1. E D U C AT I O N A L I N F O R M AT I O N
PERIOPERATIVE NURSING
DATA SET (PNDS)
2. WHAT DOES PNDS STAND FOR?
PNDS stands for:
• P- Perioperative
• N- Nursing
• D- Data
• S- Set
(AORN,2013)
3. HISTORY OF PNDS
• Standardized nursing language used to capture nurses
documentation of patient data
• Recognized by the American Nurses Association and
registered in the National Library with a Health Level 7
• Mapped in the International Classification for Nursing Practice
(ICNP) and the Systematized Nomenclature of Medicine
Clinical Terms (SNOMED CT)
• Published in 2011 by the Association of Perioperative Nurses
(AORN)
4. OVERVIEW OF PNDS
• Composed of nursing interventions and outcomes
• Generates data used to promote continuity of:
• Perioperative care
• Devise procedures and policies
• Assist in decision-making
• Drive clinical research
• Enables consistent, meaningful data collection used for:
• Analyzation and reporting of quality metrics
• Perioperative best practices
5. HOW NURSES CAN USE PNDS?
• Nurses can use PNDS by:
• Imputing patient data into the electronic health record system
(EHR) pre admission through discharge
• Utilizing specific perioperative nursing terms, diagnosis, interventions
and outcomes
• Through this Perioperative nurses improve patient
outcomes by validating specific nursing interventions and
outcomes
6. HOW DOES IT EFFECT NURSES WORK
FLOW?
Assessment
Patient ID
Procedure
Nursing
Diagnosis
Outcome
Implement/
Interventions
Evaluation
Metrics
Outcome
Identification
YE
S
NURSE WORK FLOW
(AORN,2013)
7. LETS SHOW YOU SOME EXAMPLES OF
HOW PNDS WILL WORK AT YOUR
FACILITY
HINT: PNDS DOES NOT ADD EXT RA T IME TO YOUR WORK
LOAD
8. E X A M P L E 1
BEHIND THE SCENES EXAMPLE OF HOW PNDS WORKS
(AORN,2013)
9. E X A M P L E 2
BEHIND THE SCENES EXAMPLE OF HOW PNDS WORKS
(AORN,2013)
10. E X A M P L E 3
BEHIND THE SCENES EXAMPLE OF HOW PNDS WORKS
(AORN,2013)
11. NURSE WORK FLOW AND PNDS
Assessment
Patient ID
Procedure
Nursing
Diagnosis
Outcome
Implement/
Interventions
Evaluation
Metrics
Outcome
Identification
YE
S
A.20 Assesses the
risk for
unintended/retained
foreign body
O.20 Patient is free
from unintended
retained foreign
object
00035
Risk for injury
iIm.20
Performs required
counts
E.50
Evaluates the
results of surgical
count
NURSE WORK FLOW
(AORN,2013)
12. PNDS STANDARDIZATION
PNDS is mapped to SNOMED CT reference terminology
model to support the electronic exchange of perioperative
nursing data.
In addition, PNDS is also mapped to
ICD-9 & ICD-10
With over 1700 standardized
procedure lists
Linking PNDS to other terminologies allows for further
development of nursing knowledge
(Westra et al, 2008)
13. AN EXAMPLE OF AORN PROCEDURE
LIST CODES
AORN
NAME
AORN
SYNONYM
CPTs ICD9s SCT_IDs
Amputation
Arm Lower
Lower Arm
Amputation
25905,25900 84.05 400136002
Bypass Graft
Coronary
Artery
Coronary
Artery Bypass
Graft (CABG)
33533,33534,
33535,33536,
33510,33511,3
3512,33513,3
3514,33517
36.14,36.11,
36.13,36.12,
36.17,36.10,
36.16,36.19,
36.15
232717009
(AORN,2013)
14. WHY USE PNDS?
Making the decision to incorporate PNDS into the EHR will
only improve:
Clinical
Practice
Education
Decrease
Cost
Stimulate
future
research
Successful implementation of the PNDS as a standardized
nursing language is necessary to measure ongoing care,
plan improvements, and develop best practices.
16. References
Association of Perioperative Registered Nurses (AORN) (2013). The AORN Syntegrity Framework. Retrieved from
http://www.slideshare.net/aornsocialmedia/the-aorn-syntegrity-framework-for-web
Association of Perioperative Registered Nurses (AORN), 2011. Perioperative Nursing Data Set
(PNDS). Denver, CO: AORN.
Childs, S., Blenkinsopp, E., Hall, A., & Walton, G. (2005). Effective e-learning for health
professionals and students-barriers and their solutions. A systematic review of the literature-findings from the HeXL project.
Health Information and Libraries Journal, 22(s2), 20-32. doi:10.1111/j.1470-3327.2005.00614.x
Hunter, M., & Bickford, C. (2011). The practice specialty of nursing informatics. In V. K. Saba
& K. A. McCormick (Eds.), Essentials of Nursing Informatics, 5th ed. New York, NY:
McGraw Hill Medical.
Introduction to the Perioperative Nursing Data Set. (n.d.). Retrieved May 6, 2016 from
https://www.aorn.org/aorn-org/education/individuals/continuing-education/online-courses/introduction-to-pnds
Lundberg, C., Warren, J., Brokel, J., Bulechek, G., Butcher, H., McCloskey Dochterman, J., …
& Giarrizzo-Wilson, S. (2008). Selecting a Standardized Terminology for the Electronic
Health Record that Reveals the Impact of Nursing on Patient Care. Online Journal of
Nursing Informatics (OJNI), 12, (2).
Morton, P., Peterson, C., Chard, R., Kleiner, C. (2013). Validation of the Data Elements for the
Health System Domain of the PNDS. AORN Journal, 98(1), 39-48.
Petersen, C., & Kleiner, C. (2011). Evolution and Revision of the Perioperative Nursing Data
Set. AORN Journal, 93(1), 127-132.
17. References cont.
Saba, V., & McCormick, K. (2011). Initiation and Management of Accessible, Effective
Online Learning. In Essentials of Nursing Informatics (5th ed.) (p. 547). Chicago, IL: McGraw-Hill Medical.
Sengstack, P. & Boicey, C. (2015). Mastering Informatics: A Healthcare Handbook for Success.
Indianapolis, IN: Sigma Theta Tau International.
Stanton, C. (2010). Implementing Health IT. AORN Journal, 92(6S), S81-83.
Westra, B., Bauman, R., Delaney, C., Lundberg, C., Peterson, C. (2008) Validation of Concept
Mapping Between PNDS and SNOMED CT. AORN Journal, 87(6), 1217-1229.
White, J. (2012). Perioperative Nursing Data Set (revised 2nd ed.). Retrieved from
www.sisfirst.com.
