Tag: Competence

UC San Diego expands Center for Future of Surgery

Editor's Note The University of California San Diego School of Medicine announced October 14 that it has expanded its Center for the Future of Surgery, one of few facilities in the world that teaches surgery in high-tech simulated ORs. This fall, the 22,000 sq-ft center added a new hybrid OR…

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By: Judy Mathias
October 16, 2019
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Study: Changes in new nurses’ competencies over 1 year in a nurse residency program

Editor's Note In this study, competency ratings increased significantly from 1 to 5 months and from 5 to 11 months in a nurse residency program. Preceptors, nurse educators, and/or unit managers rated new nurse residents using The Appraisal of Nursing Practice, an observational rating based on Quality and Safety in…

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By: Judy Mathias
October 2, 2019
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Editorial

A surprising 70% of respondents to the 2019 OR Manager Salary/Career Survey report overall satisfaction with their jobs—surprising in light of their significant workload, relatively flat salaries, number of staff vacancies, and industry-wide prevalence of clinician burnout. Burnout is defined as a state of physical or emotional exhaustion that also…

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By: Elizabeth Wood
September 23, 2019
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Soup to nuts recruitment: Finding and onboarding OR nurses--Part 2

Recruitment is a daunting part of any OR leader’s job because of the time it takes to identify and evaluate candidates, who must then complete an extensive orientation program once they are hired. Part 1 of this three-part series covered marketing and application strategies for achieving recruitment goals (OR Manager,…

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By: Cynthia Saver, MS, RN
September 23, 2019
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Seminar eases nurses' discomfort with sudden patient declines

A patient’s condition can change in the blink of an eye. Are you prepared to respond? And what happens if the patient dies? This is the focus of an annual seminar at Houston Methodist Hospital that was developed to increase the comfort level of perioperative nurses caring for a patient…

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By: Judith M. Mathias, MA, RN
September 23, 2019
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Is it safe to let residents independently perform appendectomies?

Editor's Note Senior surgical residents can safely supervise junior residents performing appendectomies, and training programs should encourage faculty to let senior residents manage operative appendicitis as independently as possible as well as supervise junior residents intraoperatively, this study finds. In this review of 928 appendectomies performed at the University of…

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By: Judy Mathias
August 29, 2019
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How mistakes shape physicians’ perceptions of learning

Editor's Note Using a learning culture perspective that acknowledges blame and responsibility can facilitate learning from mistakes, this Canadian study finds. A total of 19 physicians were interviewed on their experiences in learning from medical errors. Memories of mistakes from residence training stood out, and participants expressed feeling both responsible…

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By: Judy Mathias
August 28, 2019
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Staffing and surgical volume vie for 'top challenge' facing OR leaders

Staffing headaches for OR managers continue, according to the 2019 annual OR Manager Salary/Career Survey, with more than a third of respondents reporting that the percentage of open positions compared with 12 months ago has increased for both RNs and surgical technologists (STs). The clock has to be turned back…

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By: Cynthia Saver, MS, RN
August 23, 2019
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Inspections reveal need to overhaul bronchoscope reprocessing methods

Extensive research by Cori L. Ofstead, MSPH, and her colleagues at Ofstead & Associates (St Paul, Minnesota) has raised concerns about insufficient reprocessing of gastrointestinal endoscopes and ureteroscopes—even when recommended practices are followed—and their new study makes a compelling case for more stringent reprocessing of bronchoscopes as well. In their…

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By: Judith M. Mathias, MA, RN
August 23, 2019
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Editorial

Millennials will soon comprise 50% of the nursing workforce. They are sometimes criticized for lacking commitment because they change jobs more often than their older counterparts. Yet research finds patients are safer when nurses are satisfied with their work environments, so it would seem that newer nurses and nurse managers…

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By: Elizabeth Wood
August 23, 2019
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