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CNOR Certification: Pathway to Excellence


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Certification validates the patient care provided by the perioperative nurse committed to professional excellence. Join CCI to learn more about how earning the CNOR credential can benefit you, your patients, and your workplace. Eligibility requirements, successful study strategies, and test question analysis are discussed. The session concludes with a question and answer segment with CCI staff.

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CNOR Certification: Pathway to Excellence

  1. 1. + Pathway to Excellence CNOR Certification
  2. 2. +We are conducting a sound test. Please type in the chat box if you CANNOT hear the speaker.
  3. 3. + HOUSEKEEPING DETAILS Submit questions via the Chat feature found at the lower right hand corner of your screen. Questions will be answered after the webinar.  If you need additional information or support, please call us at 888-257-2667. Our office is open 8-4, MST
  4. 4. + YOUR HOSTS FOR TONIGHT’S PRESENTATION  Jim Stobinski, PhD, RN, CNOR, CSSM Director,Credentialing and Education  Julie Mower, MSN, RN, CNS, CNS-CP, CNOR and  DawnWhiteside, MSN, RN, CNOR, RNFA Nurse Managers, Credentialing and Education Development
  5. 5. + OBJECTIVES 1. Review eligibility requirements for CNOR certification. 2. Examine elements of the CNOR exam. 3. Discuss successful study strategies using recommended test prep materials. 4. Explore strategies for answering multiple-choice questions. 5. Describe the application process. 5
  6. 6. + CNOR CERTIFICATION CNOR Certification is defined as: The documented validation of the professional achievement of identified standards of practice by an individual registered nurse providing care for patients before, during and after surgery. 6
  7. 7. + CNOR ELIGIBILITY CRITERIA  Licensed as a RN in the country where currently practicing perioperative nursing.  Completed a minimum of two years and 2,400 hours of perioperative nursing practice in an administrative, teaching, research, or general staff capacity.  At least 50%, or 1,200 hours, must be in the intraoperative setting.  Must be currently working either full- or part-time in a perioperative nursing role. 7
  8. 8. + CNOR EXAM  200 multiple choice questions  3 hours and 45 minutes to complete the test  Updated annually to reflect current perioperative guidelines  Administered by an independent testing company, Prometric  May be taken Monday through Saturday, excluding holidays, at test centers nationwide 8
  9. 9. + RESOURCES
  10. 10. + CNOR EXAM CONTENT (information is subject to change) Subject Area % of Questions 1. Preoperative Patient Assessment and Diagnosis 12% 2. Develop Individualized Plan of Care 10% 3. Intraoperative Activities 27% 4. Communications 10% 5. Transfer of Care 6% 6. Cleaning, Disinfecting, Packaging and Sterilization 9% 7. Emergency Situations 11% 8. Management of Personnel Services and Materials 6% 9. Professional Accountability 9% Total 100%
  11. 11. + EXAM PREPARATION TEXT BOOKS  Current edition ofAORN’s Guidelines for Perioperative Practice  Perioperative reference books  Rothrock, J.C. (Ed.). (2015). Alexander’s care of the patient in surgery (15th ed.). St. Louis, MO: Elsevier. or  Phillips, N. (Ed.). (2017). Berry and Kohn’s operating room technique (13th ed.). St. Louis, MO: Elsevier. 11
  12. 12. + OPTIONAL REFERENCES  Pathophysiology textbook  Medical dictionary  Lab/ diagnostic test reference manual  Drug reference-check hospital formulary or Epocrates at  AORN Journal  AAMI standards  Websites  The Joint Commission at  CDC at 12
  13. 13. + CCI’s FREE CNOR RESOURCES  CNOR Candidate Handbook  CNOR Study Plan  Readiness to test survey  Sample CNOR exam questions  CCI Staff  Webinars
  14. 14. + CCI EXAM PREP MATERIALS • The Official CNOR Exam Prep • CNOR Flashcards • CNOR Practice Exam • CNOR Ultimate Study Kit • CNOR Instructor’s Kit There is no requirement to purchase CCI test preparation products to take the CNOR certification examination. The purchase of CCI products cannot guarantee a better result on the CNOR certification examination.
  16. 16. + TIME-SAVING TIPS Do a self-assessment; build on what you already know, rather than starting from the beginning. Use the subject areas to organize your study plan. Start with the subject areas with the highest % of questions or areas that are least familiar. 16
  17. 17. + STUDY TIPS  Recommended study time prior to exam: 3 months.  Turn off text messages,TV, and e-mail while you study.  Break content and time into bite-size chunks.  Review, review, review.  Be able to apply broad concepts versus memorizing facts and figures.  Practice by taking multiple choice-style exams. Adapted from: Shellenbarger, Sue. Toughest Exam Question: What is the Best Way to Study? Wall Street Journal, 26 OCT 2011, pp. D1, D2. 17
  19. 19. + COMPONENTS OF A MULTIPLE CHOICE QUESTION  Stem  Will provide all the information needed to answer the question.  Question may be either:  open-ended (fill in the blank) or  close-ended (ends with a question mark) 19
  20. 20. + ADDITIONAL GUIDELINES Four options with only ONE correct answer. Other three options are distractors, which are possible but not correct. No true/false, multiple-multiple choice, calculations requiring a calculator. Pay attention to words such as “first”, “best”, or “most”
  21. 21. + COMMON TEST-TAKING ERRORS “Reading into” the stem. “Overthinking”-using experience beyond 2 years Taking too much time/question. Missing the quantifier. Changing answers to multiple questions. Expecting the same questions on the exam that were on the practice tests/flash cards. 21
  22. 22. + COMMON ERRORS CONT. Answering questions based on past experience or facility’s present practice that is not evidence- based. Using “tricks” (e.g., choose B, longest option, shortest option, etc.) 22
  23. 23. + SAMPLE QUESTION 1 The patient population which accounts for the greatest number of eye muscle procedures is: A. Pediatric B. Adolescent C. Adult D. Geriatric 23
  24. 24. + ANALYSIS OF TEST QUESTION What did you need to know to answer this question? If you were unfamiliar with the content of this question, where could you go to find out more information ? Why were the other options incorrect? Type your answers in the chat window! 24
  25. 25. + ANSWER QUESTION 1 Correct answer is: A. Pediatric Rationale: Strabismus correction requires early recognition and is the third most common performed pediatric procedure between the ages of 6 months and 6 years. Reference: Phillips, Nancy. (2017). Berry and Kohn’s Operating room technique, p. 142. St. Louis: Elsevier. 25
  26. 26. + SAMPLE QUESTION 2 The most effective way to evaluate a patient’s comprehension of her upcoming surgery is to: A. have the patient describe the procedure in her own words. B. witness her signing her consent form. C. ask yes/no questions. D. document that the patient has received a patient education brochure. 26
  27. 27. + ANALYSIS OF TEST QUESTION How did you choose which answer you thought was correct? Why were other options incorrect? Type response in chat window. 27
  28. 28. + ANSWER QUESTION 2 Correct answer is: A. have the patient describe her procedure in her own words. Rationale:To evaluate understanding, have the patient repeat in her own words what has been explained. Reference: Phillips, N. (2017). Berry and Kohn’s operating room technique, p. 371. St. Louis: Mosby. 28
  29. 29. + SAMPLE QUESTION 3 The perioperative nurse discovers that a sponge is missing during the closing count for a left lung lobectomy.The nurse’s first action would be to: A. repeat the count. B. notify the surgeon. C. document the count as incorrect. D. notify the supervisor. 29
  30. 30. + ANALYSIS OF THE TEST QUESTION Prioritization: All of the options could have been correct-how did you choose your answer? Why were the other options incorrect?  Type response in chat window. 30
  31. 31. + ANSWER QUESTION 3 Correct answer is: B. notify the surgeon. Rationale:The RN circulator should inform and receive verbal acknowledgement from the surgeon and surgical team as soon as a discrepancy in a surgical count is identified. Reference: AORN. (2016). Prevention of retained surgical items. In Guidelines for perioperative practice, p. 396. Denver, CO: Author. 31
  33. 33. + to-apply-cnor
  34. 34. + INFORMATIONYOU WILL NEED  Personal contact information: address, email, home and work phone numbers  Birth year  Last four digits of your Social Security number  RN license information: issue date, state(s) licensed to practice  Highest degree earned  Supervisor contact information: name, address, email, phone number  Perioperative work history: last two years, date began working in the OR, current position, and current practice area  AORN membership information (if applicable): member ID, username, and password  Employer contact information: facility name, address, and phone number  Payment
  35. 35. + 2017 CNOR APPLICATION FEES $395 Regular $335 AORN member Please check our website for additional information. Fees are subject to change without notice. 35
  36. 36. + DEADLINES FOR TESTING Apply and pay one month prior to the three month testing window (e.g., if you apply in January then you can test in February, March, or April). Once your paid application is approved, you can schedule a date, time, and location that are convenient for you. 36
  37. 37. + TAKE TWO  The fee for an individual to purchase two opportunities to take the CNOR exam in a 12-month period is $445.  Facilities may register multiple nurses at a reduced rate. The fee for facilities who register a minimum of five (5) CNOR-eligible nurses is $395 per participant.  Check with your facility to see which option is best for you.  Learn more at
  38. 38. + IMPORTANT RECERTIFICATION INFORMATION At the end of your 5-year cycle, you must apply for recertification by one of the following methods: Contact hours (125) Points (300) Exam
  39. 39. + ACCRUAL PERIOD FOR CONTACT HOURS/POINTS CNOR Credential Valid Accrual Period for Recertification Activities Discounted Application Fee Final Date to Recertify 2017 – 2022 1/1/17 – 12/31/21 7/1/22 12/31/2022 2018-2023 1/118-12/31/22 7/1/23 12/31/2023
  40. 40. + RECORDINGS Recorded sessions will be available via our YouTube Channel at Qls7-KAytxqtJA (link at the top right hand side of our website) and on our website at 40
  41. 41. + UPCOMING CCI WEBINARS: 2017 All webinars are held live at 1700 MountainTime. Register on our website at  Jan. 19: CNOR Recertification: MaintainingYour Credential  Feb. 2: CSSM Certification:The Next Step for Surgical Services Managers  Feb. 8: CNOR Certification: Pathway to Excellence 41
  42. 42. + Please know that CCI staff is here to help you achieve your goal of CNOR certification. Jim Stobinski Julie Mower Dawn Whiteside 42