Home Issues OR Manager [March 2018]

Residency program expands ranks of experienced PACU nurses

Just as nursing schools don’t include the operating room in their curriculums, they also don’t include any instruction on the postanesthesia care unit (PACU). And like the OR, the PACU is having trouble recruiting new nurses. In September 2015, Houston Methodist Hospital began a PACU residency program to train new…

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By: Judith M. Mathias, MA, RN
February 22, 2018
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Bullying: From conflict to confrontation to civility in the OR--Part 3

When Carol Schneider, MSN, RN, CCRN, CPAN, became manager of a postanesthesia care unit (PACU) at Boston Medical Center in Massachusetts, she found a plethora of problems, including poor communication skills, low employee engagement scores, and bullying from surgeons and staff. “It was a very bad climate that was putting…

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By: Cynthia Saver, MS, RN
February 22, 2018
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Editorial

Creating a more harmonious work environment is a struggle for some OR leaders. Tips on how to achieve this were offered during the 2017 OR Manager Conference and the 2018 OR Business Management Conference (ORBMC), and we share some of these in the March issue. A dysfunctional atmosphere in the…

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By: Elizabeth Wood
February 22, 2018
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Storytelling can make or break staff morale

Disengagement costs organizations money through lost productivity, not to mention the risk of errors that a disengaged workforce brings. Yet in August 2017, Gallup reported that only 32% of people are engaged at work. Much of disengagement can be traced to what Cy Wakeman, president and founder of Reality-Based Leadership,…

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By: Cynthia Saver, MS, RN
February 22, 2018
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Pledge makes positive culture a priority in the OR--Part 1

An organization’s culture is shaped by the collective attitudes and behaviors of the people who work there, and if no one is willing to make personal changes, no program of the month is likely to have a lasting impact. To change their attitudes and behaviors, people must be made aware…

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By: OR Manager
February 22, 2018
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New guideline focuses on high-level disinfection safety

The new year brings a newly updated Guideline for Manual Chemical High-Level Disinfection (formerly the Guideline for High-Level Disinfection). This AORN guideline, which is based on a comprehensive, systematic review of research- and non-research-based evidence, recommends best practices for safe and effective high-level disinfection (HLD) performed manually when automated methods…

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By: Susan Klacik, BS, CRCST, CHL, CIS, ACE, FCS
February 22, 2018
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Total joint cases on firm footing after OR team huddles

Effective use of a daily huddle and customized software for scheduling have had a dramatic impact on efficiency at NYU Langone Orthopedic Hospital in New York City. Cancellations on the day of surgery have dropped from a rate of about 10% prior to implementation of huddles to less than 1%,…

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By: Elizabeth Wood
February 22, 2018
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How many different procedures are right for your ASC?

When launching a new ambulatory surgery center (ASC), owners must consider a myriad of issues—financing, design, building construction or purchase, regulatory compliance, certification, staffing, and marketing. Underlying all of these considerations are which procedures the center will provide and whether the ASC will be single specialty, like gastrointestinal (GI) or…

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By: Leslie Flowers
February 22, 2018
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