Archive April 2017 XVIII, No. 4

Features

5 Steps to PONV Prevention
Post-operative nausea and vomiting is one of surgery's most unwanted side effects. Here's how to keep patients' stomachs settled.

Hole in One?
How we convinced our surgeons and staff to double-glove.

Safe Patient Positioning: A Photo Essay
A pictorial depicting proper techniques to ensure surgical access and patient safety.

Getting Certified for Total Joint Surgery
Hear from the very first facilities to achieve advanced certification for total hip and total knee replacement.

What's New in Surgical Lights?
Shining a light on the innovations for illuminating the surgical field.

How Do You Dispose of Fluid Medical Waste?
Three facilities discuss their choice of liquid waste management.

12 Things You Didn't Know About Airway Emergencies
They can be difficult to predict and frightening to manage. Here's what you need to keep in mind.

Your Options for Managing Small Pupils
The list of devices and drugs for pupillary dilation and maintenance is growing.

Endoscope Reprocessing Gone Wrong
Recent outbreaks shine light on the dirty truth about the scope cleaning practices at facilities across the country.

Are Surgeons Fueling the Opioid Epidemic?
If surgeons are "unwittingly enablers of addiction, abuse and overdosage," how should they manage post-op pain?

6 Lessons Our (Near Miss) Medication Error Taught Us
Injecting a patient with local anesthetic instead of contrast dye was a blessing in disguise.

Safety Starts at the Top
Leadership is the first key to prevention.

Ideas That Work

Ideas That Work: Monitor Core Temps to Detect the Onset of MH

Ideas That Work: Bag Up That Used Blue Wrap

Ideas That Work: Tame Electrical Cords With Endotracheal Tube Stylets

Ideas That Work: How We Got More Patients to Complete Online Health Histories

Ideas That Work: Keep Score to Raise GI Docs' Performance

Ideas That Work: Anesthesiologists Start Their Own IVs To Build Rapport With Patients

Ideas That Work: Make Sure Unused Wrap Sticks Around

Departments

Editor's Page: More Questions Than Answers
The correct path is not always lighted and marked.

Business Advisor: The Art of the Flip
Ground rules govern when we let surgeons run 2 rooms.

Legal Update: It's Not Easy to Deep-Six Deadwood Docs
Forcing out lower-producing physician-owners is fraught with risk.

Staffing: Avoid Career Burnout
3 steps to improve your physical and mental wellbeing.

Coding & Billing: 3 Places to Look for Hidden Revenue
You're likely to find income stashed away in these unexpected places.

Product News

Infection Prevention: 3 Surgical Attire Battles Worth Fighting For
Breaks in these safe attire practices could harm patients.

Behind Closed Doors: Does This Stuff Ever Happen to You?
Or am I the only lucky one to experience these OR oddities?

April 2017

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