Home Issues OR Manager [May, 2008]

Substance abuse in the OR: Why managers should not ignore it

The first of two articles. Cecil King, RN, MS, CNOR, is a perioperative advanced practice nurse at Sinai Hospital in Baltimore. King is an outgoing, knowledgeable nurse. He's a mover and shaker in the perioperative world: active in AORN, speaking at national meetings, and writing articles for nursing journals. He's…

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By: Cynthia Saver, RN, MS
May 1, 2008
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Keeping ORs' freight costs in bounds

With no margin for error in the operating room supply chain, the cost of obtaining the right products in the right quantities can easily get out of hand. While product prices can be somewhat regulated by contract, in an emergency, there is little point in quibbling over freight charges for…

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By: Paula DeJohn
May 1, 2008
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Substance abuse in the OR: Why managers should not ignore it

The first of two articles. Cecil King, RN, MS, CNOR, is a perioperative advanced practice nurse at Sinai Hospital in Baltimore. King is an outgoing, knowledgeable nurse. He’s a mover and shaker in the perioperative world: active in AORN, speaking at national meetings, and writing articles for nursing journals. He’s…

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By: OR Manager
May 1, 2008
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Is health care headed for a meltdown?

Stuart H. Altman, PhD The key change American health care must make is new ways of paying for services, says health policy expert Stuart H. Altman, PhD. That is the only way to create an integrated delivery system that will keep health care alive. Altman will deliver a special lecture…

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By: Kate McGraw
May 1, 2008
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Ground rules for vendors in the OR

Vendors bring many contributions to the OR, such as staff education and support to surgeons for new products. Like any external visitor to the OR, however, vendors must be managed appropriately to meet regulatory requirements. It takes collaboration to create a policy that works and to establish ongoing monitoring to…

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By: Cynthia Saver, RN, MS
May 1, 2008
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The importance of cleaning in earnest

A regular column on sterilization and infection control issues. When you sterilize an instrument set, you know what the standards are. Sterilizers must provide a sterility assurance level (SAL) of 10 to the minus 6 (10-6). Biological indicators are used to test the efficacy of the sterilizer. Chemical indicators or…

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By: OR Manager
May 1, 2008
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What works to reward the ASC's staff?

With reimbursement for ambulatory surgery centers (ASCs) becoming tighter, the need to run an efficient and productive facility has never been greater. ASCs can hope that staff will recognize the highly competitive times and step up efforts to help improve the performance of the center and keep it profitable without…

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By: Rob Kurtz
May 1, 2008
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Safe injections stressed after Nevada outbreak

Health officials are underlining the need to follow safe injection practices after a recent hepatitis outbreak in Nevada. Reuse of syringes and medication vials is believed to be the source of 6 cases of hepatitis C in patients who had procedures at the Endoscopy Center of Southern Nevada in Las…

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By: OR Manager
May 1, 2008
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ORs are stretched in providing additional anesthesia coverage

The surgeons want more OR rooms running later in the day and even on weekends. With reimbursement pressures, they say they need to spend more time in their offices seeing patients. But who's going to provide the anesthesia coverage for these extended hours? Anesthesia providers say it isn't financially feasible.…

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By: OR Manager
May 1, 2008
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What comes after value analysis?

You've had a value analysis program for a number of years. You think it might have run its course. What's next? Value analysis, which has been in the forefront of supply chain management for years, is a systematic process for making purchasing decisions and identifying savings opportunities that consider not…

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By: OR Manager
May 1, 2008
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