OR Manager - June 2018 - 1

JUNE
2018
Volume 34
Number 6
The monthly publication for OR decision makers
IN THIS ISSUE
OR Manager Conference
Constancy: The key ingredient
for safe patient care
Patient safety
Opioid prescriptions drop
after orthopedic team
changes protocol
Success stories
More cases start on time after
nurses change workflow
Sterilization &
infection prevention
AAMI releases new standard
on sterilization quality
management
19
15
7
isruption in the perioperative
setting occurs across a continuum
ranging from verbal outbursts
to physical violence.
D
" We live in an increasingly violent society,
and we need to take measures to
educate and prepare nurses and other
team members to be safe, " says Margo
Halm, PhD, RN, NEA-BC, associate
chief executive, nursing research and
evidence-based practice at VA Portland
HealthCare System in Portland, Oregon.
22
Halm has analyzed the effectiveness of
aggression management education for
acute-care nurses.
" It's no longer an ED [emergency
department] issue; it's an inpatient
unit issue, it's an oncology issue,
and it's an OR issue, " adds Kevin
Tuohey, CHPA, 2018 board president
for the International Association
for Healthcare Security and Safety
(IAHSS).
Continued on page 8
Continued on page 8
Performance improvement
Surgical Council facilitates service line
moves between hospitals
Ambulatory
Surgery Centers
Planning eases compliance
with CMS emergency
preparedness rules
25
o improve healthcare delivery and
eliminate duplication, hospitals
are banding together into systems
in which specialties such as labor and
delivery and smaller surgical cases are
performed at satellite hospitals, and
larger, more complex procedures are
done at the main campus.
T
This is the approach taken at the
Cleveland Clinic, which includes a 165acre
main campus, 10 regional hospitals,
and 18 full-service family health
centers throughout Northeast Ohio, as
well as sites in Florida, Nevada, Toronto,
and Abu Dhabi. A new London
location is set to open in mid-2019.
In 2012, the Cleveland Clinic formed
an Enterprise Surgical Council (ESC) to
optimize its surgical footprint across its
system. The ESC evaluates the current
state of surgical services and programs
across the various locations and analyzes
each proposed move of a service
line.
" We had to stop being individual facilities
and start operating as a whole
and looking at the bigger picture, " says
Carol Pehotsky, DNP, RN, NEA-BC,
ACNS-BC, CPAN, associate chief nursing
officer, surgical services, Cleveland
Clinic Health System.
Continued on page 11
Continued on page 6
Patient safety
Managing patient and family disruption
in the perioperative setting-Part 1

OR Manager - June 2018

Table of Contents for the Digital Edition of OR Manager - June 2018

OR Manager - June 2018 - 1
OR Manager - June 2018 - 2
OR Manager - June 2018 - 3
OR Manager - June 2018 - 4
OR Manager - June 2018 - 5
OR Manager - June 2018 - 6
OR Manager - June 2018 - 7
OR Manager - June 2018 - 8
OR Manager - June 2018 - 9
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OR Manager - June 2018 - 11
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OR Manager - June 2018 - 15
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OR Manager - June 2018 - 17
OR Manager - June 2018 - 18
OR Manager - June 2018 - 19
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OR Manager - June 2018 - 28
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