1. Perioperative Clinical Student Nurse Worksheet
Accomplished
Goals Yes No N/A
(Write in these boxes your own goals/objectives)
By the end of my clinical Day, I will be able to identify
Team member roles
I will be able to state (3) age specific interventions
used by the nursing staff in the perioperative area
What do I want out of this experience?

2. Questions:_______________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
____
Reflection:_(What did I learn about nursing and caring in the perioperative role?)
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_____
If I could repeat this observation day, I would:
_______________________________________________________________________
_
_______________________________________________________________________
_______________________________________________________________________
__
My recommendations for future nursing students and staff:
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
___
Questions for post-observation:
1. How did you interpret the role of the circulating RN, Pre-op RN, PACU RN?
2. Did you witness caring?
3. How would you describe the different team roles to another student who has not been
in the Perioperative area?
4. What questions did this experience prompt and who would you approach to answer
these questions?
5. What one thing did you learn about Perioperative nursing from this observation?
6. How was this observation day valuable for your future nursing career?
7. What are the financial considerations for the team? Nurse?
Resources
American Board of Perianesthesia Nurse Certification -www.abpanc.org
American Society of PeriAnesthesia Nurses-www.aspan.org/

3. Association of periOperative Registered Nurses-www.aorn.org
Certification and Competency Education Programs-www.cc-insitute.org
Society of Gastroenterology Nurses-www.sgna.org/
References:
AORN (2014). Perioperative nursing data set. Retrieved from
http://www.aorn.org/NursingDataSet/
AORN. (2017). Guidelines for Perioperative Practice. Denver, CO: AORN Inc.
Blumberg, P. and Weirner, M. (2008). Developing learner-centered teaching: A practical
guide for faculty.San Francisco:Jossey-Bass.
Kinosis, LTD. (2017). TouchSurgery. Retrieved from https://www.touchsurgery.com/?
gclid=CKXzn87l2dECFU4HhgodAJ8HYA
Phillips, N. (2017). Berry & Kohn’s Operating room technique, ed. 13, St. Louis: Mosby.
Rothrock, J. (2015). Alexander’s care of the patient in surgery, ed. 15, St. Louis: Elsivier/
Mosby Co.
Austin, E. 2017/OR