Surgery

Latest Issue of OR Manager
June 2020

CDC releases reopening guidelines

Editor's Note The Centers for Disease Control and Prevention (CDC) on May 20 posted two new resources to help states reopen. The first is a 60-page document that includes information on general and healthcare surveillance and continuing guidance on infection control, contact tracing, and testing. It also includes a standardized…

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By: Judy Mathias
May 21, 2020
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An agile, data-driven strategy for post-COVID-19 OR management

Editor's Note As states begin to ease restrictions imposed by COVID-19, physicians, nurse leaders, and administrators face a momentous challenge in resuming elective surgical procedures. Cincinnati Children’s Hospital Medical Center developed a model that made best use of available data (eg, case logs, forecasts, etc). Adoption of an agile methodology—a…

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By: Judy Mathias
May 14, 2020
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Readying your SPD for a post-COVID world

Editor's Note While responding to demands of the COVID-19 pandemic, perioperative leaders also are busy preparing staff and departments for life after the initial shock subsides. Chief among their preparations are strategies to address the increased demand for surgery because of postponement of elective and nonessential surgical procedures. The sterile…

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By: Judy Mathias
May 14, 2020
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OR leaders chart new territory for resuming elective surgery

Elective surgical procedures that were temporarily suspended in mid-March are now on the table—or soon will be—at some US facilities. The ban, announced on March 18 by the Centers for Medicare & Medicaid Services (CMS), was enacted to free up resources for facilities overwhelmed by surges of COVID-19 patients. On…

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By: Elizabeth Wood
May 12, 2020
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Children's hospital revises patient care criteria for COVID-19

The COVID-19 pandemic is having a major impact on all aspects of healthcare delivery worldwide. For children’s hospitals, the crisis has created unique challenges in ensuring patient and provider safety as well as helping to contain the spread of COVID-19 through their communities. According to the Centers for Disease Control…

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By: Judith M. Mathias, MA, RN
May 12, 2020
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Editorial

Coronavirus cases in the US topped 1 million in late April. Although total numbers of cases and deaths change daily and vary greatly among urban vs rural regions of the country, it’s safe to say we haven’t yet seen the last of the surges. Despite ongoing shortages of personal protective…

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By: Elizabeth Wood
May 12, 2020
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ASCs following new rules for safety during pandemic

Coronavirus Disease 2019 (COVID-19) is a global pandemic that led the United States to declare a national emergency and implement a ban on all elective diagnostic and therapeutic procedures, as well as elective surgery in inpatient and outpatient settings. On March 19, the Ambulatory Surgery Center Association (ASCA) released guidance…

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By: Judith M. Mathias, MA, RN
May 12, 2020
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Hospital-wide ERAS adoption hinges on leadership support

Enhanced Recovery After Surgery (ERAS) is arguably the greatest advancement in surgery in the last 20 years. But even healthcare leaders who support the use of ERAS to achieve better outcomes can find it daunting to implement the protocols throughout their hospital systems. Standardizing practices across areas that have historically…

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By: OR Manager
May 12, 2020
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Surgeons help create process for disinfecting, reusing N95 masks

Editor's Note In this study from BJC HealthCare and Washington University School of Medicine, St Louis, a multidisciplinary team that included surgeons created a new process for disinfecting and reusing N95 masks, using vaporized hydrogen peroxide. The process allows healthcare workers (HCW) to reuse masks up to 20 cycles, and…

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By: Judy Mathias
April 28, 2020
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Creative thinking shapes COVID-19 response to expected surge

The COVID-19 pandemic has created unprecedented strains on hospitals and healthcare systems, leaving many organizations with limited resources to care for severely ill patients. States, regions, hospitals, and health systems have had to reassess their resources, identify bottlenecks, and develop strategies for increasing critical care capacity. Creating the critical care…

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By: Judith M. Mathias, MA, RN
April 23, 2020
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