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  • Misunderstood Overtime Rules Could Cost ASCs Thousands of Dollars

    Within the past seven years, federal lawsuit filings regarding wage overtime rules have increased by 30%, a trend that should jar surgery centers into taking preventive actions.

  • The Challenge of Improving the Nursing Hiring Pipeline

    Any program designed to increase the number of new nurses who go into ambulatory nursing must address early exposure to ambulatory care in nursing schools. Developing an ambulatory nursing residency program is one possible solution. It might not be feasible for every ASC, but there are some smaller steps administrators could take to improve orientation and training of new nurses or training of experienced nurses who are new to ambulatory care.

  • Helping New Nurses Thrive in ASC Setting

    New nurse graduates could be a great solution to filling staff needs at ASCs if they are supported through training programs and their preceptors.

  • Where to Find Reprocessing Guidelines

    When an ASC begins revamping its reprocessing program, a good place to start is with guidelines that can be found easily. Here are some suggestions based on recommendations from federal agencies and other professional organizations.

  • Put Reprocessing Compliance on This Year’s To-do List

    Surgery centers that fail to pay close attention to their reprocessing processes could end up causing dangerous — even fatal — infections. Although the rate of infection from endoscopy is low, it’s likely that some infections related to reprocessing problems are not reported because patients do not attribute their illness to a procedure they might have undergone several weeks earlier. Experts recommend creating site-specific reprocessing guidelines based on federal and/or other expert recommendations.

  • What Can Be Said With LBBB?

    The ECG in the figure was obtained from a patient with new-onset chest pain. It was interpreted as showing complete left bundle branch block (LBBB). Thus, the provider reasoned that “it is impossible to tell if anything acute is going on because there is LBBB.” Do you agree with that assessment?

  • Clinical Briefs

    In this section: Managing postprandial glucose excursions in diabetic patients, strategies for improving long-term outcomes for obesity patients, and effectively treating Crohn's disease.

  • Vancomycin HCl for Oral Solution (Firvanq)

    Vancomycin oral solution is indicated for adults and pediatric patients < 18 years of age for Clostridium difficile-associated diarrhea and enterocolitis caused by Staphylococcus aureus (including methicillin-resistant strains).

  • Aerobic Exercise and Cognitive Impairment

    Progressive aerobic exercise training appears to be a low-risk and effective intervention for improving cognitive function in community-dwelling adults with mild subcortical ischemic vascular cognitive impairment.

  • Type 2 Diabetes Is Reversible

    Type 2 diabetes is reversible (or can be put in remission) in a primary care practice through an intense low-carbohydrate weight management program.