Strategic succession planning essential to OR economic success
Perioperative nurse leaders anticipate a tsunami of retirements will soon sweep away the wisdom that makes the OR the profitable cost center it is. A 2013 survey found that more than a third (37.8%) of OR nurse leaders plan to retire by 2018 and nearly two-thirds (64.8%) plan to exit…
The three R's of staff engagement: Relationships, rounding, and recognition
Staff in the OR must be fully engaged each day to ensure they are providing excellent patient care. But finding time to develop that engagement is particularly challenging for OR leaders. “The OR environment is intense and dynamic, changing minute by minute,” says Amy Bethel, MPA, RN, NE-BC, from UnityPoint…
Be constructive, not combative, with union staff
Union membership has declined steeply in recent decades. Increasingly, organized labor is targeting the healthcare industry as a growth opportunity. This is creating a leadership challenge for OR directors and managers. In 2012, approximately 21% of hospitals in the US had a union nursing staff. That percentage could soon increase…
Staff vacation gridlock eased by innovative allocation system
Developing a vacation selection process that is fair to everyone can be a daunting challenge for OR managers. The right balance between flexibility and adequate coverage can make or break staff satisfaction. Having time away from the hospital is important for all OR personnel, but perhaps none more so than…
OR staffing holds steady while ground shifts in healthcare delivery
In the face of a changing healthcare landscape, staffing levels are stable, according to the 24th annual OR Manager Salary/Career Survey. Nearly two-thirds of respondents say staff turnover and the number of open RN and surgical technologist (ST) positions have stayed the same in the past year. When those positions…
Onus on OR managers to scope out competency of endoscopy staff
Recent highly publicized outbreaks of infections linked to improper reprocessing of flexible endoscopes have raised concerns about infection prevention in gastrointestinal endoscopy procedures. Because of the headlines, legislatures are hearing from their constituents that they are fearful of being exposed to infections, and legislatures are getting involved. The Society of…
Morale boosters can make your hospital a desirable place to work
Google is the best company in America to work for, according to Fortune Magazine. Thousands of smart, creative individuals want to work there, not only for perks like nap rooms and free food, but also because of Google’s reputation for supportive management, effective communication, and rewards for a job well…
Changes in nurses' pay structure solve staffing and scheduling problems
Many OR directors struggle with designing effective nurse compensation systems. The ideal system would achieve department goals while maintaining nurse satisfaction. Unfortunately, a compensation plan that links these 2 objectives is often elusive. In 2012, OR leadership at a small Pennsylvania hospital developed a compensation system that effectively aligns nursing…
Train, sustain, retain: Targeted recruitment reduces hospital openings from 50 to 0
What would you do if you had more than 50 open positions and 40 travel nurses in your OR? If you were part of the team at University of Virginia Medical Center (UVAMC) in Charlottesville, you would get busy recruiting and retaining staff. “We knew we couldn’t continue down that…
Innovative nurse training program bolsters interest in OR career
Like most OR leaders, Doug Robinson, BSN, RN, CNOR, manager of the Roberts Operating Rooms at Baylor University Medical Center at Dallas, wants a steady supply of OR nurses. Robinson has reached back to his own student experience to develop a program that gives students OR exposure, with the intent…
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