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September 2007 See the full issue

ASC staffing strong; challenges remain

OR nurse leaders in ambulatory surgery centers (ASCs) have fewer open positions and lower turnover rates than hospitals, but recruitment of experienced OR staff remains a challenge. Those are some findings from the 2007 annual OR Manager Salary/Career Survey. The survey was mailed in May to 1,000 nurse managers of…

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By: OR Manager
September 1, 2007
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OR staffing picture worsens, with RN vacancies, open positions up

OR nursing leaders are facing a worsening shortage of staff, particularly RNs, according to the 2007 annual OR Manager Salary/Career Survey. In the survey's seventh year of including staffing issues, the number of open positions and vacancy rates rose in contrast to last year, when the shortage seemed to be…

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By: Cynthia Saver, RN, MS
September 1, 2007
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Outpatient quality reporting slated

Hospitals would have to report on 10 outpatient quality measures to get a full update in their 2009 outpatient payments, under a proposed Medicare rule issued July 16. Two of the measures affect surgery: timing of antibiotic prophylaxis selection of antibiotic. Other quality measures apply to acute myocardial infarction, pneumonia,…

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By: OR Manager
September 1, 2007
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Orthopedic navigation: Questions about long-term results and costs

Like a car's global positioning system (GPS), computer-assisted surgical navigation helps orthopedic surgeons get their bearings. A navigation system receives and transmits data about joint surfaces and placement of implants, displaying the information on a computer screen where the surgeon can view it. An image from the BrainLab VectorVision navigation…

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By: OR Manager
September 1, 2007
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National nursing shortage: A snapshot

RNs working in hospitals In 2006, the average RN working in a hospital was: 48 years old worked 3.7 days per week and 35.8 hours per week worked 5.2 overtime hours per week earned $32.10 per hour Source: Adapted from Buerhaus P I, Donelan K, Ulrich B T, et al.…

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By: OR Manager
September 1, 2007
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Getting good data to guide decisions

Do you judge your reports by the pound? Many OR leaders aren't lacking for data—they often receive stacks of reports every month. But they may lack good information, a plight some call DRIP—data rich but information poor. How can leaders avoid DRIP and get useful reports to guide decision making?…

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By: OR Manager
September 1, 2007
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ASC pay plan better, but still falls short

Ambulatory surgery centers (ASCs) see pluses and minuses in Medicare's final rule for a revised ASC payment system, released July 16. The new system, mandated by Congress to take effect by Jan 1, 2008, will for the first time base ASC payments on the hospital outpatient prospective payment system (OPPS).…

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By: OR Manager
September 1, 2007
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