PODCAST · education
First Case Podcast
by First Case Podcast
Clock in, scrub up, and join us behind the red line. We are First Case – an operating room podcast bringing you exciting interviews, engaging discussions, and innovative solutions that are changing the way patients receive surgical care. Each episode we talk to frontline staff, perioperative leadership, and nursing entrepreneurs from across the country as they share their stories, experience and expertise on an industry we love.From the back table to the board room, from wheels in to wheels out. -- we tackle the real-life issues affecting the OR. Whether you're tuning in for surgical service education or inspiration, we're glad you're here. And now, it's time to roll back, and start the First Case…
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Silo-Free Surgery: Where Is the Smoking Gun?
Why is it so difficult to trace a surgical site infection (SSI) back to one clear cause? On this special season co-release episode of First Case and Transmission Control, hosts Garrett Hollembeak and Lindsey Joyce are joined by Jeremy Gibson-Roark for an honest conversation about what really happens when an SSI investigation begins. Together, they explore why infection investigations are rarely straightforward, how OR, IP, and SP departments each hold a piece of the puzzle, and why breaking down silos is essential to finding meaningful answers. As the first episode of this special collaborative season, this conversation lays the foundation for understanding SSI reduction as a shared responsibility, not something one department can tackle alone. Tune in today! Make sure to follow First Case and Transmission Control on your favorite podcast app, LinkedIn, and Facebook so you never miss an episode! #FirstCase #TransmissionControl #OperatingRoom #InfectionPrevention #SiloFreeSurgery #SSI #SSIInvestigation #Podcast
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Passing the Mic: Celebrating Melanie Perry's Impact on First Case
Every great podcast has a voice that brings each conversation to life. Over the past five years, Melanie Perry has been that voice for First Case. In this special release episode of the First Case Podcast, we celebrate Melanie's incredible journey as host, reflecting on the stories, guests, and moments that made this podcast such a valuable resource for the perioperative community. Joined by Justin Poulin and Garrett Hollembeak, Melanie looks back on where it all began, shares what's next in her own journey, and offers a heartfelt thank you to the listeners and colleagues who have been part of it all. As one chapter closes and another begins, join us in celebrating Melanie's lasting impact on First Case and the exciting future ahead for the podcast! #FirstCase #PerioperativeEducation #ThankYouMelanie #Education #Podcast #SpecialRelease
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Season 10 Rewind - Empowering Advocacy: Building Coalitions for Change
Season 20 launches on July 6th! In the meantime, please enjoy some of our favorite episodes from Season 10 of First Case. "Are you ready for the Time Out?" How many times have you asked or heard that question? In the operating room we perform a Time Out prior to the start of every surgical case. But it wasn't always that way. Joining us today to share how the Time Out process began is Bill Duffy, RN, MJ, CNOR, FAAN, Director for the Nursing and Healthcare Administration Program at Niehoff School of Nursing at Loyola University in Chicago, IL. In today's interview we'll learn how Bill advocated for establishing a Time Out protocol, what motivated him to push for a change, and learn how we can use our voices to advocate for change as well. #operatingroom #surgery #podcast #scrubtech #surgicaltechnologist #advocacy #perioperative #TimeOut
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Season 10 Rewind - Clearing the Air: Advocating for Surgical Smoke Evacuation Legislation
Season 20 launches on July 6th! In the meantime, please enjoy some of our favorite episodes from Season 10 of First Case. What is so dangerous about surgical smoke? Is it really that bad? Find out all about the very real dangers of surgical smoke in today's interview with Brenda Ulmer, Independent Perioperative Nurse Educator. We'll learn what's lurking in the surgical smoke that we're exposed to every day, how it can affect us and our patients, and we'll hear Brenda's success story of passing legislation in her home state. Don't miss the conversation! Update: Angela Hohn was diagnosed with lung cancer in 2020. She was a longtime OR nurse and her doctor confirmed that her cancer was caused by exposure to surgical smoke. Sadly, she lost her battle with cancer and passed away in January, 2024, after this interview was recorded. #surgicalsmoke #operatingroom #surgery #ornorse #scrubtech #advocacy
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Season 10 Rewind - Empowering Change: A Guide to Advocacy in Healthcare
Season 20 launches on July 6th! In the meantime, please enjoy some of our favorite episodes from Season 10 of First Case. What is advocacy? How can we change practices within our facility and within our state? Joining us today to talk about all things advocacy is Kay Ball, PhD, RN, CNOR, CMLSO, FAAN, adjunct nursing professor at Otterbein University. Kay is a passionate OR nurse and nursing advocate and shares her experience and insight with us to show us how we can advocate for change. Join us as we discover the importance of telling our stories, as we see the impact that our stories can have, and find out the do's and don'ts of advocacy. Don't miss this interview! #operatingroom #surgery #podcast #advocacy #perioperative
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Season 10 Rewind - Empowering Voices: Unleashing Advocacy in Surgical Training
Season 20 launches on July 6th! In the meantime, please enjoy some of our favorite episodes from Season 10 of First Case. How do our training programs teach us to advocate for ourselves and for our patients? In this season premiere of Season 10: Advocacy Unleashed, we sit down with Chris Blevins, CST, FAST, Senior Department Chair of Surgical Technology at South College, in Knoxville, TN. In today's discussion, we'll learn how Chris uses her position as a Surgical Technology educator to teach her students how to find their voices, how to advocate for themselves, and how to advocate for their patients. Don't miss it! #operatingroom #surgery #podcast #scrubtech #surgicaltechnologist #advocacy #perioperative
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Sterile Processing 101: When Things Go Wrong
Even the best systems have moments when things go wrong. What matters most is how we respond. In the Season 19 finale of Sterile Processing 101, Jen Parrott returns to discuss what happens when things go wrong like wet packs, missing instruments, failed indicators, delays, and breakdowns in the process. This episode is a powerful reminder that solving problems requires more than urgency. It requires communication, accountability, and a culture focused on improvement instead of blame. Because when the OR and SPD work together, setbacks become opportunities to build safer systems for every patient. Don't miss the final episode of Season 19! #operatingroom #ornurse #sterileprocessing #scrubtech
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Sterile Processing 101: Storage, Shelf Life, and Event-Related Sterility
How much thought do we really give to packaging… until something goes wrong? In today's interview, we explore the often-overlooked world of storage, shelf life, and event-related sterility with Malinda Elammari, CEO of Crown Point Consulting. From blue wrap and rigid containers to peel packs and transport practices, this episode breaks down why packaging is far more than a wrapper. In reality, it's a critical part of protecting sterility and patient safety. Listen now and discover why packaging matters! #operatingroom #sterileprocessing #ornurse #scrubtech
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Sterile Processing 101: Reading the Tray - Indicators, Tape, Filters, and What They Actually Mean
How do you know the tray you just opened is truly ready for your patient? In Episode 6 of Sterile Processing 101, we sit down with Adam Okada to take a closer look at the indicators, tape, filters, and packaging features that communicate critical sterility information before instruments ever reach the field. Join us as we discuss what these indicators do, what they don't tell us, and why the OR team is the final line of defense before those instruments are used on a patient. #operatingroom #sterileprocessing #ornurse #scrubtech
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Sterile Processing 101: Sterilization Methods Explained - Steam, Low-Temp, & IUSS
In this week's episode, we take a practical look at the science behind sterilization with Bobby Parker from Beyond Clean. From steam cycles to low-temperature, this episode breaks down the different ways instruments are processed and discusses why each method matters. You're also going to gain a clearer understanding of indicators, sterility assurance, and why sterilization takes more time than many realize. But the more we understand the process, the better we can support patient safety and workflow efficiency. #operatingroom #sterileprocessing #ornurse #scrubtech
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Sterile Processing 101: Inspection & Assembly - The Art of Building a Reliable Tray
How reliable is the tray you open every day? In today's episode, we step into inspection and assembly where cleaned instruments are tested, examined, and built into the trays your OR depends on. This conversation with Kevin Anderson highlights why tray assembly is about far more than checking off a count sheet. From instrument function testing and damaged equipment to borescopes, insulation testing, and missing items, this episode reveals the science behind building a dependable tray. Listen now and gain a new appreciation for the work that happens before the tray reaches your back table. #operatingroom #nurse #scrubtech #sterileprocessing
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Sterile Processing 101: Decontam Deep Dive - What Happens After The Case Cart Leaves the Room
What really happens after your case cart leaves the OR? To find out, we're diving into decontam to discover the critical next step in the instrument reprocessing lifecycle. From point-of-use treatment to manual and mechanical cleaning, this episode unpacks what it actually takes to get instruments safe, clean, and ready for the next patient. Joined by Julie Gorog, OR nurse and Clinical Education Consultant with Advanced Sterilization Products, we explore why cleaning is the most crucial step in reprocessing, how biofilm forms faster than you think, and what OR teams can do to set sterile processing up for success. Because what happens after the case directly impacts the next one. So tune in to learn more! #operatingroom #ornurse #scrubtech #sterileprocessing
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Sterile Processing 101: Point of Use Treatment - The OR's Role in Sterile Processing
What happens to your instruments during the case matters more than you think. In this interview with Mike Matthews, we break down point-of-use treatment and why sterile processing actually starts in the OR, not decontam. From biofilm risk to instrument damage, this episode highlights how small actions during a case have big downstream consequences. This episode challenges the "not my problem" mindset and reinforces a critical truth: 𝗣𝗼𝗶𝗻𝘁-𝗼𝗳-𝘂𝘀𝗲 𝘁𝗿𝗲𝗮𝘁𝗺𝗲𝗻𝘁 𝗶𝘀𝗻'𝘁 𝗼𝗽𝘁𝗶𝗼𝗻𝗮𝗹 - 𝗶𝘁'𝘀 𝗳𝗼𝘂𝗻𝗱𝗮𝘁𝗶𝗼𝗻𝗮𝗹. #operatingroom #ornurse #sterileprocessing #scrubtech
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Sterile Processing 101: From Dirty to Sterile - The Instrument Reprocessing Lifecycle
Welcome to a new season of the First Case podcast - Sterile Processing 101! We're kicking off the season with a conversation that sets the foundation for the entire series and challenges a big misconception: 𝗦𝘁𝗲𝗿𝗶𝗹𝗲 𝗽𝗿𝗼𝗰𝗲𝘀𝘀𝗶𝗻𝗴 𝗱𝗼𝗲𝘀𝗻'𝘁 𝘀𝘁𝗮𝗿𝘁 𝗶𝗻 𝗱𝗲𝗰𝗼𝗻𝘁𝗮𝗺… 𝗶𝘁 𝘀𝘁𝗮𝗿𝘁𝘀 𝗶𝗻 𝘁𝗵𝗲 𝗢𝗥. In this conversation with Jen Parrott, we introduce the full instrument reprocessing lifecycle and explore why understanding this process is essential for every OR nurse, and how it affects everything from patient safety to workflow efficiency. Tune in to the premiere and start seeing the bigger picture! #operatingroom #ornurse #scrubtech #podcast #sterileprocessing
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The Hidden World of Biofilm: Exploring the Dangers Lurking in our Instruments
What do the plaque on your teeth, soap scum, and slippery rocks down by the creek all have in common? They're all examples of biofilm! But these aren't the only places that biolfims can form – they can also be found on our surgical instruments and inside our bodies. Joining us today to talk about all things biofilm is Mike Matthews, Director of Customer Education at Agiliti. In this interview, we'll discover how biofilm forms, the ways in which it can cause infection, and what we can do in the Operating Room to help prevent it. Stay tuned! Love our show? Download our First Case mobile app on: 📲 Apple users: https://zcu.io/gExL Android users: https://zcu.io/j7Kx Or you can subscribe to the podcast through: 💻 Apple Podcasts - https://zcu.io/qnVu iHeart Radio - https://zcu.io/5qkg Spotify - https://zcu.io/JkqK Stitcher - https://zcu.io/j76G #operatingroom #surgery #podcast #perioperative #infectionprevention #safesurgery #biofilm
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Top 10: General Surgery
General surgery is where many perioperative nurses begin their OR journey. It's one of the most diverse and foundational specialties in the operating room, touching everything from colorectal and thyroid cases to breast, abdominal, and head & neck procedures. In this First Case Articles-On-The-Go, Lindsay Joyce, MSN, RN, CNOR breaks down the Top 10 things OR teams should know about general surgery - from being ready to convert laparoscopic cases to open, to understanding patient positioning, implants, ERAS protocols, hemostatic agents, and proper drain management. Whether you're new to the OR or just need a refresher, this episode highlights why versatility, preparation, and attention to detail are essential in one of surgery's broadest specialties. ------- Articles On-the-Go presents perioperative insights from written articles in a creative, easy to listen, audio format. Think audio book, meets busy Operating Room professional! #operatingroom #generalsurgery #ornurse #nurse #scrubtech
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Microbes in Motion: Understanding Pathogen Transfer & Environmental Contamination
How long can pathogens live on a surface? What is the likelihood that we are transferring organisms from surfaces we touch to our patients or to our family members? Joining us today to discuss microbiology and infection prevention is Dr. Wava Truscott, Director of Regulatory Affairs and clinical Education at Shield Technology, Inc. Learn with us as Wava discusses environmental contamination, pathogens that we see in our hospitals, disinfectants, and small colony variants. Don't miss this interview! Love our show? Download our First Case mobile app on: 📲 Apple users: https://zcu.io/gExL Android users: https://zcu.io/j7Kx Or you can subscribe to the podcast through: 💻 Apple Podcasts - https://zcu.io/qnVu iHeart Radio - https://zcu.io/5qkg Spotify - https://zcu.io/JkqK Stitcher - https://zcu.io/j76G #operatingroom #surgery #podcast #perioperative #infectionprevention #safesurgery
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Ensuring Scope Safety: Preventing Infection Through Proper Cleaning, Care, & Data Collection
What is the MAUDE Database, and what does it have to do with the Operating Room? Answering this question and connecting the dots for us today is Dr. Larry Muscarella, PhD, President and Principal at LFM Healthcare Solutions, LLC. Tune in as we dive into the Manufacturer and User Facility Device Experience (MAUDE) Database, as we discuss medical devices like gastroscopes and flexible endoscopes and find out what the guidelines say about their proper care and cleaning. Love our show? Download our First Case mobile app on: 📲 Apple users: https://zcu.io/gExL Android users: https://zcu.io/j7Kx Or you can subscribe to the podcast through: 💻 Apple Podcasts - https://zcu.io/qnVu iHeart Radio - https://zcu.io/5qkg Spotify - https://zcu.io/JkqK Stitcher - https://zcu.io/j76G #operatingroom #surgery #podcast #perioperative #infectionprevention #safesurgery
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Top 10: Organ Procurement and Transplant
Organ procurement and transplant surgeries are among the most unique and emotionally powerful cases the OR team may encounter. And while they may not happen often, or in every facility, when they do occur, preparation, collaboration, and advocacy matter more than ever. In this First Case Articles-On-The-Go, Lindsay Joyce, MSN, RN, CNOR, walks through the Top 10 things perioperative teams should know about organ procurement and transplant, from understanding the role of visiting procurement teams and honoring donor consent, to managing complex multi-team procedures and the intense coordination required for life-saving transplants. Tune in to discover how to prepare for the organ procurement and transplant procedures. ------- Articles On-the-Go presents perioperative insights from written articles in a creative, easy to listen, audio format. Think audio book, meets busy Operating Room professional! #operatingroom #transplant #ornurse #nurse #scrubtech
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Mistakes in Infection Prevention: What's Hindering Your Infection Prevention Program?
What simple, everyday actions are derailing your infection prevention program? Tune in to this discussion with Erica Smith, Surgical Solutions Manager at Henry Schein Medical as we discuss 4 common missteps in Infection Prevention. We'll discuss how 4, "simple" actions can have significant impact on the health of our patients, and Erica will provide insight into the ways that we can improve. Don't miss it! Love our show? Download our First Case mobile app on: 📲 Apple users: https://zcu.io/gExL Android users: https://zcu.io/j7Kx Or you can subscribe to the podcast through: 💻 Apple Podcasts - https://zcu.io/qnVu iHeart Radio - https://zcu.io/5qkg Spotify - https://zcu.io/JkqK Stitcher - https://zcu.io/j76G #operatingroom #surgery #podcast #perioperative #infectionprevention #safesurgery
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Improving Outcomes: Infection Prevention in the CVOR
Cardiac surgery is definitely its own specialty, and not all perioperative professionals are familiar with the CVOR. But we're all familiar with the fundamentals of infection prevention. Here to highlight the specifics of infection prevention in cardiac surgery is Ruth Statchura, MBA, RN, Vice President of Business Development at C Change Surgical. In this episode, we'll discuss some of the common areas of infection risk, how we can avoid increasing those risks, and we'll uncover the changes in cardiac surgery that are improving patient outcomes. Tune in now! Love our show? Download our First Case mobile app on: 📲 Apple users: https://zcu.io/gExL Android users: https://zcu.io/j7Kx Or you can subscribe to the podcast through: 💻 Apple Podcasts - https://zcu.io/qnVu iHeart Radio - https://zcu.io/5qkg Spotify - https://zcu.io/JkqK Stitcher - https://zcu.io/j76G #operatingroom #surgery #podcast #perioperative #infectionprevention #CVOR #safesurgery #CardiacSurgery
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Top 10: Trauma Surgery
When seconds matter and the unexpected becomes routine, trauma teams rise to the challenge. In this First Case Articles On-The-Go: Top 10 Trauma Surgery, Lindsay Joyce, MSN, RN, CNOR, highlights the foundational principles every perioperative professional should understand when facing trauma. From constant readiness and mastering Massive Transfusion Protocols to supporting anesthesia, coordinating multi-specialty teams, and preparing for both lifesaving intervention and end-of-life care, trauma surgery demands adaptability, precision, and true teamwork. Whether you work in a designated trauma center or a facility that only occasionally sees critical injuries, preparation is essential because trauma can happen anytime, anywhere. This episode offers a practical starting point to strengthen your trauma readiness and reinforce the collaborative mindset required to deliver the best possible outcomes when it matters most. #operatingroom #traumasurgery #ornurse #scrub #scrubtech #perioperative
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Operation Collaboration: Clinical Coordinators - The Glue That Holds It All Together
As we wrap Season 18 of First Case, we turn the spotlight to the role that keeps everything moving behind the scenes: the Clinical Coordinator. In our final episode, Rod McArdle of Boston Children's Hospital shares how clinical coordinators balance scheduling, staffing, equipment, and real-time problem solving to keep surgical care running safely and efficiently. From anticipating equipment conflicts to coordinating with SPD, surgeons, and frontline teams, they are coordinating the moving pieces, communicating across teams, and thinking five steps ahead so the rest of us can focus on the patient in front of us. This episode brings our entire season full circle, highlighting the teamwork required across departments to make surgery happen every day. #operatingroom #ornurse #nurse #scrubtech #surgery #clinicalcoordinator
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Top 10: Pediatric Surgery
Caring for pediatric surgical patients requires more than simply adapting adult practices. It demands a specialized, family-centered approach. In this First Case: Articles On-The-Go episode, Lindsay Joyce, MSN, RN, CNOR, walks through essential fundamentals every perioperative nurse should know, from maintaining a warm OR and using weight-based medication dosing to protecting delicate skin, preparing for malignant hyperthermia, and partnering closely with child life specialists. The episode also highlights the emotional side of pediatric care, supporting not just the child, but the parents, while emphasizing the importance of communication, trust, and pediatric-specific competencies like PALS and NRP. Whether you work in a large children's hospital, community facility, or ASC, this practical Top 10 is a strong foundation for delivering safe, compassionate care to our smallest patients. #operatingroom #pediatrics #ornurse #scrubtech #surgery
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Operation Collaboration: Vendor Reps - Partners in Surgical Care
"Where are your trays?" Few phrases spike stress levels faster, and often, all eyes turn to the person in the red hat. But what really happens behind the scenes before those trays ever reach your back table? In this powerful Operation: Collaboration episode, we pull back the curtain with medical device regional sales manager Bruce Finney to reveal the real world of vendor reps: high-pressure preparation, complex logistics, split-second problem solving, and the constant balance of being both essential to the team and still a guest in the room. From implants and instrumentation to communication breakdowns and OR realities, this conversation will change how you see the role of the rep and why true surgical success depends on collaboration from everyone involved. Listen now and step into the OR from the other side of the red hat. #operatingroom #ornurse #vendor #scrubtech #surgery #collaboration
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Operation Collaboration: Facilities - The Infrastructure of Safe Patient Care
This week, we're stepping outside the OR and into the world of Facilities, the department quietly powering everything from air and water to electricity, pressure, and environmental safety. Without them, surgeries simply don't happen. Join us as we talk with seasoned facilities consultant Kathy Neal about how Facilities' teams keep the surgical environment safe, compliant, and running through power outages, HVAC challenges, regulatory demands, and even natural disasters. This conversation is a powerful reminder that collaboration across departments is what truly makes patient care possible. Tune in to learn more about the team working behind the walls, above the ceilings, and beneath the floors. #operatingroom #collaboration #surgery #ornurse #scrubtech
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My Journey Into Perioperative Nursing
We might not be celebrating Perioperative Nurses Week this week, but we've always got time to shine a spotlight on perioperative nursing. In this week's Articles On-The-Go, Lindsey Joyce, MSN, RN, CNOR shares her own journey into perioperative nursing. From thinking the ICU was her forever home to finding unexpected inspiration in the operating room, this episode is a reminder that sometimes the path we don't plan is the one that fits us best. Whether you took a traditional route, jumped straight into the OR, or are still figuring out where you belong, this one's for you. Come along with Lindsey and reflect on what sparked your own curiosity and why you chose the OR. #operatingroom #ornurse #surgery #scrubtech
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Operation Collaboration: Pharmacy - Medication Safety in Motion
Have you ever wondered what really happens behind the 'black door' between the OR and pharmacy? 👀💊 In this week's First Case interview, we sit down with Zahara, an experienced inpatient pharmacist from San Diego, to uncover the unseen work that keeps surgical care safe and moving. From medication shortages and regulatory compliance to constant audits, refills, and real-time problem solving, Zahara shares how pharmacy and the OR intersect every single day, and why better communication can remove barriers and protect patients on both sides of the red line. #operatingroom #ornurse #pharmacy #scrub #scrubtech
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Operation Collaboration: The Lab - Partners in Precision
This week our Operation: Collaboration season continues with a deep dive into the often-unseen world of the Lab. In this episode, former laboratory associate supervisor turned OR nurse Anna Goodman bridges both sides of the specimen cup, breaking down cultures versus permanents, demystifying frozen sections, and explaining how real-time communication between the OR, pathology, and blood bank can directly shape surgical decisions and patient outcomes. From "deli slicer" histology humor to the critical role of accurate labeling and coordination, this conversation highlights just how intertwined every department is when it comes to delivering safe, timely care. #operatingroom #ornurse #surgery #laboratory #scrubtech #nurse
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Operation Collaboration: Sterile Processing - The Foundation of Surgical Readiness
Sterile processing doesn't run on magic, despite what we may sometimes think. In today's interview, we're joined by Angela Benson, a sterile processing education specialist, to talk about what really happens to our instruments long before they ever reach the back table. From decontamination and assembly to sterilization, documentation, and case cart build, this conversation pulls back the curtain on the complex, detail-driven work that makes surgery possible. We also dive into common points of miscommunication, misconceptions about SPD, and how simple things, like better communication, pre-treatment, and mutual respect, can make a huge difference for teams on both sides of the red line. #operatingroom #ornurse #sterileprocessing #scrubtech #surgery
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Scope of Innovation: Single-Use Solutions for Surgical Success
Perfect imaging every time. No repairs. No reprocessing. Could single-use arthroscopes be the answer? On this special Beyond Clean, First Case, Power Supply, and Transmission Control Vendor Spotlight™ co-release episode, we're joined by Rich McKillop, CEO of Pristine Surgical, to explore how their Summit™ 4K Single-Use Arthroscope is redefining what efficiency looks like in the OR. Learn how this single-use solution delivers consistent 4K image clarity while eliminating the time, labor, and costs associated with scope reprocessing and repairs. Through smart, cloud-connected technology that delivers real-time data and case analytics, discover how Pristine Surgical can help your department optimize workflows, reduce costs, and improve patient outcomes! Learn more about Pristine Surgical's single-use arthroscopy solutions by visiting pristinesurgical.com. To access the cost savings calculator, schedule a demonstration, or learn more about Pristine Connect®, email [email protected] or follow them on LinkedIn.
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Operation Collaboration: Radiology - Visualizing Surgical Success
Radiology is one of those departments that we rely on every single day in the OR, but don't always stop to think about how much coordination is required for our two departments to work together. In this second episode of Operation: Collaboration, we sit down with April Hughes, a radiologic technologist, to explore how radiology supports surgical care before, during, and after the procedure. From juggling limited C-arms and tracking constantly changing schedules to the importance of real-time communication between departments, this conversation is a reminder that safe, efficient surgical care truly depends on teamwork beyond the red line. Tune in to learn more! #operatingroom #ornurse #radiology #scrubtech #radtech #nurse #surgery
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Cancelled Flight vs Cancelled Case
What does a canceled flight have in common with a canceled surgical case? More than you might think. In today's article, Lindsay Joyce, MSN, RN, CNOR shares a personal travel story that unexpectedly reframed how she thinks about case cancellations by seeing them through the patient's perspective. Through delays, rebookings, confusion, and loss of control, she draws a powerful parallel between airline disruptions and the very real emotional, financial, and logistical impact a canceled case can have on patients and their families. This article is a timely reminder that while a cancellation may feel like a brief pause or even a coffee break for staff, it can be a major disruption for the patient. Clear communication, empathy, and transparency matter more than we sometimes realize. ------- Articles On-the-Go presents perioperative insights from written articles in a creative, easy to listen, audio format. Think audio book, meets busy Operating Room professional! #FirstCase #Podcast #OperatingRoom #Surgery #ArticlesOnTheGo #ornurse #scrubtech
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Operation Collaboration: Supply Chain - The Art and Science of Having What You Need
We're kicking off Season 18 of First Case with a topic that impacts every single case we run, but doesn't always get the spotlight it deserves: supply chain. In this season premiere, we're joined by Gary Skinner of Discover S3 Consulting to talk about what really happens behind the scenes to make surgery possible. From onboarding new surgeons and managing backorders to building trust, improving communication, managing expectations, and keeping the mission focused on the patient, this conversation makes one thing clear: when supply chain and the OR aren't aligned, everyone feels it. If you've ever scrambled for missing supplies, dealt with last-minute surprises, or wondered how these gaps could be avoided, this episode is for you. #operatingroom #supplychain #surgery #ornurse #nurse #scrubtech
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Christmas Eve in the OR
In this playful poem, Melanie highlights the hard work of those in the operating room, especially during the holiday season, and reminds us all that what we do every single day makes a difference in the lives of our patients. Happy Holidays! ------- Articles On-the-Go presents perioperative insights from written articles in a creative, easy to listen, audio format. Think audio book, meets busy Operating Room professional! #FirstCase #Podcast #OperatingRoom #Surgery #ArticlesOnTheGo #Christmas
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Thriving Through Uncertainty: Modern Approaches to Change Management
Happy Holidays! As we celebrate the season, we're giving you a special bonus episode of First Case featuring Phyllis Quinlan, RN, President and CEO of MFW Consultants. In this timely conversation, Phyllis shares powerful insights on navigating persistent uncertainty, reframing "change" as growth and evolution, and leading teams with empathy, clarity, and solidarity during unprecedented times. As we close out the year and look ahead to what's next, this episode offers practical wisdom for leaders and perioperative professionals facing ongoing change without losing sight of their mission or purpose. #operatingroom #ornurse #nurse #scrubtech #podcast
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Top 10: Orthopedic Surgery
Orthopedics is one of the busiest, and most equipment-intensive, service lines in health care. In this First Case Articles on the Go episode, Lindsay Joyce and Melanie Perry break down the Top 10 (plus one) foundational things every perioperative professional should know about working in orthopedic surgery. From nerve blocks and imaging to implants, positioning, labs, and dressings, this episode focuses on the universal essentials that set teams up for safe, efficient, and successful orthopedic cases. 🎧 Listen in for practical insights that help make orthopedics feel more manageable and a lot less intimidating. ------- Articles On-the-Go presents perioperative insights from written articles in a creative, easy to listen, audio format. Think audio book, meets busy Operating Room professional! #FirstCase #Podcast #OperatingRoom #Surgery #ArticlesOnTheGo #ornurse #scrubtech #orthopedics
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Top 10: Gynecology
Gynecology surgery presents unique challenges that require preparation, precision, and strong clinical awareness. In this new First Case: Articles on the Go episode, Lindsay Joyce, MSN, RN, CNOR, shares 10 essential insights every perioperative professional should know before stepping into a GYN case, from preventing nerve injuries and ensuring privacy to managing equipment and verifying complex specimens. If you support gynecology procedures or lead teams who do, this quick, practical rundown is worth your time. Here's what you need to know to set your team and your patient up for success!
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Blue Towels, Dirty Loupes, and… Perineal Fallout?!
In our season finale of First Case, we unpack two OR practices that many of us have seen (or done!), from adjusting surgical loupes with blue towels to the truly legendary myth of "perineal fallout." This episode blends humor, history, and evidence-based practice as we talk about why some habits stick, how outdated ideas persist, and what it means to stay lifelong learners in the perioperative space. If you're ready for a few laughs, a few gasps, and a lot of "lightbulb moments," join us for the wrap-up of a season dedicated to challenging old ideas and improving how we care for patients. #operatingroom #ornurse #scrubtech #surgery #podcast #perioperative
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Thanksgiving Top 10
It's hard to believe that Thanksgiving is next week! As we head into the holiday, it's a good time to reflect on the many things we're grateful for, both personally and professionally. In the latest First Case Articles on the Go, Melanie highlights a thoughtful (and relatable) Top 10 list of things we appreciate most about working in the operating room. 👉 Take a moment to listen to the full article and consider what you're most thankful for in your own practice this year! ----- Articles On-the-Go presents perioperative insights from written articles in a creative, easy to listen, audio format. Think audio book, meets busy Operating Room professional! #operatingroom #ornurse #scrubtech #thanksgiving #thankful
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60
The Truth About Instrument Reprocessing Times
This week on First Case, we're joined by Bobby Parker from Beyond Clean to tackle a major perioperative myth: instrument reprocessing is quick and easy. Using real workflow examples and years of SPD leadership experience, Bobby breaks down the full lifecycle of an instrument tray, from decontam to assembly to sterilization, and explains why a safe, compliant turnaround simply can't be rushed. Tune in to learn more about what really happens in sterile processing, why safe turnaround times matter, and how better OR–SPD collaboration can prevent delays and protect patients. #operatingroom #ornurse #scrubtech #sterileprocessing #nurse #mythbusters
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59
NPO After Midnight: Fact or Fiction?
We've all heard it: "Nothing to eat or drink after midnight." But what if that long-standing rule isn't the best thing for our patients? In this week's episode of First Case, we sit down with Lisa Spruce, Senior Director of Evidence-Based Perioperative Practice at AORN, to challenge one of the most ingrained habits in surgical care. Together, we'll walk through the research behind Enhanced Recovery After Surgery (ERAS) protocols, evidence-based practices designed to optimize patients before, during, and after surgery. From preoperative nutrition to multimodal pain management and early mobility, ERAS is helping teams across the country reduce complications, shorten recovery times, and improve outcomes. Tune in to learn: ✅ Why strict NPO after midnight is outdated ✅ How ERAS protocols enhance safety and satisfaction ✅ Practical steps for implementing evidence-based change in your facility Tune in to learn and together we can move past an old idea and implement evidence-based practices! #operatingroom #onnurse #ERASprotocols #podcast #scrubtech #surgery #bestpractice
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58
Surgeons, Supplies, and the Myth of Unlimited Choice
Behind every product on the OR shelf is a story of collaboration, evaluation, and evidence-based decision-making, not just a surgeon's request. This week we sit down with Joe Chua, OR Nurse and Value Analysis Professional from Dallas, Texas, to unpack the complex process of how surgical products make it from idea to implementation. Together, we'll explore the intersection of clinical practice and supply chain strategy, the importance of communication between teams, and the critical role of value analysis in supporting patient safety and financial stewardship. If you've ever wondered how product decisions are really made in healthcare, you won't want to miss this conversation. #operatingroom #supplychain #ornurse #scrubtech #podcast
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57
Who Do Scrubs Really Work Under? Busting A Common OR Myth
A long-standing myth in the operating room continues to circulate is that surgical technologists work under the license of the OR nurse. In this week's episode of First Case, we're setting the record straight. Tune in as we speak with Angel Pickett, Surgical Technology Program Director at Connecticut State Community College, Gateway Campus. Together, we'll explore: The education, training, and certification requirements for surgical technologists The true scope of practice and delegation under surgeon supervision How clear understanding of roles strengthens collaboration and teamwork in the OR This insightful conversation challenges misconceptions, promotes professional respect, and highlights how every member of the surgical team contributes to patient safety and excellence in care. Don't miss it! #operatingroom #ornurse #surgery #scrubtech #surgicaltechnologist #perioperative
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56
Battling Burnout in Nursing
In the high-stakes world of the operating room, precision, teamwork, and focus are essential, but so is taking care of ourselves. In this week's article, Melanie Perry explores the signs of burnout, its impact on patient safety, and shares practical steps every nurse can take to protect their mental health and preserve their passion for patient care. From recognizing early warning signs to building resilience and reclaiming balance, this article reminds us that we can't pour from an empty cup. Tune in now! #operatingroom #perioperative #ornurse #scrubtech #nurse #burnout
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55
Shellfish Allergy Does Not Equal Betadine Allergy
🦐 Shellfish Allergy ≠ Iodine Allergy! 🧴 For decades, perioperative teams have avoided iodine-based prep solutions for patients with shellfish allergies, but what if that long-held precaution wasn't necessary? In this week's episode of First Case, we're talking with Laila Bailey, Service Leader for Pediatrics and Urology at Inova Fairfax Hospital, about the myth linking shellfish allergies to iodine and Betadine. Laila shares her personal story, the history behind the misconception, and the research proving there's no real connection. 🎧 Tune in to bust the myth, protect your patients, and learn how questioning "what we've always done" can improve surgical care. #operatingroom #ornurse #scrubtech #surgery #evidencebasedpractice
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54
Eye-Opening Solutions: Rethinking Ophthalmology Practices with ONE TRAY
In the fast-paced world of ophthalmology, efficiency shouldn't come at the cost of best practice. The good news? There are proven solutions that eliminate risky practices while still keeping up with high case volumes. In this First Case Vendor Spotlight™, we sit down with Barbara Ann Harmer, Vice President of Clinical Services with ONE TRAY®/IST, to talk about ophthalmology, toxic anterior segment syndrome (TASS), and the dangerous shortcuts that some facilities still take to keep up with volume. Barbara shares eye-opening stories from her visits to facilities across the country, explains why interrupting sterilization cycles and carrying instruments between cases is not safe practice, and shows how ONE TRAY®/IST can be a solution. Don't miss this important conversation about protecting patients, preventing TASS, and breaking the cycle of unsafe practices in ophthalmology! For more information, you can email ONE TRAY®/IST at [email protected]. You can also follow them on LinkedIn and Facebook, and make sure to download their free PDF resource here!
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53
Working Outside Your Service Line, The More You Know
When was the last time you stepped outside your service line? In this week's Articles on the Go, Lindsey Joyce, MSN, RN, CNOR, shares her story of working outside her cardiac specialty, and the unexpected lessons that came with it. From scrubbing a gallbladder case to circulating a robotic procedure, Lindsey reminds us that staying well-rounded isn't just good for our patients, it's essential for our careers. Working in the operating room is full of surprises. Keeping your skills sharp across specialties helps you stay flexible, confident, and ready for whatever comes next. 🎧 Listen now! ----- Articles On-the-Go presents perioperative insights from written articles in a creative, easy to listen, audio format. Think audio book, meets busy Operating Room professional! #operatingroom #ornurse #scrubtech #surgery #perioperative
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52
Room Temp Reality: Evidence, Guidelines, & Practice
Is a cold OR really better for patient infection prevention, or is it just another myth we've been holding onto for too long? In this week's episode, we're joined by Garret Hollenbeak, System Infection Preventionist at Bon Secours Mercy Health and Editor-in-Chief of our sister podcast, Transmission Control. Together, we dig into the science behind temperature management in the OR, breaking down the difference between room temperature and patient temperature, the importance of maintaining normothermia, and how factors like humidity, staff comfort, and infection prevention all connect. We'll also discuss how teamwork between infection prevention and OR staff is essential for keeping patients safe. 🎧 Tune in to hear why a "cold" OR might not be as protective as you think, and how evidence-based practice helps us strike the right balance between comfort, safety, and outcomes. #operatingroom #ornurse #scrubtech #infectionprevention #patientsafety #podcast
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51
Covering Back Tables: Myths, Risks, & Best Practices
"You can't cover your back table!" or can you? 🤔 For years, many of us were taught that covering a back table was never allowed. But AST and AORN guidelines say otherwise, as long as it's done correctly. Join Melanie Perry and Chris Blevins as they kick off a brand-new season of First Case by busting this long-standing myth. They'll dive into when covering a back table is appropriate, how to do it safely, and why understanding the why behind the practice matters for every surgical team. Tune in to the Season 17 premiere now! #operatingroom #ornurse #perioperative #podcast #scrubtech #surgicaltechnologist
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ABOUT THIS SHOW
Clock in, scrub up, and join us behind the red line. We are First Case – an operating room podcast bringing you exciting interviews, engaging discussions, and innovative solutions that are changing the way patients receive surgical care. Each episode we talk to frontline staff, perioperative leadership, and nursing entrepreneurs from across the country as they share their stories, experience and expertise on an industry we love.From the back table to the board room, from wheels in to wheels out. -- we tackle the real-life issues affecting the OR. Whether you're tuning in for surgical service education or inspiration, we're glad you're here. And now, it's time to roll back, and start the First Case…
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