people who are fully vaccinated, the Centers for Disease Control and Prevention has green-lighted gathering with loved ones and resuming some activities that…
Free Daily News
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- Personalized perioperative pain management reduces opioid use
- Study: Colibactin-producing gut bacteria fuel colorectal cancer surge
- Augmented reality gains FDA nod, 10k-case milestone in orthopedics, strides in outpatient surgery
- Smart patient selection anchors DISC’s high-acuity spine ASC model
- Postop opioid prescriptions following outpatient surgery see steep, sustained fall
- Study: Bariatric surgery offers cost, survival benefits for cirrhosis patients
- AI monitoring, remote surgery advance