The Centers for Medicare & Medicaid Services (CMS) has replaced the term “flash sterilization” with “immediate use steam sterilization” (IUSS) in surgical settings. The change in terminology, which applies to Medicare-participating hospitals, critical access hospitals, and ambulatory surgical centers that are subject to Conditions of Participation or Conditions of Coverage,…
Protective eyewear is supposed to prevent infectious materials from reaching the eyes of OR staff, but recent research has revealed a link between reusable protective eyewear and an increased risk of cross contamination and infection. “We found that the protective eyewear itself can be a causal factor in ongoing contamination,”…
Children’s Hospital of Los Angeles (CHLA) is renowned for patient care, but by early 2013 the increased complexity of new technology and other factors had eroded efficiency. Orthopedics had fallen to the bottom quartile compared to national benchmarks for turnover times, and executive leadership called for change. Within orthopedic surgery,…
The main distinction between good and bad debriefings comes down to the level of staff engagement. That’s what the surgical team at the University of Colorado Hospital, Aurora, learned during a project designed to improve the quality of the 30- to 60-second conversations held after surgery. “In a good debriefing,…
Union membership has declined steeply in recent decades. Increasingly, organized labor is targeting the healthcare industry as a growth opportunity. This is creating a leadership challenge for OR directors and managers. In 2012, approximately 21% of hospitals in the US had a union nursing staff. That percentage could soon increase…
Most ambulatory surgery centers (ASCs) have some form of computer-based recordkeeping, such as scheduling and billing systems. So far, however, few have made the leap to electronic medical records (EMRs). With an EMR, clinicians enter data at the point of care, and that information is accessible to other clinical and…
Two OR nurses are part of a diverse team that cares for Ebola patients at the Nebraska Biocontainment Patient Care Unit in Omaha, and the team’s nursing director is Shelly Schwedhelm, MSN, RN, a former OR Manager of the Year. “I chose OR nurses to be on the team because…
What started out as a software package to train medical device representatives for the OR has evolved into a program to train OR personnel to scrub and support a “rep-less” model. The software, designed by a former perioperative nurse, helps orient staff to new procedures, documents their competency, and streamlines…