The Perioperative Nursing Role

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The Perioperative Nursing Role

• January 12th, 2009

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Humour is good
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Perioperative Nursing

• RNs RPNs
• Certificate program offered at various colleges
• CNA certification
• 6 month orientation

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Operating Room Nurses Association of Canada
(ORNAC)

• Recommended standards, guidelines and position
  statements for perioperative registered nursing
  practice

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Perioperative Nurse

• Gatekeeper to infection
• Patient advocate
• Team player in a multidisciplinary team
• Promotes a safe environment
• Critical thinker

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Scrub Nurse

• Checks the surgeons preference card for special
  needs/requests.
• Performs surgical hand scrub, dons sterile gown
  and gloves
• Arranges sterile instruments, other sterile
  supplies and completes sterile draping of
  equipment
• Performs pre-surgical counts with circulating RN
  prior to initial incision.
• Anticipates the procedural steps in accordance
  with the surgeons preferences and needs for
  supplies and equipment during the case.

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Scrub Nurse

• Controls instruments, sutures, needles during the
  case and performs the count procedure with the
  Circulating Registered Nurse and accounts for all
  items on the sterile field.
• Follows safety measures, e.g., handling and
  disposing of sharps to prevent injury. Handles
  delicate items carefully and cautiously so as to
  prevent damage.
• Promptly reports any break in technique and
  follows appropriate measures to correct action.
• Assists with application of sterile dressing.

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Circulating Nurse

• To give direct patient care including emotional
  support, physical care as well as provision of
  safety and confidentiality.
• To direct and co-ordinate activities of the
  Operating Room Suite.
• To provide patient advocacy.
• Assist in the preparation of the OR Suite for the
  day by assembling required anaesthetic equipment,
  IVs, anaesthesia drugs, positioning aids /
  padding, etc.

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Circulating Nurse

• Demonstrates knowledge regarding methods of
  external and invasive monitoring and is aware of
  location of emergency equipment.
• Receives, assesses, identifies patient, verifies
  consent and checks chart for completeness.
  Reviews and signs pre-operative preparation
  record.
• Assists the anaesthetist and surgeons with
  positioning and placement of protective padding
  pre, intra and post operatively.
• Calls a timeout
• Observes progress of surgery, anticipates needs
  of surgical team and keeps record of counted
  supplies.

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Circulating Nurse

• Uses surgical conscience to maintain and monitor
  the integrity of the sterile field.
• Documents accurately the nursing, surgical and
  other health care team activities during the
  perioperative phase.
• Accompanies anaesthetist and patient to PACU and
  gives pertinent report or enhances anaesthetists
  report.

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Surgical Conscience

• Intuition
• Facts
• Desire for the very best outcomes for our
  patients
• advocacy

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