Safety 
With the explosion of GLP-1–based therapies for type 2 diabetes and weight loss, perioperative nursing teams, especially in the preoperative and postanesthesia care areas, need to be fluent in recognizing these medications. Some patients may arrive on these agents—or even novel oral GLP-1s—and the physiologic effects, especially delayed gastric emptying,…
Editor’s Note: This page is a companion piece to the main article, Surgeon-turned-coach on reclaiming joy, purpose in healthcare: Countdown to the 2025 OR Manager Conference. Neha Amin, DO, FACS, NBC-HWC, will be attending this year’s OR Manager Conference for the first time. OR Manager talked to her about her…
Burnout continues to threaten the perioperative workforce, pushing many leaders out of clinical practice altogether. Neha Amin, DO, FACS, NBC-HWC, a double-board certified surgeon specializing in burns, knows the toll burnout can take on healthcare professionals, having faced it personally. After navigating her own burnout experience, she founded a coaching…
The OR has a planned rhythm that relies on training, checklists, and teamwork to turn the complex surgical environment into an elegant orchestration that keeps patients safe. But efficiency and a climate of safety do not just happen—they depend on culture. When teams communicate openly, follow standards consistently, and feel…
The migration of surgical cases from inpatient settings to ambulatory surgery centers (ASCs) continues to reshape perioperative leadership in 2025. Nationally, the trend is driven by payer incentives, patient preference, and cost pressures, with ASCs now performing more orthopedic, spine, and complex outpatient procedures than ever before. In fact, the…
In perioperative care, high-performing teams are critical to patient safety and workflow efficiency. Diversity in hiring is not only a matter of compliance—it directly influences care quality, communication, and innovation. A diverse healthcare workforce reflects the varied backgrounds of patients, which builds trust and cultural competency. Research shows that when…
Healthcare has never been static, but today’s perioperative leaders face a unique challenge: steering teams through volatility, complexity, and rapid disruption. In a recent OR Manager webinar, Phyllis Quinlan, PhD, RN, NPD-BC, executive coach, nurse entrepreneur, and longtime advocate for caregiver resilience, offered a candid roadmap for change management in…
Takeaways • Robot-assisted surgery (RAS) is now an option in many specialties and for adult and pediatric patients; RAS-related ethical issues include access and patient privacy. • Intuitive Surgical continues to dominate the marketplace, but many companies are working on expanding their range of options. • Some current trends and…
When Phyllis Quinlan, PhD, RN, NPD‑BC, founded MFW Consultants in 1994, she was already on her third career pivot. The former social‑work intern turned emergency‑trauma nurse discovered that the high-stakes of the emergency department (ED), coupled with her human‑behavior insights from sociology and psychology degrees, gave her a rare vantage point on how…
By 2022, orthopedic procedures performed in ambulatory surgery centers (ASCs) were already outpacing expectations. For years, total hip and knee replacements were considered too complex for same-day surgery. Yet, total joints replacement volumes jumped nearly 200% between 2020 and 2022—outpatient total knee arthroplasty surged nearly 194%, while total hip arthroplasty…
