One of the most sobering moments in the career of anesthesiologist Cornelius Sullivan, MD, occurred not as a caretaker in the OR, but as a patient in the emergency department. Having been knocked out cold by a low-hanging monitor during a surgical procedure at Boston Children’s Hospital, he had to…
Before Florence Nightingale revolutionized nursing in the mid-19th century, men played the crucial role of nurses on the battlefield. However, as time passed, nursing became a female-dominated profession. Men and women received the same level of training and worked together during World War I, but the men were called orderlies…
Editor's Note Failure to document thoroughly, position patients safely, and follow facility policies are leading causes of malpractice claims against perioperative nurses, according to an analysis published in the AORN Journal on May 28. Although physicians are more frequently named in malpractice suits, nurses are the primary provider responsible in…
The wave of new legal requirements for surgical smoke evacuation across the country has given OR leaders a crash course in how to act on any new legislation. Based on this experience, complying with other new and pending laws will put these skills to the test. Major hurdles are likely…
Editor's Note A physician-led sustainability initiative focused on waste reduction and eliminating desflurane an nitrous oxide is paying off for Keck Medicine of the University of Southern California (USC), according to a May 19 report in USC Trojan Family Magazine. The article, part of a series focused on waste…
Every day, I come across postings in the media suggesting that nurses are struggling with burnout. These accusations are tone deaf and misleading. In addition to my private coaching practice, I am the professional internal coach for a trauma center in the Greater New York area and several professional nursing…
Takeaways • US surgeons have no mandated retirement age. According to the Aging Surgeon Program, “a patient death or serious negative event are currently the only things that prompt action to prevent a surgeon from practicing.” • Research on aging-related decline is clear, but nuanced, showing rates and scope vary…
Editor’s Note Tertiary hospitals are embracing the World Health Organization (WHO) Surgical Safety Checklist (SSC), yet inconsistent compliance—especially during time-out—exposes patients to avoidable risks, Cureus April 29 reports. In this study, the researchers found that while overall integration of the SSC is promising, there were compliance gaps particularly in pre-incision…
In the OR, precision and focus can mean the difference between life and death. However, surgical patient outcomes hinge on more than the competence of those working in these inherently intense environments. Every procedure also depends on the laborious, behind-the-scenes efforts of the people responsible for ensuring every surgical instrument…
Editor's Note Gender bias in surgery goes far beyond barriers for individuals, according to a study published April 8 in The American Journal of Surgery. Ethnographic data reveals women surgeons face entrenched structural inequities that influence their daily work lives, limit their professional standing, and shape perceptions of surgical competence,…