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OR leaders feel the pain of the opioid crisis

The OR isn’t exempt from the effects of the opioid crisis. Identifying patients taking opioids is part of OR clinicians’ responsibilities, and they also play an important role in preventing opioid addiction. “We have patients who have opioid use disorder [OUD] and neglect to tell us,” says Mary Jo Steiert,…

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By: OR Manager
April 18, 2018
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Patient optimization clinic creates a recipe for success

The government and insurance companies have imposed increasing penalties on healthcare facilities in recent years for readmissions. And with good reason: High readmission rates greatly increase costs and sometimes signal poor patient safety practices. In 2015, roughly 2 million patients were readmitted, costing Medicare $27 billion, according to the Centers…

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By: OR Manager
April 18, 2018
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Full-scale mockup clears path to efficient new ORs

Anyone who has been involved in an OR design and construction project knows it is a labor-intensive, time-consuming effort—and usually far from seamless. There’s almost always something no one thinks of until it is too late, and the staff must learn to live with the flaws. But a multidisciplinary team…

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By: Judith M. Mathias, MA, RN
July 23, 2018
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Management pearls position ASCs for successful growth

The rapid growth in outpatient procedures presents exciting opportunities for leaders at ambulatory surgery centers (ASCs), but also the challenge of accommodating a higher volume and more specialties without sacrificing efficiency and patient safety. That’s why it’s important not to lose sight of the fundamentals in managing an ASC, whether…

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By: Cynthia Saver, MS, RN
March 16, 2018
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Pledge makes positive culture a priority in the OR—Part 3

This article is the third in a three-part series by Joe Tye, chief executive officer and head coach, Values Coach Inc, and Bob Dent, senior vice president, chief operating and chief nursing officer at Midland Memorial Hospital in Midland, Texas. Part 1 was published in March (pp 19-21, 27) and…

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By: Joe Tye and Bob Dent
April 18, 2018
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Managing patient and family disruption in the perioperative setting -- Part 1

Disruption in the perioperative setting occurs across a continuum ranging from verbal outbursts to physical violence. “We live in an increasingly violent society, and we need to take measures to educate and prepare nurses and other team members to be safe,” says Margo Halm, PhD, RN, NEA-BC, associate chief executive,…

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By: Cynthia Saver, MS, RN
May 18, 2018
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Pledge makes positive culture a priority in the OR--Part 2

One of the most misunderstood and misused management buzzwords is “empowerment.” It is a noble thought that a manager can empower an employee, but only you can empower yourself, and once you have done that, no one can take that power away from you. Trying to empower someone who looks…

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By: OR Manager
March 16, 2018
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Planning eases compliance with CMS emergency preparedness rules

As of November of 2017, healthcare providers—including ambulatory surgery centers (ASCs)—receiving reimbursement from the Centers for Medicare & Medicaid Services (CMS) were expected to comply with the 2016 Emergency Preparedness Requirements. And as with most government regulations, there are multiple pages of instructions to dissect and understand to satisfy the…

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By: Janet M. Boivin, BSN, BSJ, RN
May 18, 2018
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Pledge makes positive culture a priority in the OR--Part 1

An organization’s culture is shaped by the collective attitudes and behaviors of the people who work there, and if no one is willing to make personal changes, no program of the month is likely to have a lasting impact. To change their attitudes and behaviors, people must be made aware…

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By: OR Manager
February 22, 2018
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Leadership program produces competent, confident nurse managers

New leaders are at a premium in the perioperative setting, a fact that has been pushing organizations to explore innovative options to fill leadership gaps. Ideally, healthcare organizations should have a comprehensive program that integrates didactic instruction with mentorship to successfully build new nurse leaders. One example is the structured…

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By: Cynthia Saver, MS, RN
June 20, 2018
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