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…
Although COVID-19 cases are still emerging in many parts of the country, some businesses have reopened and some elective procedures are once again being performed. Many events that did not take place in the spring will be held in the fall, including the annual OR Manager Conference, September 30 to…
The fast-paced environment in an ambulatory surgery center (ASC) requires meticulous handoffs, and daily huddles—brief (10 to 20 minute) stand-up meetings—can raise awareness of any potential safety issues. That has been the experience at UnityPoint Health in Des Moines, Iowa, and some of what we learned might help others improve…
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…
OR nurses are being asked to serve in positions outside the operating room and experiencing changes in their schedules, and they are concerned about the uncertainty surrounding the COVID-19 pandemic. To support OR nurses during this time of crisis, AORN has been holding town hall Q&A webinars with infection preventionists,…
The impact of COVID-19 has been devastating, especially for those who have lost loved ones or income due to sudden unemployment. For healthcare workers and emergency services providers, fear of contracting the disease is now a daily part of life. The virus has commanded exclusive coverage in OR a.m. for…
Health systems nationwide are examining policies and procedures related to their resources, staffing, and scheduling to prepare for anticipated patient surges due to COVID-19. In late March, I talked with perioperative physicians and administrators from two health systems with rapid increases in COVID-positive cases, which have prompted significant changes in…
When the coronavirus pandemic begins to subside, hospital leaders will be sorting out the repercussions and trying to resume normal operations. The main impact on ORs has been the widespread cancellation of non-essential procedures. Case cancellations in March and April have reduced elective procedure volumes as much as 90%. Most…
Editor's Note The American College of Surgeons (ACS) on April 17 announced that the ACS, AORN, American Society of Anesthesiologists (ASA), and American Hospital Association (AHA) together developed a roadmap to guide readiness, prioritization, and scheduling for safely resuming elective surgery. Highlights of the roadmap include: Implementing a policy for…
Editor's Note In this study, Elizabeth Wick, MD, and colleagues at the University of California at San Francisco develop a surgery-triage plan to reduce OR volume and manage healthcare resources during the COVID-19 pandemic. Their comprehensive rapid response plan included: Reducing OR volume by 80% to ensure adequate capacity to…