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…
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…
Editor's Note Hospital CEO turnover climbed 3% in the first half of 2025, with organizations shifting toward interim appointments as financial and regulatory pressures intensify leadership changes, according to an August 5 article in HealthLeaders. Citing data from Challenger, Gray & Christmas, the outlet reports that hospitals recorded 68 CEO…
Editor's Note Running effective emergency drills in ambulatory surgery centers (ASCs) requires strategic resource use, role clarity, and consistent adaptation, Texas Ambulatory Surgery Center Society July 8 reports. Drawing on insights from Laura Schneider, senior clinical director at AMSURG, the piece outlines practical steps to ensure ASCs can respond effectively…
Editor's Note Preliminary results from a nearly million-case review reveal that perioperative pulmonary aspiration, while feared, is rare but potentially deadly. According to a February 4 Anesthesiology News report, researchers found an overall incidence of 1 in 5,572 anesthesia cases, with aspiration-related mortality at about 1 in 67,000. As detailed…
Editor's Note Travel nurses and permanent staff nurses share similar perceptions of their work environments and ethical workplace climates, according to a study published in the Journal of Nursing Administration. The results challenge common assumptions about differences between these two groups and emphasize the need for nurse leaders to facilitate…
Editor's Note US hospitals and physician practices demonstrate steady financial performance through the second quarter of 2025, with health system operating margins holding at a median 1.2% year-to-date, according to new data from Strata Decision Technology analyzing more than 1,850 hospitals and 152,000 physicians. DotMed reported the news August 4,…
Editor's Note Wisconsin nurses—including Certified Registered Nurse Anesthetists (CRNAs)—gain more autonomy under legislation signed August 8 by Governor Tony Evers, according to an August 8 report in the Milwaukee Journal Sentinel. Under the new legislation, nurse practitioners, clinical nurse specialists, CNRAs and certified nurse-midwives who meet certain qualifications may obtain…
Editor's Note Two workers at an ambulatory surgery center (ASC) are facing federal charges after allegedly interfering with an Immigration and Customs Enforcement (ICE) arrest, The Independent July 27 reports. The federal agents reportedly arrested one of the workers and are pursuing the other after both were accused of assaulting…
Editor's Note Healthcare employment in the US rose by 55,000 from July to August, according to the latest report from the Bureau of Labor Statistics (BLS), released on August 1. Higher than the average over the prior 12 months of 42,000, the rise in healthcare employment compares to an overall…