Turnover times improve with multiphase approach
Major changes at a facility such as reorganizing service lines or adding new ORs can be highly disruptive, cutting into productivity and potentially loss of revenue. What can OR managers do to avoid this situation? At Vanderbilt University Medical Center in Nashville, OR leaders were facing several simultaneous challenges: planning…
ASC reaps rewards of recycling and reprocessing
What began as an employee request to reduce waste and create a “greener” workplace has resulted in an international award for TRIA Orthopedic Center, Bloomington, Minnesota. By conserving materials and energy, the ambulatory surgery center (ASC) not only reduced its environmental impact, but also saved money. The initiative started with…
OR leader job analysis helps sort out roles, responsibilities
A new tool is available to help OR leaders both develop their careers and prepare their successors to take over when they leave. An OR manager job analysis, released in September 2016, provides an evidence-based approach to building the careers of OR leaders, both novice and experienced. “It really helps…
Hospital-academia partnerships steer new nurses to the OR
Traditionally, nursing students have had little exposure to the perioperative setting, creating a challenge for OR leaders seeking to build the future workforce. How can they spark interest in the OR, if students haven’t experienced it? One way is for hospitals to partner with schools of nursing. Two innovative programs…
PACU finds its flow in better patient management
The postanesthesia care unit (PACU) is no longer used just to recover patients after surgery. Multiple departments use it for various procedures, from electroconvulsive therapy (ECT) to regional blocks, as well as to ease emergency department (ED) overcrowding. This makes it difficult to manage bed availability, OR scheduling, and patient…
Checklist compliance soars to 100% after 'red rule' implementation
Most OR leaders believe the World Health Organization (WHO) Surgical Safety Checklist can help prevent surgical errors and complications. But although many hospitals have formally adopted the WHO checklist, fewer ORs use it consistently. At Signature Healthcare Brockton Hospital, a nonprofit teaching facility south of Boston, we addressed this issue…
Case cancellations drop dramatically with refined preop screening
Lexington Medical Center in West Columbia, South Carolina, has had an annual average 3% growth in surgical volume since 2011 and is planning to add six ORs over the next 3 years. That’s a good position to be in. However, the ability of the organization to support continued surgical growth…
Adding new business to the ASC, one procedure at a time—Part 3
Total joint procedures are gradually moving to ambulatory surgery centers (ASCs) as technology, medical expertise, and cost pressures combine to make the ASC an increasingly attractive alternative to an acute care hospital. The key to success for these and other complex procedures, experts say, is a combination of careful planning,…
12-week program prepares new nurses for the OR
If you told OR leaders they could onboard a nurse without previous surgical experience in just 12 weeks, most would scoff, “Impossible!” But at Sutter Health University, the impossible has become not only possible, but highly successful, thanks to an innovative program created by Renee Dodge, MSN, RN, RNFA, CNOR,…
CMS immediate jeopardy trail may lead to the OR
What makes an OR subject to an immediate jeopardy finding from a Medicare inspection? Immediate jeopardy is cited when a provider’s noncompliance with one or more of the Centers for Medicare & Medicaid’s (CMS) Conditions of Participation causes or is likely to cause serious injury, harm, impairment, or death. …
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