OR management

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Who is in charge of running the OR/board in your facility (managing add ons, opening rooms, etc)? Is it Anesthesia? Periop nursing? Some combination?
Always a combo at the places I've been at. Anesthesia needs to make sure we have staff and nurses need to make sure they have staff as well.
 
And do you find that it works well? Or do you feel like there is constant tension/pulling teeth to get stuff done?
 
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