Periop Nursing

Latest Issue of OR Manager
April 2019
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Elevating standard of endoscope reprocessing with terminal sterilization of duodenoscopes

Editor's Note Terminal sterilization of duodenoscopes can be achieved with a hydrogen peroxide-ozone sterilizer, this study finds. A sterility assurance level of 10-6 was achieved under laboratory worst-case conditions and under clinical conditions using a hydrogen peroxide-ozone sterilizer with regulatory clearance for terminal sterilization of duodenoscopes (STERIZONE VP4, TSO3 Inc,…

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By: Judy Mathias
February 28, 2019
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ASCA: CMS makes minor changes to Emergency Preparedness requirements for ASCs

Editor's Note The Ambulatory Surgery Center Association (ASCA) on February 26 announced that the Centers for Medicare & Medicaid Services (CMS) released a Memorandum Summary with updates to Appendix Z of the State Operations Manual, which outlines the Emergency Preparedness requirements for CMS providers and suppliers. The primary change that affects…

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By: Judy Mathias
February 26, 2019
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Predictors of loss of independence after hip fracture repair

Editor's Note Age 50 to 80 years was a strong predictor of returning to independent living and walking 1 year after hip fracture surgery in this study. Of 600 patients aged 50 and older included in the study, 3.07% aged 50 to 80 years were living in an institution 1…

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By: Judy Mathias
February 26, 2019
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CMS releases opioid prescribing mapping tool updates

Editor's Note The Centers for Medicare & Medicaid Services on February 22 released an update to its Medicare Part D opioid prescribing mapping tool and a new Medicaid opioid prescribing mapping tool. The Medicare tool is an interactive, web-based resource that shows geographic comparisons of opioid prescribing rates at state,…

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By: Judy Mathias
February 26, 2019
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Unnecessary UTI testing cut by 45%

Editor's Note Making a simple change to the electronic system used by physicians to order urine tests can cut by 45% the number of bacterial cultures ordered without compromising the identification of patients who need treatment for urinary tract infections (UTIs), this study finds. In this analysis of 18,954 patients…

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By: Judy Mathias
February 25, 2019
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You may also be interested in these sessions at the OR Manager Conference this September in Nashville, TN

AMA (Ask Me Anything): Words of Wisdom From PACU Leaders

After this session you’ll be able to: Discuss fundamental concepts of PACU leadership., Identify tactics for adapting your leadership style to cope with challenging situations., Describe best practices for optimizing patient throughput and managing communication between departments. ,   Why this is important: From staff allocation to pain management, your…

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Effect of ‘grit’ on success and well-being of nurse leaders

Editor's Note The personality quality termed “grit” was associated with longevity as a leader, higher educational attainment, and reduced burnout in nurse leaders in this study. A survey of nurse leaders across the US measuring grit (ie, courage and resolve, strength of character) and well-being found that grit was significantly…

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By: Judy Mathias
February 21, 2019
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Joint Commission seeking comments on proposed EP for office-based surgery practices using fluoroscopy

Editor's Note The Joint Commission on February 20 announced that it is seeking comments on a proposed element of performance (EP) for office-based surgery practices that provide fluoroscopy services. The new requirement−Environment of Care (EC) standard EC.02.02.01−addresses the monitoring of radiation exposure badges. The deadline for comments is March 29.

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By: Judy Mathias
February 21, 2019
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New nurses working long shifts, overtime

Editor's Note New nurses are predominantly working 12-hour shifts and nearly half work overtime each week, trends that have remained relatively the same over the past 10 years, this study finds. Analyzing surveys from more than 4,500 newly licensed nurses in 13 states and Washington, DC, researchers from New York…

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By: Judy Mathias
February 20, 2019
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Editorial

Interest in data analytics, artificial intelligence, technology, and innovation has skyrocketed with rapid advances in systems and devices designed to improve patient care. When it comes to data analytics, asking the right questions is key to finding answers that will enhance efficiency and patient safety, according to David Wyatt, PhD,…

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By: Elizabeth Wood
February 20, 2019
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Surgical transfer unit allows patients to bypass ED

There are few things more disheartening for patients than having to board in the emergency department (ED) for long periods while waiting for a bed. ED boarding can also delay treatment and adds to overcrowding and backups. Erlanger Health System, based in Chattanooga, Tennessee, decided to tackle this problem head…

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By: Catherine Spader, RN
February 20, 2019
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You may also be interested in these sessions at the OR Manager Conference this September in Nashville, TN

The ABCs of Accountable Care Organizations

After this session you'll be able to: Describe the history and current state of Accountable Care Organizations (ACOs). Understand the impact of specific nursing interventions in the OR that can positively impact the goals of the ACO. Explain the concepts of pay for performance, value-based purchasing, and the Triple Aim.…

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