Home Issues OR Manager [January 2016]

Early results suggest merits of enhanced recovery after surgery

Nurses, surgeons, and anesthesia providers all have one main goal for patients undergoing surgery—a smooth recovery that returns patients to their daily lives as quickly as possible. Some healthcare providers have adopted enhanced recovery after surgery (ERAS) protocols as a strategy for meeting that goal, and preliminary research suggests merits…

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By: OR Manager
December 16, 2015
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Managing disruptive behavior will remove bullies from the OR

Hundreds of nurse leaders filled the room for a presentation on dealing with difficult people during the annual OR Manager Conference in October 2015—a testament to the prevalence of bullies and disruptive behavior in the OR environment. “In early 2011, a Google search was run using the terms ‘nurse bullying’…

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By: OR Manager
December 16, 2015
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Editorial

Workplace violence reached a whole new level with the San Bernardino mass shooting earlier this month that left 14 dead just a week after three people died in a shooting at a Planned Parenthood facility in Colorado Springs. These incidents occurred for different reasons, but both cut short people’s lives…

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By: OR Manager
December 16, 2015
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Lower patient satisfaction associated with nurses educated abroad

Many countries, including the United States and United Kingdom, rely on nurses trained abroad during times of nursing shortages. However, little is known about how this practice affects quality of care and patient satisfaction. A new study examines whether patient satisfaction with nursing care in National Health Service hospitals in…

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By: OR Manager
December 16, 2015
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Nurse leaders play pivotal role in implementing enhanced recovery programs

Frequently OR leaders are at the forefront of implementing enhanced recovery after surgery (ERAS) protocols. They have the skills to facilitate implementation of ERAS and to dispel any misconceptions about it, says Donna Watson, MSN, RN, CNOR, FNP. Watson, director for Medtronic Health Systems Advantage in Boulder, Colorado, is an…

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By: OR Manager
December 16, 2015
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Active listening lowers stress, builds confidence

The use of storytelling and listening to staff stories can be a valuable tool to help OR managers understand and mitigate workplace challenges and incivility. These are the findings of a doctoral study by Patricia Littlejohn, MBA, RN, CNOR, director, neurosciences and program development, Regional Medical Center, San Jose, California.…

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By: Judith M. Mathias, MA, RN
December 16, 2015
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Professional peer review compels staff to improve performance and quality—Part 1

The most successful perioperative services leaders are those who have built excellent teams that balance individual responsibility and accountability with respect for all team members, regardless of the roles they play. To create that culture, OR leaders must model the behavior and attitudes they expect from their staffs. One way…

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By: OR Manager
December 16, 2015
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ST to RN program speeds nurse orientation and bolsters perioperative workforce

When it comes to filling OR nursing positions, finding candidates who can fit into that environment is one challenge, and getting them up to speed quickly is another. Perioperative nurse leaders and educators at the Cleveland Clinic in Cleveland, Ohio, have found it worthwhile to invest in their surgical technologists…

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By: Elizabeth Wood
December 16, 2015
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Combine and conquer: OR/CSPD collaboration dramatically reduces IUSS rates

Using best practices to sterilize surgical instruments can help lower infection rates and, in some cases, prevent death. Over the past few years, staff at Banner Boswell Medical Center in Sun City, Arizona, have worked to reduce immediate use steam sterilization (IUSS) rates. Thanks to improved communication and workflow between…

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By: OR Manager
December 16, 2015
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Fine print in supply contracts often holds keys to cost savings

When it comes to buying medical-surgical supplies, quality, safety, and physician comfort are foremost—but that doesn’t mean price is no object. Even though ambulatory surgery center (ASC) staff often lack materials management expertise, they can achieve cost savings in several ways, especially if they brush up on terms used in…

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By: Paula DeJohn
December 16, 2015
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