At Virginia Commonwealth University System (VCU Health) in Richmond, we are using quality standards to establish operational definitions for elements of Enhanced Recovery After Surgery (ERAS). This article describes what those standards are and how they are implemented. Previous articles in this series appeared in the October 2019 and November…

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In the never-ending quest to improve patient care, we are always seeking better ways to process medical devices. Many leading experts now recommend transitioning from high-level disinfection (HLD) to sterilization for semicritical items. Semicritical items are instruments or objects that contact mucous membranes or nonintact skin of a patient, but…

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A strong labor and delivery (L&D) department is a key driver of hospital success. L&D not only contributes significantly to hospital profitability, it plays an important role in establishing and cementing patient loyalty. And as hospitals increasingly take responsibility for community health, an effective birth program can make a measurable…

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Ambulatory surgery centers (ASCs) have increasing incentives to offer total joint replacements (TJR) as Medicare expands the list of covered procedures. However, there’s a lot to consider in this particular service line. “There are many things to arrange that aren’t required with other service lines, particularly as home care of…

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The Big Easy put on a big program for the more than 1,400 perioperative nurse leaders and other healthcare professionals who flocked to New Orleans in September for the annual OR Manager Conference. Both the conference and PACU Manager Summit offered provocative new input and highly entertaining networking events. The…

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OR nurse leaders are struggling not only to recruit staff, but to retain them—especially as younger generations begin to dominate the work pool. A 2019 study by Dowling Dols and colleagues found that Millennials were generally satisfied with their jobs, yet they anticipated staying with their current employer for 3.03…

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Our series on Enhanced Recovery After Surgery (ERAS), which began last month with an overview of its history and perioperative pathway, continues in this issue with examples of improved outcomes and the roles played by perioperative team members (see p 18). ERAS, known to speed recovery and increase patient satisfaction,…

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Recruiting OR staff who will best meet culture and competency expectations is a three-pronged process that starts with a sound marketing strategy, progresses to the application and interview stage, and concludes with the decision to hire and onboard. Parts 1 and 2 of this three-part series covered the roles that…

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