Home Issues OR Manager [June, 2012]

Overcoming low health literacy: Helping your patient understand

Imagine sitting through a discussion with a surgeon or nurse and not understanding a single word—or worse, misinterpreting key information. Unfortunately, that’s the situation for many patients and their families because millions of people in the US have insufficient health literacy skills. A review in the American Journal of Surgery…

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By: OR Manager
June 12, 2012
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Curbing OR traffic: Finding ways to minimize the flow of personnel

A traffic cop? Stop signs? Flashing lights? Is there a way to curb the number of people passing in and out of ORs during cases? The number during a lengthy major surgery can reach a dozen or more, with door openings every minute or two. Door openings affect the OR’s…

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By: OR Manager
June 11, 2012
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June 2012 Editorial

Not far into a case, the circulating nurse calls for a missing instrument to be delivered. A nurse from the next OR comes in to fetch a piece of needed equipment. A student from a local nursing program is in the room observing. The surgeon has invited a visiting colleague…

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By: Or Manager
June 10, 2012
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Seminars center on key OR management topics

OR efficiencies, accreditation standards, infection prevention, and team training are a few topics of all-day seminars that perioperative leaders can choose from at the OR Manager Conference October 24 to 26 at Caesars Palace in Las Vegas. The conference, celebrating its 25th anniversary, starts on Wednesday, October 24, with 9…

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By: OR Manager
June 9, 2012
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A cure for the distracted time-out before surgery

Does this ever happen in your OR? The circulating nurse calls for the time-out. But the team doesn’t seem to be focusing. Music is playing, an assistant is draping the C-arm, and team members are talking about the football game. The circulating nurse tries again and gives up. A cognitive…

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By: OR Manager
June 8, 2012
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Managing the costs of explanted spine hardware

During spinal surgery, it is sometimes necessary to implant and then remove, or explant, instrumentation in the same procedure. Explantation occurs when an implanted plate or spacer does not fit, or implanted screws are too loose or too short. Explanted instrumentation cannot be reused and must be discarded, adding to…

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By: OR Manager
June 7, 2012
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Take care with your ancillary anesthesia charges

A column on managing the OR revenue cycle   How to charge for surgical services is a frequent source of questions from OR directors and business managers. In this column, Keith Siddel, MBA, answers frequent questions about charging. He is an officer with Health Revenue Assurance Associates (HRRA), Plantation, Florida.…

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By: OR Manager
June 6, 2012
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Malignant hyperthermia: A crisis response plan

Malignant hyperthermia (MH) is a genetic skeletal muscle disorder that is incited by anesthesia drugs including succinlycholine and inhaled anesthetic agents (Gurunluoglu et al, 2009; Hopkins, 2011; Kim et al, 2011). The disorder is particularly dangerous because it rapidly develops into a hypermetabolic state resulting in hyperpyrexia, tachycardia, and intense…

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By: OR Manager
June 5, 2012
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Are you on target for meeting SSI, SCIP metrics?

OR leaders will want to check that their surgical site infection (SSI) rates are in line with 5-year goals in the updated National Action Plan for reducing health care-associated infection (HAI) from the Department of Health and Human Services (HHS). By and large, hospitals are on target to meet SSI…

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By: OR Manager
June 4, 2012
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How to add more teeth to your loaner set policy

It’s one thing to have a policy on managing loaner instrument sets. But how do you put teeth in your policy so these sets can be reprocessed in time to provide safe care and comply with professional guidelines and regulatory requirements? Readers have asked how to get administrative support for…

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By: OR Manager
June 3, 2012
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Practice now applying the new ASC quality codes

While the deadline for beginning to report quality measures on Medicare claim forms is not until October 1, 2012, ambulatory surgery centers (ASCs) can start practicing. On April 1, 2012, the Centers for Medicare and Medicaid Services (CMS) released a set of reporting codes for the first 5 measures. The…

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By: OR Manager
June 2, 2012
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HHS: A draft for closer scrutiny of HAIs in ASCs

Infection control is in the spotlight again, as ambulatory surgery centers (ASCs) examine a draft Health and Human Services (HHS) document calling for closer scrutiny of precautions in outpatient settings. The agency released a draft of Phase 2 of its National Action Plan to Prevent Healthcare-Associated Infections (HAI) on April…

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By: OR Manager
June 1, 2012
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