Search
1417 Results

Bullying: From conflict to confrontation to civility in the OR—Part 1

Nurse bullying is a hot issue, even in the lay press—consider the 2015 Marie Claire article, “Mean Girls of the ER: The Alarming Nurse Culture of Bullying and Hazing.” Numbers vary, but the American Nurses Association reports that between 18% and 31% of nurses have experienced bullying at work. The…

Read More

By: Cynthia Saver
December 14, 2017
Share

Residency program expands ranks of experienced PACU nurses

Just as nursing schools don’t include the operating room in their curriculums, they also don’t include any instruction on the postanesthesia care unit (PACU). And like the OR, the PACU is having trouble recruiting new nurses. In September 2015, Houston Methodist Hospital began a PACU residency program to train new…

Read More

By: Judith M. Mathias, MA, RN
February 22, 2018
Share

Bullying: From conflict to confrontation to civility in the OR--Part 3

When Carol Schneider, MSN, RN, CCRN, CPAN, became manager of a postanesthesia care unit (PACU) at Boston Medical Center in Massachusetts, she found a plethora of problems, including poor communication skills, low employee engagement scores, and bullying from surgeons and staff. “It was a very bad climate that was putting…

Read More

By: Cynthia Saver, MS, RN
February 22, 2018
Share

Total joint cases on firm footing after OR team huddles

Effective use of a daily huddle and customized software for scheduling have had a dramatic impact on efficiency at NYU Langone Orthopedic Hospital in New York City. Cancellations on the day of surgery have dropped from a rate of about 10% prior to implementation of huddles to less than 1%,…

Read More

By: Elizabeth Wood
February 22, 2018
Share

Bullying: From conflict to confrontation to civility in the OR--Part 2

Kermit the frog famously said, “it’s not easy being green.” He longed to be some other color, and OR leaders faced with managing a bully have probably wished they, too, could be someone—or somewhere—else. Using some recommended approaches can help. In Part 2 of this three-part series on bullying, OR…

Read More

By: Cynthia Saver, MS, RN
January 19, 2018
Share

New guideline focuses on high-level disinfection safety

The new year brings a newly updated Guideline for Manual Chemical High-Level Disinfection (formerly the Guideline for High-Level Disinfection). This AORN guideline, which is based on a comprehensive, systematic review of research- and non-research-based evidence, recommends best practices for safe and effective high-level disinfection (HLD) performed manually when automated methods…

Read More

By: Susan Klacik, BS, CRCST, CHL, CIS, ACE, FCS
February 22, 2018
Share

Constancy: The key ingredient for safe patient care

When errors occur, sometimes with devastating consequences, healthcare leaders often perform a root cause analysis (RCA) to prevent a recurrence. Understanding what happened is an important step in the recovery process. It’s also important to realize the effect of a sentinel event on healthcare providers—those “second victims” who find themselves…

Read More

By: Elizabeth Wood
May 18, 2018
Share

Peer initiative cultivates a better OR culture

The following “success story” describes the PEER initiative at Geisinger Medical Center, which has involved staff in making decisions to improve processes and communication. OR Manager periodically publishes success stories like this from nurse leaders or other healthcare providers who want to share their experience with our readers. Recent examples…

Read More

By: OR Manager
December 14, 2017
Share

Instrument handling in the OR shines after SPD training

Improving teamwork between OR and sterile processing department (SPD) staff is an obvious way to increase the safety and efficiency of surgical procedures, but getting everyone on the same page can be challenging. Often the staff have limited understanding of what takes place in each respective department. Firsthand observation has…

Read More

By: OR Manager
March 16, 2018
Share

Track ASC metrics to produce a healthy bottom line

Each day seems to bring new tasks for leaders of ambulatory surgery centers (ASCs), adding to their already overflowing plate. One task that can easily fall off that plate is collecting and analyzing metrics, yet failing to do so can have serious financial consequences. OR Manager recently asked ASC leaders…

Read More

By: Cynthia Saver, MS, RN
October 19, 2017
Share
Live chat by BoldChat