CNOR Perioperative Nursing Test Guide
*What is Perioperative Nursing?*
*AORN Domains of Concern*
PNDS
What it is & Nursing Application
RNFA
What it is & Nursing Application
*Surgical Assistant*
*Scrub Person*
Following 4 areas are emphasized in the AORN Patient-Focused
Model:
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:*
- *Perioperative Nursing Data Set* (PNDS)
- Standardized nursing vocabulary for diagnoses, outcomes, and
implementations r/t perioperative nursing
- Focus is on prevention of problems instead of identification of
problems
*Nursing Application:*
The PNDS, 3rd edition, contains *44* nursing diagnoses, *53*
interventions, and *40* nurse-sensitive patient outcomes.
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.
*What it is:*
- *Registered Nurse First Assist* (RNFA)
- Expanded role that includes direct assistance to the surgeon
during the intraoperative phase
- Not considered an "advanced practice" role
*Nursing Application:*
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 qualifications are noted in the
AORN Position Statement on RN First Assistants.
- 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, medical 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
- 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