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,…
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…
'Reality-based rules' diffuse drama in the OR
All of the keynote presentations at the 2017 OR Manager Conference offered much food for thought, but probably the most memorable one was Cy Wakeman’s riveting talk on the impact of “drama” in the workplace. That resonated with OR leaders who struggle against the tide of negative attitudes among their…
Effectiveness of video vs live observation in improving OR teamwork
Editor's Note Video observation was not be as effective as evaluating live performance in promoting OR teamwork in this study. A total of 1,410 briefs were analyzed−325 live observations and 1,085 videos−and 1,398 debriefs were evaluated−166 live and 1,232 video. For briefs, there was greater compliance with live observation than…
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…
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…
Editorial
Creating a more harmonious work environment is a struggle for some OR leaders. Tips on how to achieve this were offered during the 2017 OR Manager Conference and the 2018 OR Business Management Conference (ORBMC), and we share some of these in the March issue. A dysfunctional atmosphere in the…
Storytelling can make or break staff morale
Disengagement costs organizations money through lost productivity, not to mention the risk of errors that a disengaged workforce brings. Yet in August 2017, Gallup reported that only 32% of people are engaged at work. Much of disengagement can be traced to what Cy Wakeman, president and founder of Reality-Based Leadership,…
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…
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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