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ASC leaders' satisfaction dips as salaries increase slightly

Leaders of ambulatory surgery centers (ASCs) are less satisfied than they were a year ago, according to the OR Manager 2018 Salary/Career Survey. In 2017, 83% were satisfied with their current job or position, compared with 77% this year. Other areas where satisfaction dipped by five percentage points or more…

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By: Cynthia Saver, MS, RN
September 20, 2018
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ORBMC 2018 arms business leaders with best practices

San Antonio, Texas, played host to the 2018 OR Business Management Conference (ORBMC), attended by more than 400 surgical services leaders, business managers, and industry leaders from across the US. Attendees chose from a menu of topics—including strategies to increase case volume, efficiency, and data transparency, right-size the OR, and…

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By: Cynthia Saver, MS, RN
March 16, 2018
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Getting a surgical nurse internship off the ground

The average age of OR nurses is over 50 years, and for the past several years, healthcare organizations have been trying to groom the next group of nurse leaders. Many have had success with perioperative nurse internships. As part of succession planning at Mercy Medical Center in Canton, Ohio, we…

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By: Judy Melnyk, MSN, RN, CNOR, CSPDT
June 20, 2018
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Float pool supplements OR staff schedule, satisfaction

A perioperative staffing schedule that meets coverage needs during high- and low-volume times and satisfies the demand for better work-life balance can be difficult to achieve. To help meet these challenges in its 50-room OR, the perioperative services department at Vanderbilt Medical Center in Nashville, Tennessee, designed a perioperative float…

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By: Judith M. Mathias, MA, RN
March 16, 2018
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More cases start on time after nurses change workflow

Among the many variables that influence on-time starts of surgical cases are the arrival times of patients and staff, as well as the verifications and documentation required before patients are brought to the OR. Increasing on-time starts was a key initiative at Fox Chase Cancer Center. By exploring the influences…

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By: Julie Dameus, MBA, BSN, RN
May 18, 2018
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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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Change PAT protocols to improve patient throughput

Preadmission testing (PAT) has been shown to reduce day-of-surgery delays and unnecessary testing that drive up the cost of healthcare. But it takes time and patience to put an effective PAT process in place. Sharon Ulep, MBB, CMCA, CPHQ, principal for healthcare strategy and consulting, Plante Moran, Southfield, Michigan, who…

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By: Cynthia Saver, MS, RN
July 23, 2018
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Opioid prescriptions drop after orthopedic team changes protocol

Can hospital leaders and surgeons partner to reduce opioid use while maintaining high patient satisfaction scores? Leaders at OSS Orthopaedic Hospital in York, Pennsylvania, answer that question with a yes. Meghan McNelly, PharmD, MHA, FACHE, who was director of pharmacy at OSS when the opioid-reduction project started, says that from…

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By: Cynthia Saver, MS, RN
May 18, 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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