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New service lines can create opportunities for ORs

As hospital administrators face shrinking operating margins, OR leaders are being called upon to create innovative approaches for boosting revenue. Adding a new service line is one option, but it carries both risks and rewards. Only by careful analysis and follow-through can OR leaders hope to tip the balance to…

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By: Cynthia Saver, MS, RN
July 23, 2018
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Validation and verification needed to ensure medical device safety

Sometimes surgeons ask to have nonmedical devices sterilized, such as spoons, hockey pucks, and fish hooks. Healthcare staff may want to accommodate their requests, but there are times when they cannot do so. A central service (CS) should only sterilize medical devices that have undergone validation testing, which demonstrates that…

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By: Susan Klacik, BS, CRCST, CHL, CIS, ACE, FCS
July 25, 2018
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Managing patient and family disruption in the perioperative setting--Part 2

Disruption in the healthcare setting occurs all too often and can be dangerous for patients and staff like. Part 1 of this series discussed some of the reasons behind the volatile behavior of patients or their families and provided a list of organizations with resources for managing the problem (OR…

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By: Cynthia Saver, MS, RN
June 20, 2018
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How do you handle social determinants?

Social and demographic factors play a huge role in any patient’s overall health and recovery from surgery. When treating patients who lack health insurance, family support, or language/literacy skills—among many other possible disadvantages—providing safe patient care can extend well beyond clinical aspects. OR managers and their staffs may take on…

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By: Elizabeth Wood
July 23, 2018
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Don’t let burnout get the best of you

Burnout and resiliency are addressed at nearly every major healthcare conference these days, and research on burnout ties it to adverse effects on healthcare providers as well as their patients. According to Bernadette Melnyk, PhD, RN, APRN-CNP, FNAAP, FNAP, FAAN, vice president for health promotion and university chief wellness officer,…

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By: Elizabeth Wood
July 25, 2018
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PAT makeover enhances patient and provider satisfaction

Not all hospitals have a preadmission testing (PAT) process, and even when they do, communication breakdowns and inefficiencies can make the process ineffective. Recognizing that the PAT process at Yale New Haven Hospital, New Haven, Connecticut, needed a makeover was the first step in launching an improvement project that led…

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By: Cynthia Saver, MS, RN
July 23, 2018
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Sharps inflicting increased wounds in the OR

Injuries from needlesticks—whether from disposable syringes, IV catheters, or blood collection devices—accounted for more than 30% of all sharps injuries in 2016, especially among nurses. Injuries from skin injections alone accounted for 25.7% of all sharps injuries that year. And, for the first time, injuries occurring from suturing during procedures…

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By: OR Manager
July 23, 2018
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What do ‘patient first’ care models look like?

Creating a positive patient experience creates patient satisfaction, which can affect reimbursement. But it’s not just business that calls many OR leaders to focus on patient experience. Having been a patient who has had surgery, it’s near and dear to my heart,” says Carol Pehotsky, DNP, RN, NEA-BC, ACNS-BC, CPAN,…

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By: OR Manager
April 18, 2018
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Education and coaching ease transition for new nurse managers

Developing effective leaders for the perioperative setting is typically one of the most challenging parts of a current leader’s role. It’s tempting to quickly plug leadership holes with whoever is at hand—even if the person’s leadership aptitude or abilities are lacking. But that approach usually leads to high turnover and…

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By: Cynthia Saver, MS, RN
June 20, 2018
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Vigilance and diligence needed to enforce hand hygiene

Hungarian obstetrician Ingvar Semmelweis recognized the link between hand washing and childbirth fever in the mid-1800s. During his lifetime, this theory was often ignored or mocked, but ultimately hand washing was scientifically proven to prevent infections. Almost two centuries later, hand washing still reigns as the queen of infection prevention,…

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By: Janet M. Boivin, BSN, BSJ, RN
July 23, 2018
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