New staffing structure builds on success of specialty team model
Less than a year after adopting a “college structure” model akin to that of specialty teams, the UF & Shands Academic Health Center in Gainesville, Florida, is close to achieving a goal of 100% on-time starts. “We track first-case start times, and a report goes out every morning, so we’ll…
Synergies are flowing from combined ST, CS role
A float position that combines the duties of a surgical technologist (ST) and a central service (CS) technician creates closer ties between the OR and CS departments and improved morale in CS for a 400-bed community hospital. “These have been independent workforces, but they are highly related,” says Brian Whorley,…
Who will replace retiring perioperative nurses?
Perioperative leaders are actively planning for future staffing needs. Still, the majority (56%) say they’re having problems filling staff nurse positions. And two-thirds (68%) anticipate problems in the next 5 years, according to OR Manager’s succession planning survey (related article). Nurse leaders in surgery accept the need “to grow their…
Turnover rates stable, use of temp staff is down, annual survey finds
OR directors continue to struggle with an economy resisting improvement. More than two-thirds (68%) say the economy affected their OR staffing in the past 6 months, according to the 22nd annual OR Manager Salary/Career Survey—virtually unchanged from 69% in 2011. The economy may be causing employees to stay put. More…
Staffing for surgery centers is in a holding pattern
A weak economy continues to affect staffing in ambulatory surgery centers (ASCs), according to the 22nd annual OR Manager Salary/Career Survey, with about 80% of nurse managers saying staff turnover stayed the same compared to 12 months ago, similar to 2011 results. Other staffing parameters are also similar to last…
Older nurses: A resource too valuable to lose
The average age of a perioperative nurse is higher than the average of 47 for nurses overall. That makes retaining older nurses a critical need for OR managers. The immediate problem has subsided in recent years because of the poor economy. Still, “We’re concerned that as soon as the economy…
Medicare rules allow broader use of nonphysicians
Hospitals now have the flexibility under federal law to include practitioners other than physicians on their medical staffs. That’s one provision of Medicare’s revised Conditions of Participation (COP) for hospitals and critical access hospitals, which take effect July 16, 2012. The revision is the first major overhaul of the COPs…
Planning and staffing a hybrid OR
"Building hybrid rooms is building for the future," says Nicholas D. Troeleman, RNFA, director of perioperative services at the University of Maryland Medical Center (UMMC), Baltimore. "Having hybrid rooms in a research setting like the University of Maryland gives physician researchers the ability to develop new techniques and build on…
Surgical scheduling: Taking an important role to the next level
Wanted: Operating Room Scheduler. Salary $33,000. Operating room schedulers reserve space for each surgical procedure in a hospital or ambulatory surgery facility. They determine how long a procedure will take and what staff is necessary. OR schedulers work with anesthesiologists to assign one for each procedure, as well as OR…
Twelve-hour shifts: Is it time to look for a better alternative?
In this issue: A nursing professor challenges nurse leaders to seek alternatives to 12-hour shifts, page 15. Read results of OR Manager's online survey on 12-hour shifts, page 17. Twelve-hour shifts are popular. Many nurses like working 3 12-hour days and having 4 days off. The extended shifts also help…
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