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Faulty bronchoscope reprocessing raises risks of infection transmission

Preventing infection transmission has been a chief concern of healthcare leaders and staff striving to protect their patients and themselves from SARS-CoV-2, the virus that causes COVID-19. The virus poses an insidious threat that includes the possibility of bronchoscopy-associated transmission of COVID-19. Long before the pandemic, epidemiologist and researcher Cori…

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By: Judith M. Mathias, MA, RN
October 21, 2020
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Think 'outside the blocks' to shore up balance sheets

Editor’s Note: This article from Whitman Partners addresses some ways OR nurse leaders can help their health systems recover from the financial fallout and disruption in normal processes caused by the COVID-19 pandemic. Whitman Partners is a Portland, Oregon-based specialty search firm dedicated to placing directors of surgical services at…

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By: Carisa Brewster
October 21, 2020
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Consider a PSH as a post-pandemic strategy

Across the US, surgical services are estimated to comprise around 20% of national health spending and typically generate up to 70% of total health system revenue.1, 2 That makes surgical services the largest revenue generator for a hospital, supporting access to numerous other healthcare services. Considering the average hospital has…

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By: Barbara McClenathan, MBA-HCM, BSN, RN, CNOR and Lisa Branding, MHSA
October 21, 2020
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Timely delivery needed to ensure safety of loaned instruments

Imagine that during a total joint surgical procedure, debris comes out of a surgical instrument and lands directly inside a patient’s open wound. Although such a scenario is rare, when it does occur, it creates a major patient infection risk. Many standards and guidelines recommend best practices that can help…

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By: Susan Klacik, BS, CRCST, ACE, CIS, FCS
October 21, 2020
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Sponsored Message

Incentive payments push staff to reach productivity goals

Any process improvement project is far more likely to succeed with backing from leadership. The familiar phrase, “the buck stops here,” reflects a mindset that applies to OR managers who take ownership of what happens to their patients and their staffs every day. But what if they could say, “the…

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By: Elizabeth Wood
October 21, 2020
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Humble giants of leadership

This series, written by OR Manager’s clinical editor, Judy Mathias, MA, RN, presents the management approaches of top leaders from around the country and describes the qualities that make them exemplary leaders. These articles are intended to inspire nurse leaders to achieve the highest levels of success in their careers…

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By: Judith M. Mathias, MA, RN
August 21, 2020
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Sponsored Message

What does it take to become an ERAS hospital?

Leaders at Virginia Commonwealth University (VCU) Health System in Richmond started the journey to become an Enhanced Recovery After Surgery (ERAS) hospital in 2016 with the following problem statement: Across surgical specialties, and regardless of superior surgical technique, perioperative care, and anesthesia care, patients can experience extended length of hospital…

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By: Paula Spencer, MSHA, PMP, CPHIMS
August 21, 2020
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ASC staffing and surgical volume drop in response to pandemic

Nearly a third (30%) of ambulatory surgery center (ASC) leaders have experienced layoffs of direct care staff during the past year, according to the 2020 annual OR Manager Salary/Career Survey, up from a mere 4% in 2019. COVID-19 is the likely culprit: Most of the comments received in response to…

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By: Cynthia Saver, MS, RN
August 21, 2020
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Data mining yields tool to predict OR staffing needs

Staffing to a block duration can be inefficient. Uncontrolled variables such as increased case complexity and unexpected staff absences can cause chaos. Leaders from Penn Medicine—Pennsylvania Hospital in Philadelphia used data analytics to measure the efficiency of matching staffing against an optimized OR schedule, which allowed them to predict staffing…

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By: Judith M. Mathias, MA, RN
July 22, 2020
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Editorial

Healthcare facilities in recent months have been catching up on case backlogs caused by the COVID-19 pandemic. But new infection surges in several states have overwhelmed some hospitals, leading to renewed bans on elective procedures in Texas and Florida as of early July. The higher rates of infection are attributable…

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By: Elizabeth Wood
July 22, 2020
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