Legal/Regulatory Issues

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November 2025
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Prepare for DEA inspections, controlled substances oversight

The headlines are attention grabbing: hospitals forced to pay millions of dollars after employees were found to have stolen opioids and other controlled substances. After being discovered and investigated by the Drug Enforcement Agency (DEA), the agents uncovered a number of issues: poor record-keeping, inventory, tracking, and other failures that…

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By: Brita Belli
February 22, 2023
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Making real change: How nurse leaders can collaborate with legislators

Nurses and legislation

Takeaways • OR nurse leaders are becoming a force in healthcare legislation. • Legislators value nursing expertise and want to collaborate with nurses on healthcare legislation. • It is easier than expected to get involved with legislation to improve patient safety, support staff, and optimize the workplace. Tracy Hoeft-Hoffman, MSN,…

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By: Catherine Spader, RN
January 19, 2023
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Strategies for preparing and surviving a CMS survey

The Centers for Medicare and Medicaid Services (CMS) develops conditions of participation (CoPs) and Conditions for Coverage (CfCs) that healthcare organizations must meet in order to participate in Medicare and Medicaid programs. Payers, including government payers, require facility certification or accreditation for reimbursement. “Reimbursement is the critical piece,” says Becky…

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By: Judith M. Mathias, MA, BS, RN
January 19, 2023
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Accreditation updates from The Joint Commission, CMS

Takeaways Many OR managers said they were overdue for a survey by The Joint Commission because of the pandemic. The Joint Commission is said to be 3,000 surveys behind. More checklists are being used by surveyors, which are available in The Joint Commission’s Perspectives and EC News newsletters. New in…

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By: Judith M. Mathias, MA, BS, RN
December 15, 2022
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Legal ABCs of drafting contracts with anesthesia

Navigating contracts with anesthesia when anesthesiology services are suffering from workforce shortages and high costs is often tricky and complex. The biggest mistake ambulatory surgery centers (ASCs) make is that they do not know what they want when entering a contract negotiation with an anesthesia provider. As a result, ASCs…

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By: Jennifer Lubell
December 15, 2022
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Revised AORN Flexible Endoscope Processing Guideline

On September 15, 2022, AORN released its updated Guideline for Processing Flexible Endoscopes. Over the past several years, there has been significant research on flexible endoscope processing—research that met the stringent requirements and has been included in this revised guideline by AORN’s lead author and team. Endoscope processing begins with…

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By: Susan Klacik, BS, FCS, ACE, CHL, CIS, CRCST, AAMIF
November 17, 2022
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Ayumi Fielden: Perioperative Nurses Week Interview

Ayumi-Fielden-editorial-board

Today’s chat is with Ayumi Fielden, MSN, RN, CCRN-K, CPAN, Professional Practice Leader, Houston Methodist Hospital, Houston, Texas. Q: What is something that went right at your facility and/or that you are thankful for this year? We have a lot to be thankful for this year. We lost some surgical…

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By: Tarsilla Moura
November 16, 2022
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Easing the pain of electronic health records: Part 2

Electronic health records (EHRs) can be a force for good, promoting patient safety, but they also often have multiple pain points. OR leaders can take steps to ease those pain points. Part 1 of this two-part series provided an overview of EHR challenges and how managers can work with staff…

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By: Cynthia Saver, MS, RN
September 27, 2022
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CMS quality reporting update for ASCs

A lot has happened with ASC quality measure reporting in the last 2 years, especially this year, says Gina Throneberry, MBA, RN, CNOR, CASC, director, education and clinical affairs, Ambulatory Surgery Center Association (ASCA). Throneberry spoke at the ASCA annual conference in April. In the Centers for Medicare and Medicaid…

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By: Judith M. Mathias, MA, BS, RN
September 27, 2022
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Kay Ball: Mentoring the next generation

Widely known for her research on laser technology and for her legislative work advocating for smoke evacuation in the OR, Kay Ball, PhD, RN, CNOR, CMLSO, FAAN, a perioperative consultant and adjunct professor at Otterbein University in Westerville, Ohio, sat down with OR Manager to discuss the role of education…

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By: Tarsilla Moura
July 26, 2022
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