Perioperative Nursing Certified 2024 Exam
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[Author name] [Date] [Course title]
,1. *What is Peri-
operative
Nurs- ing?*
2. *AORN
Following 4 areas are emphasized in the
Domains of
AORN Pa- tient-Focused Model:
Concern*
1) *Patient safety*: right patient, right site, limb
padding, grounding
2) *Physiologic responses*: VS, allergic rxns, UOs
3) *Behavioral responses*: anxiety,
depression, fear, delirium, agitation
4) *Health System*: collaboration,
multidisciplinary plan of care
*What it is:*
3. PNDS
- *Perioperative Nursing Data Set* (PNDS)
What it is &
- Standardized nursing vocabulary for
Nurs- ing
diagnoses, out- comes, and implementations
Application
r/t perioperative nursing
- Focus is on prevention of problems instead of
identifica- tion of problems
*Nursing Application:*
The PNDS, 3rd edition, contains *44* nursing
diagnoses,
*53* interventions, and *40* nurse-sensitive
patient out- comes.
However, a periop nurse may also identify and
include additional relevant patient outcomes.
In other works, the PNS should be used as a
guide, not as a limitation.
4. RNFA
*What it is:*
What it is &
- *Registered Nurse First Assist* (RNFA)
Nurs- ing
- Expanded role that includes direct assistance
Application
to the surgeon during the intraoperative
phase
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,- Not considered an
"advanced
practice" role
*Nursing
Application:*
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, The RNFA functions under the surgeon's
supervision, and may even be an employee by
the surgeon instead of the facility as part of
surgical practice. The RNFA qualifi- cations are
noted in the AORN Position Statement on RN First
Assistants.
5. *Surgical
Assis- tant* - May be an RNFA, a PA, a resident, or another
surgeon
- Part of the sterile surgical team
- Practice of the assistant is governed by the
state, med- ical board, nursing board, and
hospital policy, among other regulatory bodies
- *Duties may include:*
~Suctioning the wound
~Exposing the operative site
~Handling tissue samples or organs
~Suturing
6. *Scrub Person* - May be an RN, LPN, or surgical tech
- Part of sterile surgical team
- Works with equipment and instruments
- *Duties include:*
~Gathering correct surgical kits for the procedure
~Establishing and maintaining the sterile field
~Placing instruments and supplies within the
sterile field
~Anticipating needs of the surgical team
~Performing surgical counts of sponges,
instruments, etc.
~Preparing used instruments for terminal
sterilization
7. *Circulating - Usually a nurse functions in this role due to its
Nurse* elements of assessment and teaching
- Part of the non-sterile surgical team
- Functions as care coordinator in the
intraoperative phase
- *Duties include:*
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