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First assistants bring expertise and efficiency to the OR table--Part 2

First assistants (FAs) can play an important role in achieving optimal outcomes and higher surgical case volumes. Part 1 of this two-part series discussed types, education, and certification of FAs (OR Manager, May 2021, pp 1, 15-18). Part 2 answers questions related to risk management and oversight, and discusses possible…

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By: Cynthia Saver, MS, RN
May 19, 2021
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Beware of unconscious bias influence on clinical outcomes

Does compassionate care really matter? Clinical evidence points to a resounding Yes. “When healthcare providers take the time to make human connections that help end suffering, patient outcomes improve, and medical costs decrease. Among other benefits, compassion reduces pain, improves healing, lowers blood pressure, and helps alleviate depression and anxiety,”…

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By: Ryan Chesterman
May 19, 2021
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Patients deserve better healthcare price transparency

Reforms are underway to curb surprise billing practices, with new federal government regulations due to be published by July 1 as part of the No Surprises Act passed by Congress in late 2020. Among many other provisions, the new law will require insurance providers to be more transparent about prices…

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By: Elizabeth Wood
May 19, 2021
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ANSI/AAMI ST79 amendments refine sterilization practices

Amendments have been added to the Association for the Advancement of Medical Instrumentation (AAMI) standard ANSI/AAMI ST79, Comprehensive Guide to Steam Sterilization and Sterility Assurance in Health Care Facilities. The standard, which is used in healthcare facilities to guide their sterilization processes, is considered a useful resource to promote best…

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By: Susan Klacik, BS, CRCST, ACE, CIS, FCS
May 19, 2021
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Building a good 'marriage' with hospitals: A primer for ASCs

A global pandemic did not stop the proliferation of joint ventures between ambulatory surgery centers (ASCs) and hospitals in 2020. The trend continues in 2021, as federal regulators expand on the types of procedures that can be performed in the ambulatory setting. Hospitals are recognizing the need for a surgery…

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By: Jennifer Lubell
May 19, 2021
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The Joint Commission's safety alert supports removal of surgical smoke

Surgical smoke is a complex issue that has not gained a lot of traction over the years. Legislation to mandate smoke evacuation was introduced more than 20 years ago, but the first law wasn’t passed until 2018, and only three US states thus far have enacted legislation. Release of The…

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By: Judith M. Mathias, MA, RN
April 19, 2021
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First assistants bring expertise and efficiency to the OR table--Part 1

Non-physician surgical first assistants (FAs) perform a variety of tasks—everything from closing an incision and inserting drains to harvesting veins for bypass procedures and preparing anterior cruciate ligament grafts. A significant benefit of FAs is shorter case times, which may help reduce patient morbidity and mortality and increase case volumes.…

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By: Cynthia Saver, MS, RN
April 19, 2021
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Breathe easier with the right respiratory protection

The COVID-19 pandemic has underscored the importance of respiratory protection in healthcare settings and in the community. Healthcare workers at high risk of infection need the most effective respiratory protection, and not all surgical masks and respirators are alike. Checking for proper fit, donning and doffing correctly, and following manufacturers’…

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By: Judith M. Mathias, MA, RN
March 19, 2021
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Vaccine hesitancy and variants challenge efforts to tame COVID-19

The Janssen Biotech, Inc/Johnson & Johnson COVID-19 vaccine received Emergency Use Authorization (EUA) from the US Food and Drug Administration (FDA) on February 27, joining the Pfizer-BioNTech and Moderna vaccines that received EUA in December 2020. In early March, President Biden said that the US would produce enough COVID-19 vaccines…

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By: Elizabeth Wood
March 19, 2021
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Editorial

This issue of OR Manager is being published just about a year after the nationwide shutdown that was implemented to curb the spread of SARS-CoV-2, the virus that causes COVID-19. Failures on many fronts ensued in the months that followed, with an excessive death toll and unprecedented disruptions in every…

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By: Elizabeth Wood
March 19, 2021
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