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Early postoperative showers appear to be safe for selected patients

Many patients may be able to safely shower 48 hours after surgery without increasing their risk of surgical site complications, and showering may increase patients’ satisfaction and lower the cost of wound care, a new study finds. Showering after surgery is a controversial issue. Traditionally, postoperative wounds are cleaned with…

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By: Judith M. Mathias, MA, RN
January 20, 2016
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Simulation lab a safe way to practice crisis management

Emergencies such as the one described above don’t happen frequently in the OR, but it is important to prepare for them, and simulation has emerged as an ideal educational tool. This scenario took place in a simulation lab, not a real OR, so the danger to the “patient” (manikin) consisted…

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By: OR Manager
January 20, 2016
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Professional peer review compels staff to improve performance and quality--Part 2

Part 1 of this two-part series, published in the January issue of OR Manager, discussed the concepts of professional peer review (PPR). In this article, experts from University Medical Center (UMC) in Lubbock, Texas, and Boston Medical Center share strategies for implementing the process.   Staff involvement Once staff understand…

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By: OR Manager
January 20, 2016
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Dirty endoscopes top 2016 technology hazards list

OR Manager and ECRI Institute have joined in a collaboration to bring OR Manager readers periodic articles on topics such as medical technology management and procurement, risk management, and patient safety. ECRI Institute is an independent nonprofit that researches the best approaches to improving patient care.   Every year, hospitals…

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By: OR Manager
January 20, 2016
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Preanesthesia testing area well positioned to prepare patients for surgery

Is your preanesthesia testing area providing measurable value, and is it positioned to drive surgery toward a new paradigm of care? As government payers shift toward value-based care with the required bundled payment for total joints starting in 800 hospitals and 75 markets (as part of the Comprehensive Care for…

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By: OR Manager
January 20, 2016
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Recovery centers extend stays beyond 24 hours

One of the last things ambulatory surgery center (ASC) staff want to do is transfer a patient to a hospital because it increases the risk of infection and patient discomfort, and it’s a Centers for Medicare & Medicaid Services (CMS) quality measure (ASC-4). CMS and most states traditionally have not…

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By: OR Manager
January 20, 2016
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Early results suggest merits of enhanced recovery after surgery

Nurses, surgeons, and anesthesia providers all have one main goal for patients undergoing surgery—a smooth recovery that returns patients to their daily lives as quickly as possible. Some healthcare providers have adopted enhanced recovery after surgery (ERAS) protocols as a strategy for meeting that goal, and preliminary research suggests merits…

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By: OR Manager
December 16, 2015
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Managing disruptive behavior will remove bullies from the OR

Hundreds of nurse leaders filled the room for a presentation on dealing with difficult people during the annual OR Manager Conference in October 2015—a testament to the prevalence of bullies and disruptive behavior in the OR environment. “In early 2011, a Google search was run using the terms ‘nurse bullying’…

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By: OR Manager
December 16, 2015
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