The fast-paced environment in an ambulatory surgery center (ASC) requires meticulous handoffs, and daily huddles—brief (10 to 20 minute) stand-up meetings—can raise awareness of any potential safety issues. That has been the experience at UnityPoint Health in Des Moines, Iowa, and some of what we learned might help others improve…

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The COVID-19 pandemic has created unprecedented strains on hospitals and healthcare systems, leaving many organizations with limited resources to care for severely ill patients. States, regions, hospitals, and health systems have had to reassess their resources, identify bottlenecks, and develop strategies for increasing critical care capacity. Creating the critical care…

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OR nurses are being asked to serve in positions outside the operating room and experiencing changes in their schedules, and they are concerned about the uncertainty surrounding the COVID-19 pandemic. To support OR nurses during this time of crisis, AORN has been holding town hall Q&A webinars with infection preventionists,…

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Traditional patient care challenges have risen to a whole new level in the wake of COVID-19. Healthcare providers have assumed new roles and performed tasks they never imagined doing. With conditions and expectations changing daily if not hourly, one thing that hasn’t changed is the need to provide safe patient…

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Health systems nationwide are examining policies and procedures related to their resources, staffing, and scheduling to prepare for anticipated patient surges due to COVID-19. In late March, I talked with perioperative physicians and administrators from two health systems with rapid increases in COVID-positive cases, which have prompted significant changes in…

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Editor' Note The American College of Surgeons (ACS) on April 17 released a new document, “Local Resumption of Elective Surgery Guidance,” to help healthcare facilities prepare to resume elective surgery once COVID-19 has peaked in their area. The document includes four categories: COVID Awareness—addresses the community’s COVID-19 numbers, including prevalence,…

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Editor's Note In this study, Elizabeth Wick, MD, and colleagues at the University of California at San Francisco develop a surgery-triage plan to reduce OR volume and manage healthcare resources during the COVID-19 pandemic. Their comprehensive rapid response plan included: Reducing OR volume by 80% to ensure adequate capacity to…

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Editor's Note ECRI Institute and RLDatix announced April 13 a new collaboration to provide free empathetic communication and caring for the caregiver training programs. The first program will be an April 16 webcast that combines the clinical side of the COVID-19 battle (the head) with the need to provide emotional…

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Editor's Note Specialists like cardiac and orthopedic surgical teams as well as anesthesiologists and cardiologists are being redeployed in hospitals to help treat the rising number of COVID-19 patients, the March 30 Modern Healthcare reports. What used to be the heart team at Manhattan’s Mount Sinai Morningside is now a…

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Professionalism may not be a concept OR leaders consciously think about, but they should. As role models for their staffs, they set the behavior standards for the OR, and failure to insist on professionalism can be damaging. Professionalism is not defined simply by dress or presentation, says David A. Wyatt,…

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