Safety

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October 2025
Home Safety

The Munro Scale: Journey from conception to validity and reliability

After a journey of more than 20 years, validity and reliability studies for the Munro Pressure Injury Risk Assessment Scale for Perioperative Patients (Munro Scale) show that the Munro Scale works. The Munro Scale, created by Cassendra A. Munro, PhD, MSN, RN, RNFA, CNOR, is the first standard tool that…

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By: Judith M. Mathias, MA, BS, RN
June 28, 2022
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Engaging student nurses to prime the OR nurse pump: Part 2

Generating student interest in the OR can help OR leaders fill staffing gaps. For example, Debra Sparks, MSM, BSN, RN, CNOR, director of regional perioperative services for The Metro Health System in Cleveland, Ohio, has hired nurses who spent time in the organization as part of their university-based OR coursework…

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By: Cynthia Saver, MS, RN
June 28, 2022
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Contrast media shortage reveals cracks in supply chain

May 2022 saw a critical shortage of the iodinated contrast medium (ICM) iohexol that extended well into June because of a COVID-19-related shutdown of a GE Healthcare plant in Shanghai, China, that interrupted the manufacture of ICM. According to the American College of Radiology, contrast media were added to the…

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By: Tarsilla Moura
June 28, 2022
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Hospitals can still be better prepared for natural disasters

When a natural disaster strikes—whether flood, tornado, hurricane, or wildfire—nearly every aspect of a healthcare system’s operations are impacted. There is an influx of patients in crisis and a spike in calls for emergency services. There are logistical problems—impassable roads, power outages, and communication and internet breakdowns. Supply chain disruptions…

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By: Brita Belli
June 28, 2022
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Solutions for frontline worker resilience—dark chocolate, exercise, fresh air

COVID-19 has had a tremendous impact on nurses and other frontline healthcare workers. Just about everyone has been affected by shortages of basic supplies like personal protective equipment (PPE), syringes, and IV tubing, and staffing issues are even more concerning, says Cori L. Ofstead, MSPH, president and CEO of Ofstead…

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By: Judith M. Mathias, MA, BS, RN
May 24, 2022
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Editorial

Staffing and labor costs have been consuming the thoughts of managers at all levels of leadership. Since the COVID-19 pandemic exacerbated work conditions and safety concerns, healthcare leaders have had to deal with an unprecedented number of resignations and increased turnover with the rise of travel nursing. Calls for greater…

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By: Tarsilla Moura
May 24, 2022
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Engaging student nurses to prime the OR nurse pump: Part 1

Concerns about the pipeline of OR nurses existed long before COVID-19, but the pandemic has heightened these concerns. Many nurses plan to exit the profession in the next few years (sidebar, Workforce outlook). Unfortunately, the pipeline of replacement nurses is nearly dry as student experiences in the OR have been…

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By: Cynthia Saver, MS, RN
May 24, 2022
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Revisions to ANSI/AAMI ST91, flexible endoscope processing

The Association for the Advancement of Medical Instrumentation (AAMI) released the updated ANSI/AAMI ST91:2021 Flexible and semi-rigid endoscope processing in healthcare facilities. The revised version reflects current research and advancements in flexible endoscope processing. What follows is an abbreviated summary of some of the key revisions and additions. Future columns…

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By: Susan Klacik, BS, FCS, ACE, CHL, CIS, CRCST, AAMIF
May 24, 2022
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Best practices for ASCs: Cleaning in the COVID-19 era

Ambulatory surgery centers (ASCs) rely on OR staff to clean the room during turnovers, sometimes contracting with outside firms to do terminal cleaning. As COVID-19 brings renewed attention to disinfection methods, ASC administrators may ask: What are the best methods to keep OR rooms clean? Since the pandemic began, the…

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By: Jennifer Lubell
May 24, 2022
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Hospitals, ORs fear ransomware fallout from Ukraine invasion

Hospitals and health systems know they are attractive targets for cybercriminals. When lives are at stake, and the victims are often insured, ransomware gangs can expect a quick and easy payout. But since the Russian invasion of Ukraine on February 24, hospitals have had to face a new reality: The…

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By: Shaun Waterman
April 22, 2022
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