What happens when a veteran perioperative leader walks away from the 24/7 responsibility of hospital operations, but not from the work she loves? For Stephanie Davis, MSHA, RN, CNOR, CSSM, former vice president of surgical services at HCA Healthcare, it meant reshaping her role from full-time healthcare executive to expert…

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The migration of surgical cases from inpatient settings to ambulatory surgery centers (ASCs) continues to reshape perioperative leadership in 2025. Nationally, the trend is driven by payer incentives, patient preference, and cost pressures, with ASCs now performing more orthopedic, spine, and complex outpatient procedures than ever before. In fact, the…

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Editor's Note The NCLEX pass rate for RNs fell sharply in early 2025, but many nurse leaders see the drop as temporary rather than cause for alarm, Becker’s Hospital Review August 12 reports. The first-quarter pass rate declined to 71.6%, compared with 79.1% in the same period of 2024. The…

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Know the law. It could save your patients’ lives and your staff members’ practices. This is the advice of several medical legal experts to OR leaders to prevent lapses in patient protections that risk injury or even death. Beyond ensuring safe surgery and preventing litigation, perioperative nursing experts who advance…

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Editor’s Note: This page is a companion piece to the main article, "Health systems embrace partnerships, new training pathways to address surgical technologist shortage."   The Association of Surgical Technologists (AST), a 55,000-member organization, acknowledges the growing shortage of surgical technologists (STs) but is raising alarms over the rise of…

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Roughly 41,000 surgical procedures happen in the US every day. Each one depends on surgical technologists (STs), the professionals who prepare the OR, hand off instruments, and ensure a sterile environment to prevent infections that affect up to 3% of all patients. The profession’s importance is reflected in AORN’s recommended…

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Ambulatory surgery centers (ASCs) are taking on more high-acuity, same-day procedures than ever before. This growth is driven by evolving clinical protocols, cost-conscious reimbursement strategies, and expanded capabilities in outpatient care. Specialties like orthopedics, spine, ophthalmology, and cardiovascular care are moving more complex cases—and the implants that come with them—out…

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Editor's Note The World Health Organization (WHO) and the Society of Robotic Surgery (SRS) have launched a joint initiative to expand equitable access to virtual care and telesurgery, according to a WHO departmental update published August 8. The partnership, formalized in July at the SRS Annual Meeting in Strasbourg, France,…

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Once limited to hospital inpatient settings, total joint surgery is increasingly common at ambulatory surgery centers (ASCs) across the US. What is not so common is performing these complex procedures without the benefit of an onsite sterile processing department (SPD). And yet, that is exactly what we have accomplished at…

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Editor’s Note: This page is a companion piece to the main article, Centralized sterile processing cuts costs, complexity for four ASCs.    Implementing offsite sterilization is a major project. At Total Joint Specialists, our journey began gradually, growing in scope over time as the team became comfortable with the process…

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