Leaders seeking competent staff for the OR are increasingly training their own. These internal programs, typically targeted toward both new graduates and nurses without previous OR experience, require planning, organization, and follow-through. “You need to integrate the didactic with the clinical setting,” says Ellen Lord, MS, RN, CNOR, a perioperative…
Editor's Note Concepts from motor racing pit stops, including role definition, task allocation, task sequencing, and a visual cue for ease-of-use, created efficient and sustainable approaches for decreasing robotic OR turnover times in this study. Average turnover time was 99.2 minutes before introducing the pit stop model and 53.2 minutes…
Editor's Note The American Society of Colon and Rectal Surgeons and the Society of American Gastrointestinal Endoscopic Surgeons have jointly published new clinical practice guidelines on enhanced recovery after colon and rectal surgery. The enhanced recovery protocol is multidisciplinary, including physicians, nurses, physical therapists, and dietitians and involves all aspects of care…
Editor's Note Nurse leaders are integral in enhancing professional practice environments, and their influence links structures necessary for an environment that supports outcomes, this study finds. In this analysis of 30 nurse leaders and 169 clinical nurses at a 247-bed acute care Magnet hospital, leaders perceived their influence from “often”…
Editor's Note The Joint Commission on June 28 posted a Quick Safety on daily safety briefings--a hallmark of high reliability organizations. Safety briefings--also called safety huddles, daily check-ins, or daily safety calls--are used to give keep frontline staff and leadership informed. The briefings can be used to: share issues that…
Keeping a close eye on implants that are opened and not used is one way OR leaders can track practices that add significantly to costs. But what about blood products? Blood taken to the OR and not used also can be costly. Although an individual unit of blood doesn't compare…
Researchers at the University of Michigan (U-M), Ann Arbor, have invented a new surgical instrument with the goal of addressing a vast, unmet need in minimally invasive surgery. For less than a thousand dollars, this platform technology—currently being commercialized by the start-up FlexDex Surgical—offers capabilities similar to those of the…
Healthcare providers and their patients have benefited from practices borrowed from other industries—for example, the checklists and time-outs used in aviation or the Lean management principles used in manufacturing. Applying lessons learned in the entertainment industry to the hospital setting may seem like a stretch, but Dennis Snow will explore…
Nurse engagement and leadership development were among the top concerns cited in a recent survey of healthcare leaders who reflected on challenges in nursing. To engage the nurse workforce, leaders themselves must be engaged, perioperative services leaders recently told OR Manager. In part 1 of this two-part series, they discussed…
Surgeons usually don’t have a high awareness of costs, partly because they haven’t had an easy way to know them. An unfortunate byproduct of this lack of knowledge can be higher OR costs. “Imagine what it’s like if, when you go to the grocery store, there are no price tags,…