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November 2025
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Water quality: 5 Ws and an H for sterile processing pros

Asking who, what, why, when, where, and how—otherwise known as the “5 Ws and an H”— is a time-tested way for writers and researchers to ensure comprehensive coverage of any topic. Here, we apply this framework from the perspective of sterile processing department (SPD) professionals seeking to start a water…

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By: Angela Lewellyn, LPN, CRCST, CER, CHL
August 28, 2024
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Staffing solutions depend on collaborative, innovative culture

There is no shortage of advice, opinions, and proposed solutions when it comes to staff shortages, but the issue continues to plague healthcare systems nonetheless. For a couple of years now, speakers at the OR Business Management Conference and OR Manager Conference have been asking attendees, “Who still struggles to…

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By: Tarsilla Moura
August 28, 2024
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How perioperative staff can combat human trafficking—Part 1

Human trafficking (HT) is a global public health crisis and one of the fastest growing criminal enterprises that grosses hundreds of billions of dollars annually, all of which are tax-free profits made off the sale of human cargo. And yet, research shows the problem is poorly understood or recognized among…

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By: Francine Bono-Neri, PhD, RN, APRN, PNP
August 28, 2024
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Surgical ethics: Does money speak louder?

Although I am not a healthcare professional, working for OR Manager offers a peek behind the curtain. What I have learned so far has left me feeling a bit conflicted. When I took this job back in December, I assumed the hospital ecosystem was driven entirely by the Hippocratic Oath.…

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By: Matt Danford
July 31, 2024
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Smart knee’s advance heralds future of proactive postop care

Takeaways Transmitting health metrics directly from a surgical implant reduces the need for in-person followup and offers more objective data on recovery than patient-reported measures. This technology’s potential extends beyond knees. Whatever the nature of the treatment, postop monitoring is critical. Patient education is essential for setting up the data…

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By: Matt Danford
July 31, 2024
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Rural hospitals contend with challenging opportunities

Rural hospitals in the US have been facing a prolonged, multifaceted crisis. The literature presents several reasons for why healthcare facilities in rural areas struggle, including shrinking budgets, rising chronic illness and public health issues like addiction and obesity, poor telehealth and broadband access, aging populations, deteriorating mental health, and…

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By: David C. Walsh
June 24, 2024
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How competency assessment could extend beyond licensing

Competency assessment in perioperative nursing—and American healthcare in general—is a story of unrealized potential. Particularly in the wake of the pandemic, staffing shortfalls and financial pressures have made focusing on staff development difficult for nurse leaders. Nonetheless, the argument for investing more in professional development and competency has never been…

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By: James X Stobinski, PhD, RN, CNOR, CNAMB(E), CSSM(E)
June 24, 2024
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Scaling standards from sterile processing department to clinic

Reforming instrument reprocessing practices does not always end with the main sterile processing department (SPD). Holding clinics to the same standard adds to the challenge, whether they are associated with hospitals or operate independently. Nonetheless, standardization is just as essential to maintaining efficiency and quality standards. Establishing and maintaining best…

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By: Angela Lewellyn, LPN, CRCST, CER, CHL and Vanessa Frank, CRCST, CHL, CER, CIS
June 24, 2024
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Ambulatory endoscopy management strategies keep patients, finances healthy

Gastrointestinal (GI) endoscopy is one of the most common procedures in the US. Performed more than 17.1 million times per year in inpatient and outpatient hospital settings as well as ambulatory surgery centers (ASCs), GI procedures account for 68% of all endoscopies, according to a May 2022 article in Digestive…

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By: Cynthia Saver, MS, RN
June 24, 2024
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Editorial: Nurse leaders, vendors must collaborate effectively

Is working with a healthcare vendor a necessary evil? For leaders in the perioperative space, where vendors abound, it may be tempting to answer “yes.” The relationship between vendors and nurse leaders is a delicate balance between give and take, but sometimes the take seems to outweigh the give. Nonetheless,…

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By: Jane E. Kuhn, RN, MSN, CNOR(e), NEA-BC (Retired)
May 24, 2024
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