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November 2025
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Scaling standards from sterile processing department to clinic

Reforming instrument reprocessing practices does not always end with the main sterile processing department (SPD). Holding clinics to the same standard adds to the challenge, whether they are associated with hospitals or operate independently. Nonetheless, standardization is just as essential to maintaining efficiency and quality standards. Establishing and maintaining best…

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By: Angela Lewellyn, LPN, CRCST, CER, CHL and Vanessa Frank, CRCST, CHL, CER, CIS
June 24, 2024
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State of the huddle: The barriers to and benefits of preop meetings

Complex problems do not always require complex solutions. Consider the surgical safety checklist. In 2020, more than a decade after the World Health Organization (WHO) started advocating that every hospital use the checklist, research from PSNET found that more than 90% of ORs in countries with a high human development…

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By: Maya Ber-Lerner
June 24, 2024
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Ambulatory endoscopy management strategies keep patients, finances healthy

Gastrointestinal (GI) endoscopy is one of the most common procedures in the US. Performed more than 17.1 million times per year in inpatient and outpatient hospital settings as well as ambulatory surgery centers (ASCs), GI procedures account for 68% of all endoscopies, according to a May 2022 article in Digestive…

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By: Cynthia Saver, MS, RN
June 24, 2024
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Rural hospitals contend with challenging opportunities

Rural hospitals in the US have been facing a prolonged, multifaceted crisis. The literature presents several reasons for why healthcare facilities in rural areas struggle, including shrinking budgets, rising chronic illness and public health issues like addiction and obesity, poor telehealth and broadband access, aging populations, deteriorating mental health, and…

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By: David C. Walsh
June 24, 2024
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How competency assessment could extend beyond licensing

Competency assessment in perioperative nursing—and American healthcare in general—is a story of unrealized potential. Particularly in the wake of the pandemic, staffing shortfalls and financial pressures have made focusing on staff development difficult for nurse leaders. Nonetheless, the argument for investing more in professional development and competency has never been…

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By: James X Stobinski, PhD, RN, CNOR, CNAMB(E), CSSM(E)
June 24, 2024
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Built to grow: Key elements of planning a new ASC

Are you part of the ambulatory surgery center (ASC) construction boom? Approximately 116 new facilities opened in 2023, according to Becker’s ASC Review, and more are planned for and underway in 2024. The upward trend shows no signs of slowing. Fortune Business Insights projects the US ambulatory surgery center market…

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By: Brendan Dooley
May 24, 2024
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Why developing employees is a key competency for new managers

Takeaways Meeting people where they are is a basic principle of staff development. Coaching and mentoring are fundamental to employee development, but new managers should understand the difference. Resources for staff development include education, certification, clinical ladders, committee work, and professional networking. Transitioning to leadership involves many competing pressures, but…

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By: Cynthia Saver, MS, RN
May 24, 2024
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How awareness evolves to action on surgeon, patient gender gaps

Takeaways Although women comprise half the population, they were left out of medical research on major causes of death for both women and men—cancer, heart disease, and stroke—until 1990. Using surgical tools designed by men, for men can impact every aspect of a woman surgeon’s work, from learning new procedures…

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By: Brita Belli
May 24, 2024
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Managing challenging employees: How to help

TAKEAWAYS • Addressing an employee with a competency or behavior issue is important for the well-being of staff and managers. • Determining the reason for the issue is an important first step to resolving it. • Sources of support for managers include colleagues, human resources, and educators. In today’s perioperative…

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By: Cynthia Saver, MS, RN
April 19, 2024
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ASC staffing woes persist in era of increased surgical volume

Data and surveys

The past 10 years of data from the OR Manager Salary/Career Survey reflects many challenges in the healthcare environment, particularly those associated with the COVID-19 pandemic. ASC leader respondents report that staffing difficulties have become particularly challenging. For example, only 15% of respondents to the 2014 survey reported increased RN…

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By: Cynthia Saver, MS, RN
April 19, 2024
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