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Editorial

Societal problems in recent years have placed increasing burdens on healthcare workers. With the increase in mass casualty victims, people displaced by natural disasters, and drug or alcohol addicts, it’s not uncommon to experience disruptive patients or families of patients who arrive at the facility under a great deal of…

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By: Elizabeth Wood
May 18, 2018
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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…

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

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

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By: OR Manager
December 14, 2017
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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…

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By: Cynthia Saver, MS, RN
October 19, 2017
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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…

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By: Cynthia Saver, MS, RN
February 22, 2018
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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%,…

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By: Elizabeth Wood
February 22, 2018
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Can technology boost hand hygiene compliance?

Janet Haas, PhD, RN, CIC, FSHEA, FAPIC, hopes technology will one day achieve what no other strategy has thus far: Increase the rate of hand hygiene compliance. Haas, president of the Association of Professionals in Infection Control and Epidemiology, says it will need to be a small device that does…

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By: Janet M. Boivin, BSN, BSJ, RN
July 23, 2018
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Where are you on the value-based care continuum?

Healthcare providers are straddling a variety of payment models while many regulatory changes remain in flux under the Trump Administration. Although the shift from fee-for-service to value-based payment began some years ago, not everyone is on board. Opinions about bundled payments also remain mixed, despite reports of improved outcomes and…

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By: Elizabeth Wood
December 14, 2017
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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…

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