Endoscope reprocessing gone wrong. Recent outbreaks shine light on the dirty truth about the scope cleaning practices at facilities across the country.

Business advisor: The art of the flip. Ground rules govern when we let surgeons run 2 rooms.

Getting certified for total joint surgery. Hear from the very first facilities to achieve advanced certification for total hip and total knee replacement.

Monitor core temperatures to avoid malignant hyperthermia with this Idea That Works from Bridgeport, Conn.

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.

Behind closed doors: Does this stuff ever happen to you? Or am I the only lucky one to experience these OR oddities?

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Anesthesia alert: One simple trick to preempt post-op pain. The magic of a 50 mg dissociative dose of ketamine just before incision.

Slow down, save a life. Keeping your staff safe is a challenge in the fast-paced environment of same-day surgery.

Cutting remarks: Forgiveness: Don't leave home without it. Carrying around old hurts robs us of happiness, joy and energy.

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Prevent pressure ulcers. 14 strategies to protect your patients from skin lesions caused by friction and unrelieved pressure.

Thinking of buying ... Pain pumps. Provide patients with consistent, long-lasting pain relief.

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Business advisor: Maximize your marketing efforts. A new way to think about promoting your facility to patients and surgeons.

What surgeons want in their gowns. Comfort, breathability and mobility are nice, but barrier protection is the most important attribute.

Is that scope clean? No guarantees. Even rigorous by-the-book cleaning doesn't ensure that your flexible endoscopes will be free of bacteria and bioburden when you hang them to dry.

Create a culture of safety. You know you have one when every member of the surgical team feels comfortable speaking up whenever she sees a potentially unsafe situation.

Optimize your MH response. Closing gaps in your malignant hyperthermia drills now could be a lifesaver later.

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