SSI prevention in ASCs

Surgical site infection (SSI) surveillance has rapidly grown in the ambulatory setting over the last decade, with the expansion of the Centers for Disease Control and Prevention’s (CDC) National Healthcare Safety Network’s (NHSN) Outpatient Procedure Component (OPC). OPC-SSI is designed to track and monitor SSIs in ambulatory surgery centers (ASCs)…

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By David Cotriss

State of perioperative workforce in 2023: Part 2

healthcare nurse staff

Takeaways Perianesthesia and sterile processing leaders are feeling the pain of staffing shortages. Strategies to recruit and retain staff include raising pay, establishing clinical ladders, training programs, and a positive work environment. A 2022 study found that Certified Post Anesthesia nurses are more satisfied with their jobs than noncertified nurses.…

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By Cynthia Saver, MS, RN

ASC nurse leaders can wear many hats

The role of a nurse leader in an ambulatory surgery center (ASC) can take many forms depending on the ASC’s size, structure, and governing environment. Larger ASCs can support a number of leaders and roles. Factors that influence this number are whether the ASC is part of a network, the…

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By Marian McCann Kleinman, MBA, BSN, RN, CASC(E), CNOR(E), CSSM

A day in the life in SPD

Ambulatory surgery centers (ASCs) are continuing to perform more and more surgical procedures. According to Fortune Business Insights, ASCs can expect to see even greater case volumes as the number of outpatient procedures is estimated to increase by 15% by 2028. With an increase in procedures, it is essential that…

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By Erica Smith, MBA

ASCs and the expanding role of nurse leaders

Ambulatory service centers (ASCs) are back in expansion mode after a slow-down during the COVID-19 pandemic. In 2020, as the pandemic took hold, ASCs saw a decrease in growth as people delayed or opted out of elective surgeries. But that delay only served to highlight the importance of ASCs to…

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By Brita Belli

Perioperative workforce 2023: Focus on ASC

Leaders of ambulatory surgery centers (ASCs) continue to face many challenges in 2023, with staffing at the top of the list. OR Manager wanted to know more about what ASC leaders on the frontlines are experiencing related to the workforce and what strategies they are using (or plan to use)…

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By Cynthia Saver, MS, RN

Improving situational awareness in ASCs

Situational awareness is the perception of events occurring around a person in a particular environment. Knowing what is happening helps that person make better decisions. But how does that apply in the perioperative context? In 2004, The Joint Commission made situational awareness the cornerstone of its surgical timeout requirement. The…

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By Jeff Robbins

Preparing for active shooter events

Takeaways Gun-related violence is an increasing threat in healthcare settings, including perianesthesia departments and ASCs. Small hospitals and ACS are not immune to active shooter events. New requirements from The Joint Commission require planning and preparation for active shooter events. Elizabeth Dalton, BSN, RN, will never forget the day her…

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By Catherine Spader, RN

Maximize your staff: Developing and using successful float teams

Float teams have been a staple of nurse-staffing plans for many years, but they have not been widely used in the operating room. Utah Valley Hospital, a Level II trauma center in Provo, Utah, and part of the Intermountain Healthcare system, has been developing float teams for nearly 2 decades.…

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By Judith M. Mathias, MA, BS, RN

Pediatric patients benefit from calming, quiet OR environment

Takeaways • Children are not small adults. Greater attention should be paid to their fears and anxiety, and equipment and medication should be tailored to meet their needs. • All staff should have Pediatric Advanced Life Support (PALS) certification. • ASCs can use toys and games as distractions to ease…

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By Jennifer Lubell
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