Legal/Regulatory Issues The call for a diverse workforce echoes in ORs across the US. Although most OR leaders want to answer the call, they struggle in an environment where OR staff, particularly nurses, are in high demand. OR Manager recently spoke with experts from leadership, human resources, and DEI (diversity, equity, and…
Health systems across the country are enacting COVID-19 mandates to comply with a broad-sweeping federal requirement. Amid reports of high compliance rates, the mandate has triggered passionate and visceral responses on both sides of the debate. While some healthcare employees are eager to roll up their sleeves, others decry the…
The growth of value-based healthcare models is changing the way physicians and hospitals provide care. In value-based models, providers are paid based on patient outcomes. The “value” is derived from measuring health outcomes against the cost of delivering the outcomes. This balancing act has now become more achievable with new…
The migration of surgical procedures from hospital ORs to hospital-owned ambulatory surgery centers (ASCs) is picking up speed. According to a recent survey, three-quarters of larger hospitals now have an ownership stake in more than one ASC. Two-thirds of US health systems are currently planning to increase their ASC investment.…
Part 1 of this two-part series discussed the splashes and the potential for exposure to pathogens that personnel face daily in sterile processing and endoscopy departments, as well as the current guidelines and strategies for reducing exposures (OR Manager, July 2021, pp 1, 9-11, 15). These risks were derived from…
Increased tensions during the COVID-19 pandemic have contributed to a spate of violent incidents, many of them directed at healthcare workers (HCWs). About 20% of respondents to a National Nurses United survey in late 2020 of more than 15,000 US registered nurses reported an increase in on-the-job violence caused by…
The Joint Commission on June 18 issued prepublication standards for its New and Revised Workplace Violence Prevention Requirements, which will apply to all Joint Commission-accredited hospitals starting January 1, 2022. Revisions range from some wording changes in existing requirements to the addition of new Elements of Performance (EP) within certain…
Cancellations of some surgical procedures during the COVID-19 pandemic and case rescheduling have been a major focus for perioperative leaders. But changes are also occurring in anesthesia practices. For many surgical procedures, the use of regional anesthesia or nerve blocks, coupled with light sedation, is reported to double if the…
What exactly is required to prepare instruments for transport to the decontamination room after a surgical procedure? Point-of-use cleaning, which may also be referred to as precleaning, has been used to describe instrument preparation at the point of use after a surgical procedure. But both point-of-use cleaning and precleaning have…
Does it really matter if surgical instruments are submerged in cleaning solution when technologists or nurses scrub them after a case? Is there a reason for the 3-foot separation between dirty and clean areas? Do germs stop at the red line? During the COVID-19 pandemic, much attention has been focused…
