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October 2025
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Survey: ASC volume rising amid limited staffing improvement

Data and surveys

Takeaways • Compared to 2023, the percentage of respondents reporting an increase in open positions for RNs and STs, as well as increased turnover for RNs, remained stable, but fewer reported a drop in ST turnover. • The percentage of respondents reporting hiring more managers set a 9-year record. •…

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By: Cynthia Saver
August 1, 2024
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Collaborative leaders share strategies for gaining influence, building relationships

Takeaways Successful collaboration requires prioritizing teamwork and aligning new projects and ideas with the overarching goals of the organization. Strategies for making the case for a new project or initiative include establishing subject matter expertise, tailoring the message, and having a win-win mindset. The most influential leaders understand others’ perspectives…

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By: Cynthia Saver, MS, RN
July 31, 2024
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The toll of excess inventory and the role of ecommerce

I still recall being handed roughly 10 boxes of suture anchors to practice with years ago at New York University (NYU) medical school. “Aren’t these needed here?” I asked incredulously. “Not at all,” came the answer, despite a hefty price tag of $1,000 per box. In fact, getting the suture…

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By: Andrew Dold, MD
July 31, 2024
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ASC management is a skill: A day in the administrator role

The administrator of an ambulatory surgery center (ASC) wears many hats, doing every odd job in the book to keep their free-standing center safe, compliant, and operational. But what does “wearing many hats” mean exactly? OR Manager spoke with Nyleen Flores, CPMSM, CPCS, CPCO, CASC, chief administrative officer at Lake…

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By: Tarsilla Moura
July 31, 2024
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The US News journey to introduce a new ‘best’ ASCs ranking

Some 800,000 knee replacements and 550,000 hip replacements are performed in the US each year. Factoring in the ever-expanding aging population, projections show the figure for knee replacements alone will explode to 3.5 million procedures being done annually by 2030—and that is just one type of procedure within a single…

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By: Tarsilla Moura
July 31, 2024
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Ambulatory endoscopy management strategies keep patients, finances healthy

Gastrointestinal (GI) endoscopy is one of the most common procedures in the US. Performed more than 17.1 million times per year in inpatient and outpatient hospital settings as well as ambulatory surgery centers (ASCs), GI procedures account for 68% of all endoscopies, according to a May 2022 article in Digestive…

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By: Cynthia Saver, MS, RN
June 24, 2024
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Rural hospitals contend with challenging opportunities

Rural hospitals in the US have been facing a prolonged, multifaceted crisis. The literature presents several reasons for why healthcare facilities in rural areas struggle, including shrinking budgets, rising chronic illness and public health issues like addiction and obesity, poor telehealth and broadband access, aging populations, deteriorating mental health, and…

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By: David C. Walsh
June 24, 2024
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How competency assessment could extend beyond licensing

Competency assessment in perioperative nursing—and American healthcare in general—is a story of unrealized potential. Particularly in the wake of the pandemic, staffing shortfalls and financial pressures have made focusing on staff development difficult for nurse leaders. Nonetheless, the argument for investing more in professional development and competency has never been…

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By: James X Stobinski, PhD, RN, CNOR, CNAMB(E), CSSM(E)
June 24, 2024
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Are you a perioperative nurse or an OR nurse?

For me, the answer is easy. For 25 years I have consistently said, “I’ve never nursed an OR a day in my life; it’s always been the patients.” As perioperative nurses, what we do is about more than where we work. Why is it that 25 years after the Association…

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By: Ruth Plotkin Shumaker, BSN, RN, CNOR
June 24, 2024
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Scaling standards from sterile processing department to clinic

Reforming instrument reprocessing practices does not always end with the main sterile processing department (SPD). Holding clinics to the same standard adds to the challenge, whether they are associated with hospitals or operate independently. Nonetheless, standardization is just as essential to maintaining efficiency and quality standards. Establishing and maintaining best…

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By: Angela Lewellyn, LPN, CRCST, CER, CHL and Vanessa Frank, CRCST, CHL, CER, CIS
June 24, 2024
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