The Business of Surgery

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October 2025
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Operationalizing a robotics program for evenings, weekends

The St Elizabeth Healthcare organization in northern Kentucky has eight facilities, including two surgery centers. The flagship hospital on the Edgewood campus has 534 beds and 22 ORs and typically performs some 14,000 surgical procedures per year. Robots help manage the volume. The Edgewood, Florence, and Ft Thomas hospitals have…

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By: Judith M. Mathias, MA, BS, RN
November 17, 2022
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State of natural language processing in surgery: Part 1

Imagine this: As a nurse in the OR talks with a patient, a computer listens in, recording the nurse’s notes so that data are added automatically to be retrieved later. The surgeon and anesthesiologist also interact with the patient without the burden of manual data entry, and the insurance company…

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By: Cynthia Saver, MS, RN
November 17, 2022
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Challenges and best practices with strategizing flip rooms

Consider the following requests posed to OR scheduling staff by surgeons: • “I need two blocks in different rooms to accommodate my daily case volume.” • “Can’t I just use that empty room to start my next case while the first case is wrapping up?” Surgeon requests like these are…

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By: Elizabeth Stocum, BSN, RN, CNOR
November 17, 2022
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Revised AORN Flexible Endoscope Processing Guideline

On September 15, 2022, AORN released its updated Guideline for Processing Flexible Endoscopes. Over the past several years, there has been significant research on flexible endoscope processing—research that met the stringent requirements and has been included in this revised guideline by AORN’s lead author and team. Endoscope processing begins with…

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By: Susan Klacik, BS, FCS, ACE, CHL, CIS, CRCST, AAMIF
November 17, 2022
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Negotiating contracts with anesthesia: Set clear expectations and hire who you know

David Shapiro, MD, who is a risk manager/medical director at several ambulatory surgery centers (ASCs) near Tallahassee, Florida, has seen his fair share of contracts with anesthesia services. Navigating these types of contracts at a time when anesthesiology is suffering from a workforce shortage and high costs for services is…

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By: Jennifer Lubell
November 17, 2022
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Casey Orth-Nebitt: Perioperative Nurses Week Interview

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Today’s chat is with Casey Orth-Nebitt, MSN, RN, CNOR, Director of Surgery, Buena Vista Regional Medical Center, Storm Lake, Iowa. Q: What is something that went right at your facility and/or that you are thankful for this year? I'm always thankful for my staff, who have remained loyal, hardworking, and…

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By: Tarsilla Moura
November 14, 2022
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Tracy Hoeft-Hoffman: Perioperative Nurses Week Interview

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Today’s chat is with Tracy Hoeft-Hoffman, MSN, MBA, RN, CASC, Administrator, Heartland Surgery Center, Kearney, Nebraska. Q: What is something that went right at your facility and/or that you are thankful for this year? What has gone right this year and makes our center so successful every year is the…

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By: Judy Mathias
November 10, 2022
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Brian S. Dawson: Perioperative Nurses Week Interview

Today’s chat is with Brian S. Dawson, MSN, RN, CNOR, CSSM, System VP, Perioperative Services, CommonSpirit Health, Denver. Q: What is something that went right at your facility and/or that you are thankful for this year? I couldn’t have asked for anything better this year than how our perioperative council…

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By: Judy Mathias
November 10, 2022
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Survey: Some improvement in satisfaction, but stagnant compensation

Data and surveys

As the response to the COVID-19 pandemic becomes embedded in hospitals, OR leaders’ satisfaction with their job is improving, according to the 2022 OR Manager Salary/Career Survey. Nearly three-fourths (72%) view their current job favorably, up from 64% last year and just below 2020’s 77%. However, satisfaction with many other…

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By: Cynthia Saver, MS, RN
September 27, 2022
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Editorial

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This year, the OR Manager Conference is celebrating 35 years of bringing together OR managers and directors and helping the perioperative community educate, learn, and network. Since the early days of this great conference, OR Manager has expanded the agenda and the exhibit floor to include various education offerings, including…

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By: Tarsilla Moura
September 27, 2022
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