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November 2025
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Managing challenging employees: When to let go

TAKEAWAYS • HR should be involved early in the disciplinary process to help guide OR leaders’ decision-making throughout disciplinary and/or remediatoin processes. • Timing, privacy, opportunities for employee feedback, and an empathetic approach are among the most important considerations for a final termination meeting. • Whatever the process for communicating…

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By: Cynthia Saver, MS, RN
April 19, 2024
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Decade of salary data shows mix of small gains, stagnation for OR leaders

Data and surveys

Takeaways OR leaders have experienced financial gains over the past 9 years, but not enough to keep up with inflation in recent years. Capital and operating budget responsibilities have increased over the past 6 years. Since 2015, OR leaders have consistently been most satisfied with their current job, but much…

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By: Cynthia Saver, MS, RN
March 22, 2024
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Safe postop patient recovery: A day in the PACU leader role

Critical assessment and rapid response are essentials skills for perioperative staff members, and that goes double for perioperative leadership. Patient-centered leadership is a must. Like the OR, the postanesthesia care unit (PACU, formerly referred to as the “recovery room”) is a critical care area plagued by an influx of new…

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By: Tarsilla Moura
March 22, 2024
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Editorial: OR Business Management Conference tackled financial challenges, technological innovations

This past February, the OR Business Management Conference, held in Phoenix, Arizona, brought together business managers of all walks of life. The intimate event was once again a symbiotic blend between financial- and business-centric education and high-quality networking. The education offered for seasoned and new business leaders alike, perhaps more…

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By: Tarsilla Moura
March 22, 2024
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Editorial: Social media raises privacy, ethical concerns

After spending many years in management roles, I can testify to the truth of one old proverb: “The more things change, the more they stay the same.” Patient privacy is a prime example. Confusion on this topic seems just as rampant today as in the early 2000s, amid the widespread…

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By: Jane E. Kuhn, RN, MSN, CNOR(e), NEA-BC (Retired)
February 27, 2024
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Nurse leaders on how to improve nurse wellness, reduce burnout

Takeaways Research shows that there are high nurse burnout rates from systemic workplace issues, including unmanageable case-loads, poor communication, excessive administrative burdens and an overall lack of care. Nurse wellness programs—including resilience training, peer-to-peer counseling, and meditation—are critical, because of high exposure to trauma and suffering, but these efforts need…

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By: Brita Belli
February 27, 2024
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A look back: 10 years of staffing data show scope of challenges for OR leaders

Data and surveys

Takeaways The COVID-19 pandemic exacerbated staffing problems, and although some parameters have improved, challenges remain. Surgical volume took a sharp drop during the pandemic but is now rebounding. Over the years, the gap in difficulty between recruiting RNs and recruiting STs has narrowed. Last month, OR Manager looked back on…

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By: Cynthia Saver, MS, RN
February 27, 2024
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CNOR specialty designations distinguish uncommon skillsets

The Competency & Credentialing Institute (CCI) is excited to announce a new development in our certified perioperative nurse (CNOR®) certification program: the introduction of specialty designations. Now, perioperative nurses can specialize in cardiac, bariatric, orthopedic, or vascular surgery, just as RNs can choose oncology, pediatrics, or emergency. A specialty designation…

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By: Melissa R. Nosik, PhD, BCBA-D, ICE-CCP, SHRM-SCP and Dawn Whiteside, DNP, MSN-Ed, RN, CNOR, NPD-BC, RNFA
February 27, 2024
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Unveiling ECRI’s 2024 top 10 health technology hazards list

What is the purpose of the top 10 health technology hazards list, released every year by ECRI? “Our number one goal at ECRI is to reduce preventable harm,” stresses Jason Launders, MSC, former director of operations, device evaluation, at ECRI. “We know that every healthcare provider has a lot they…

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By: Tarsilla Moura
February 27, 2024
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Why OR leaders should revisit sterile processing basics

Sterile Processing Department (SPD) managers and technicians know a thing or two about pressure. In a recent webinar covering sterile processing basics, Cori L. Ofstead, MSPH, president and CEO of Ofstead & Associates, Inc, and Abby Smart, MPH, research associate, cited the example of a 480-bed hospital that performed 13,650…

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By: Uyen Vo, BSN, MBA
February 27, 2024
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