OR Manager - March 2018 - 1

MARCH
2018
Volume 34
Number 3
The monthly publication for OR decision makers
IN THIS ISSUE
Leadership
Storytelling can make
or break staff morale
14
Pledge makes positive culture
a priority in the OR-Part 1 19
Sterilization &
infection prevention
New guideline focuses on
high-level disinfection safety 22
Process improvement
Total joint cases on
firm footing after OR
team huddles
24
ust as nursing schools don't include
the operating room in their
curriculums, they also don't include
any instruction on the postanesthesia
care unit (PACU). And like the
OR, the PACU is having trouble recruiting
new nurses.
J
In September 2015, Houston Methodist
Hospital began a PACU residency
program to train new graduate nurses
for the PACU. The residency consists of
a blended learning program that comLeadership
Bullying:
From conflict to confrontation
to civility in the OR-Part 3
Ambulatory
Surgery Centers
How many different
procedures are right
for your ASC?
29
hen Carol Schneider, MSN,
RN, CCRN, CPAN, became
manager of a postanesthesia
care unit (PACU) at Boston Medical
Center in Massachusetts, she found
a plethora of problems, including poor
communication skills, low employee engagement
scores, and bullying from surgeons
and staff. " It was a very bad climate
that was putting patients at risk, "
Schneider says. A 6-month educational
initiative helped turn the unit around,
with nearly all participants stating they
were changing their practice based on
what they learned in the sessions.
Education is one of several effecW
tive
strategies for promoting civility in
the workplace and preventing bullying.
In this third of a three-part series on
bullying, OR Manager explores actions
nurse leaders can take to ensure staff
aren't victims-or perpetrators-of bullying.
After all, a 2017 study by Smith
and colleagues notes that supportive
nurse managers reduce incivility, making
them key figures in these initiatives.
Continuum of incivility
A first step in preventing bullying is to
help staff understand the continuum
of incivility, developed by Cynthia Clark,
Continued on page 11
Continued on page 6
bines didactics, a variety of clinical rotations
including the ICUs, ongoing skills
assessments, hands-on experience in
the simulation lab, and presentation of
a case study demonstrating evidencebased
practice and care of the postoperative
patient.
Program topics and content are evidence
based and come from the American
Society of PeriAnesthesia Nurses'
(ASPAN) Competency Based OrientaContinued
on page 6
Continued on page 8
Education
Residency program expands ranks of
experienced PACU nurses

OR Manager - March 2018

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

OR Manager - March 2018 - 1
OR Manager - March 2018 - 2
OR Manager - March 2018 - 3
OR Manager - March 2018 - 4
OR Manager - March 2018 - 5
OR Manager - March 2018 - 6
OR Manager - March 2018 - 7
OR Manager - March 2018 - 8
OR Manager - March 2018 - 9
OR Manager - March 2018 - 10
OR Manager - March 2018 - 11
OR Manager - March 2018 - 12
OR Manager - March 2018 - 13
OR Manager - March 2018 - 14
OR Manager - March 2018 - 15
OR Manager - March 2018 - 16
OR Manager - March 2018 - 17
OR Manager - March 2018 - 18
OR Manager - March 2018 - 19
OR Manager - March 2018 - 20
OR Manager - March 2018 - 21
OR Manager - March 2018 - 22
OR Manager - March 2018 - 23
OR Manager - March 2018 - 24
OR Manager - March 2018 - 25
OR Manager - March 2018 - 26
OR Manager - March 2018 - 27
OR Manager - March 2018 - 28
OR Manager - March 2018 - 29
OR Manager - March 2018 - 30
OR Manager - March 2018 - 31
OR Manager - March 2018 - 32
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