Mergers and acquisitions of ambulatory surgery centers (ASCs) have increased recently, as organizations perceive the opportunities provided by growth markets, and ASCs realize the benefits of having access to a larger provider network, such as a pipeline of patients and more power in negotiating with insurers. Those transactions can have…

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Editor's Note Patients’ satisfaction with hospital care is strongly associated with missed nursing care, which is related to poor nurse staffing and poor work environments, finds this study led by Linda H. Aiken, PhD, RN, director of the Center for Health Outcomes and Policy Research at the University of Pennsylvania…

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Nurse bullying is a hot issue, even in the lay press—consider the 2015 Marie Claire article, “Mean Girls of the ER: The Alarming Nurse Culture of Bullying and Hazing.” Numbers vary, but the American Nurses Association reports that between 18% and 31% of nurses have experienced bullying at work. The…

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The leadership gap expected to occur when Baby Boomers retire leaves many OR managers worried about succession planning. About 40% of respondents to the annual OR Manager Salary/Career Survey plan to retire between now and 2026. By 2020, about half of all nurses will be Millennials, according to the literature.…

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Where will new OR nurses come from in the future? Some OR leaders are answering that question with nurse externship programs for students. Although they require an initial investment, these programs can ultimately pay off financially. Externs who decide to train for the OR tend to be happy with their…

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The makeup of the nursing workforce, specifically the aging of that group, has been the subject of numerous publications and presentations in the last decade. Many have made dire predictions that a shortfall of nurses will likely occur in the near future, but a nationwide scarcity of severe impact has…

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Throughput inefficiencies are a growing problem in surgical services departments. Patients are held in the OR because there is no room in the postanesthesia care unit (PACU), and patients are held in the PACU because there are no beds available in the patient care unit or because outpatients having major…

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The pace of increased surgical volume has slowed, but continues to trend upward, according to the 2017 annual OR Manager Salary/Career Survey. The volume of surgical procedures in the past 12 months increased for 43% of respondents, the same as in 2015, but was down from the 51% reported last…

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Hiring experienced staff remains a challenge for leaders in ambulatory surgery centers (ASCs) even as many organizations increase case volume and specialties, according to the 2017 annual OR Manager Salary/Career Survey. More than two-thirds (67%) of respondents said that recruiting experienced RNs had become more difficult in the past 12…

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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…

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