Home Issues OR Manager [June 2018]

Managing patient and family disruption in the perioperative setting -- Part 1

Disruption in the perioperative setting occurs across a continuum ranging from verbal outbursts to physical violence. “We live in an increasingly violent society, and we need to take measures to educate and prepare nurses and other team members to be safe,” says Margo Halm, PhD, RN, NEA-BC, associate chief executive,…

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By: Cynthia Saver, MS, RN
May 18, 2018
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Surgical Council facilitates service line moves between hospitals

To improve healthcare delivery and eliminate duplication, hospitals are banding together into systems in which specialties such as labor and delivery and smaller surgical cases are performed at satellite hospitals, and larger, more complex procedures are done at the main campus. This is the approach taken at the Cleveland Clinic,…

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By: Judith M. Mathias, MA, RN
May 18, 2018
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Editorial

Societal problems in recent years have placed increasing burdens on healthcare workers. With the increase in mass casualty victims, people displaced by natural disasters, and drug or alcohol addicts, it’s not uncommon to experience disruptive patients or families of patients who arrive at the facility under a great deal of…

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By: Elizabeth Wood
May 18, 2018
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Constancy: The key ingredient for safe patient care

When errors occur, sometimes with devastating consequences, healthcare leaders often perform a root cause analysis (RCA) to prevent a recurrence. Understanding what happened is an important step in the recovery process. It’s also important to realize the effect of a sentinel event on healthcare providers—those “second victims” who find themselves…

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By: Elizabeth Wood
May 18, 2018
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Opioid prescriptions drop after orthopedic team changes protocol

Can hospital leaders and surgeons partner to reduce opioid use while maintaining high patient satisfaction scores? Leaders at OSS Orthopaedic Hospital in York, Pennsylvania, answer that question with a yes. Meghan McNelly, PharmD, MHA, FACHE, who was director of pharmacy at OSS when the opioid-reduction project started, says that from…

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By: Cynthia Saver, MS, RN
May 18, 2018
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More cases start on time after nurses change workflow

Among the many variables that influence on-time starts of surgical cases are the arrival times of patients and staff, as well as the verifications and documentation required before patients are brought to the OR. Increasing on-time starts was a key initiative at Fox Chase Cancer Center. By exploring the influences…

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By: Julie Dameus, MBA, BSN, RN
May 18, 2018
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AAMI releases new standard on sterilization quality management

The Association for the Advancement of Medical Instrumentation (AAMI) has released a sterilization standard on quality management for central service (CS) sterile processing. The new standard, ANSI/AAMI ST90: 2017 Processing of Health Care Products: Quality Management Systems for Processing in Health Care Facilities, provides guidelines to support quality management systems…

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By: Susan Klacik, BS, CRCST, CHL, CIS, ACE, FCS
May 18, 2018
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Planning eases compliance with CMS emergency preparedness rules

As of November of 2017, healthcare providers—including ambulatory surgery centers (ASCs)—receiving reimbursement from the Centers for Medicare & Medicaid Services (CMS) were expected to comply with the 2016 Emergency Preparedness Requirements. And as with most government regulations, there are multiple pages of instructions to dissect and understand to satisfy the…

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By: Janet M. Boivin, BSN, BSJ, RN
May 18, 2018
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