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November 2025
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Editorial

At OR Manager, we understand the challenges perioperative leaders are facing in the rapidly changing healthcare landscape. We have all heard the same thing: The way we operate in healthcare has changed, and we need to adapt to the new normal. Staffing concerns, in particular, are top-of-mind for perioperative leaders.…

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By: Tarsilla Moura
March 17, 2023
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Lean visual management board huddle helps improve performance

Image of LEAN weekly board.

A visual management board is a communication tool that provides at-a-glance information about current process performance to help staff coordinate and guide their daily work and monitor ongoing improvement projects. Perioperative staff at Harbor-UCLA Medical Center in Torrance, California, have a 20-minute weekly huddle at their Lean-based visual management board,…

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By: Judith M. Mathias, MA, BS, RN
March 17, 2023
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From buddy to boss: Path from SPD peer to SPD leader  

Congratulations. You have worked hard to master your skills in the sterile processing department (SPD). You have prepared, been interviewed, and finally been promoted to a leadership position. Now, what? Yesterday you were working as a peer in your department, and now you are the leader. Are you prepared for…

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By: W. Zeh Wellington, DNP, RN, NE-BC, and Cherie Dominguez, CSPDT
March 17, 2023
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Collaborate to prevent infections in the OR

OR cleaning infection prevention

Protecting patient safety in the OR is everyone’s business. No single group should shoulder the full responsibility for reducing healthcare-associated infections (HAIs). In addition to infection preventionists, epidemiologists, and environmental services personnel, it is the duty of everyone involved in patient care to provide an optimal clean and aseptic surgical…

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By: Steve Wilson
March 17, 2023
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Collaboration in, out of the OR: Two surgeons' perspectives

Nurse leaders know that a successful workplace fosters and celebrates teamwork. In the OR, teamwork among surgeons, surgical technologists, circulating nurses, anesthesiologists, and first assistants, to name a few, is critical to ensure patient safety and positive outcomes. And teamwork does not have to be reserved for inside the surgical…

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By: Breann Kakacek, BSN, RN
March 17, 2023
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Preparing for active shooter events

Takeaways Gun-related violence is an increasing threat in healthcare settings, including perianesthesia departments and ASCs. Small hospitals and ACS are not immune to active shooter events. New requirements from The Joint Commission require planning and preparation for active shooter events. Elizabeth Dalton, BSN, RN, will never forget the day her…

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By: Catherine Spader, RN
February 22, 2023
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Building leadership diversity

Takeaways The term diversity encompasses a wide range of factors, including ethnicity, gender, age, education, culture, and veteran and disability status. Strategies for hiring a diverse leadership team include acknowledging unconscious biases, reaching out to different groups, and using an objective tool for interviewing. Leaders can foster a diverse leadership…

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By: Cynthia Saver, MS, RN
February 22, 2023
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Maximize your staff: Developing and using successful float teams

Float teams have been a staple of nurse-staffing plans for many years, but they have not been widely used in the operating room. Utah Valley Hospital, a Level II trauma center in Provo, Utah, and part of the Intermountain Healthcare system, has been developing float teams for nearly 2 decades.…

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By: Judith M. Mathias, MA, BS, RN
February 22, 2023
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Training and retaining skilled PACU nurses

When Ayumi Fielden, MSN, RN, CCRN-K, CPAN, worked as a preceptor in a PACU nurse residency program for new graduate nurses, she realized quickly that something was missing. “The graduate nurses struggled because they were not yet comfortable with basic nursing skills, such as assessments and giving medications. They also…

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By: Catherine Spader, RN
February 22, 2023
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Managing labor costs in a time of staffing shortages

Nationwide staffing shortages are causing significant strain on healthcare systems. Hospital leaders have to be creative with how to mitigate this challenge while still prioritizing patient care. Healthcare workers are essential, but labor costs are often the largest expenses for hospitals. Even before the pandemic, labor costs, including recruitment, retention,…

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By: Bridget Brown
January 19, 2023
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