Takeaways • Most respondents reported an increase in the percentage of open positions for RNs and STs compared to 12 months ago. • Most respondents struggle to hire experienced RNs, yet time-to-fill positions has dropped, suggesting rapid but possibly unsustainable staffing shifts. • Leadership is getting younger (average age 38),…

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By 2022, orthopedic procedures performed in ambulatory surgery centers (ASCs) were already outpacing expectations. For years, total hip and knee replacements were considered too complex for same-day surgery. Yet, total joints replacement volumes jumped nearly 200% between 2020 and 2022—outpatient total knee arthroplasty surged nearly 194%, while total hip arthroplasty…

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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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Editor's Note Healthcare hiring slowed in the second quarter of 2025, with nursing and technician roles experiencing steep declines even as physician and pharmacy jobs continued to grow. According to HealthLeaders August 19, the shift signals a potential rebalancing in workforce priorities as hospitals and health systems adapt to financial…

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Editor's Note Poor planning and rushed decisions derail too many ambulatory surgery centers (ASCs) before they open their doors. In a recent blog post, ASC consultant Emily Spooner outlined the top five errors commonly made during ASC development, offering targeted guidance on how to avoid them. According to the post,…

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Perioperative leaders often have to make critical decisions, not just in the middle of an operational crisis but also somewhere in the edges—the routine but still high-stakes moments where leaders need to adjust resources or absorb costs under tight constraints. The economic margin for error continues to narrow, and many…

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Editor's Note The OR Business Management Conference this year for the first time offered a lineup of sessions that was fully dedicated to content relevant to ambulatory surgery centers (ASCs). In this session, Collin Pick, MSN, CRNA, ARNP, CMPE, chief of anesthesia, Physician Partners of America, explored the ongoing anesthesia…

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Editor's Note Health systems across the US are reimagining their infrastructure by heavily investing in outpatient care and repurposing hospital spaces to meet growing demands for mental health and rehabilitation services, Modern Healthcare December 2 reports. This shift reflects a broader trend toward community-based care and aligns with advancements in…

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Amid rising demand for surgical procedures, improving perioperative operations is a pressing priority for any hospital. For a system serving one of the fastest-growing counties in the US, it becomes an operational imperative. This is the case for WakeMed Health & Hospitals (WakeMed). With ORs spread across multiple facilities in…

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