OR Manager - September 2020 - 18

salary/Career survey
Continued from page 16
parable to the 34% reported last year;
slightly more than half (52%) said it had
remained the same, up from 47% in
2019. Overall, 29% had no open ST positions
(vs 32% in 2019). The average
number of currently open ST positions
was 4.
Again, the picture was much different
in 2010, when just 11% reported
an increase in open FTE positions for
both RNs and STs, and the percentage
of those reporting no vacancies was significantly
higher: 54% for RNs and 65%
for STs. The average number of open
positions was 2 for both RNs and STs.
The most commonly reported staffing
change in the past 12 months was reducing
use of overtime, which increased
from 34% in 2019 to 43% this year.
Coming in second, at 36%, was hiring
more direct care staff-down slightly
from 40% last year, but comparable to
2018 (35%) and 2017 (34%).
More than one-fourth (27%) reduced
use of agency and travel staff, up from
20% last year. Nearly a quarter (23%) of
respondents have required staff to take
time off without pay, compared with
only 14% in 2019 and 19% in 2015;
but this percentage was 24% in 2017
and 39% in 2010.
More than 20 OR leaders answered
" other " to this question, with most
specifying changes related to COVID19,
such as furloughing and redeploying
staff.
Staff recruitment largely still a
challenge
Recruiting experienced OR nurses remains
a challenge, with nearly twothirds
(63%) saying difficulty has increased
in the past 12 months, compared
to 67% in 2019. Only 8% said it
was easier (vs 5% last year). OR leaders
are having better luck with new or
inexperienced OR nurses: 31% (vs 28%
in 2019) said it has been easier to
recruit this group; only 15% said it was
more difficult, down from 26% in 2019.
18
OR Manager | September 2020
In the past 12 months, has the volume of surgical
procedures in your OR increased, decreased,
or remained about the same?
0%
20%
40%
60%
80%
46%
40%
30%
24%
18%
2020
Increased
2019
Decreased
42%
32%
19%
2015
About the same
About the survey
Data for the OR Manager Salary/Career Survey were collected from April 14
to June 5, 2020. The survey list comprised OR directors, managers, or similar
positions within hospital ORs. The survey was closed with 265 usable responses.
The margin of error is ±5 percentage points at the 95% confidence level.
Recruiting was a bit easier 10 years
ago, when 26% of respondents found
recruiting experienced OR nurses to be
more difficult.
When evaluating candidates, 64% of
OR leaders require an associate degree
in nursing (ADN), compared to 59% in
2019 and 57% in 2018, and 41% require
a baccalaureate degree in nursing (BSN),
comparable to the 45% reported last year
and 44% in 2018. Only 10% require certification
(vs 12% in 2019), and 6% don't
require either a degree or certification,
down from 10% last year.
As in 2019, more than half (56%
vs 51% last year and 38% in 2015) of
respondents are finding it more difficult
to recruit STs, and only 12% said it was
easier, compared with 9% in 2019 and
17% in 2015.
Care delivery
Nearly half (46%) of respondents said
that surgical volume increased in the
past 12 months, compared to 40% in
2019. The pandemic may have affected
the higher percentage of those reporting
an increase (30% vs 18% in 2019).
ERAS remains the most popular of
the care model options asked about in
the survey, with 46% (vs 53% in 2019)
saying it has been implemented or is
planned to be implemented in the next
6 months. The next highest was Accountable
Care Organizations (25%), followed
by clinically integrated networks
(17%) and the PSH (15%).
Artificial intelligence (AI) has exploded
over the past year, so we asked
respondents about its impact on surgery
in general and on their own organizations.
In all, 214 OR leaders responded
to this open-ended question,
with most reporting that AI has had no
or minimal impact on their organization.
However, a few are already putting it
to use. One noted: " [It] will be used to
start our new total joint program. AI will
be used to select patients who will be
able to go home the day of surgery. "
Another OR leader reported: " [It is] presently
helping predict which patients can
go home after surgery instead of staying
in the hospital. "
Several commented on the possible
value of AI, including reducing length of
stay, predicting case times more accurately,
and improving scheduling, which,
in turn, could improve productivity and
revenue.
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2010
32%
49%
36%
32%
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