Discover what it takes to be a Perioperative Clinical Nurse Specialist. This presentation is from AORN's webinar which describes the role of the perioperative CNS, RN. Receive 0.5 contact hours by registering for the webinar replay and successfully completing the evaluation. The webinar is available at http://bit.ly/1aROqKI.
Interested in obtaining the new CNS-CP nursing credential? Learn valuable test-taking strategies and more through a CNS-CP Certification Exam Preparation Course: http://bit.ly/GQ5Yy0.
evidence based practice is the most recent development of the research world. in nursing the utilization of the research is very limited as it contribute to a lots of factors. here i have discussed about the ebp in brief. this is just an short and concise form of the real matter so read extensively for more knowledge.
Simulation training in medicine and technology managementMCH-org-ua
Presentation by the Ukrainian-Swiss Mother and Child Health Programme at 2nd Regional Health Technology Management Worskhop (April 10-11, 2014, Chisinau, Moldova)
at the end of this lecture, the learner will be able to Define the three phases of perioperative nursing.
Identify the members and functions of the surgical team.
Describe the principles of surgical asepsis.
Differentiate the three phases of post-anesthesia care.
Identify measures to manage postoperative complications.
evidence based practice is the most recent development of the research world. in nursing the utilization of the research is very limited as it contribute to a lots of factors. here i have discussed about the ebp in brief. this is just an short and concise form of the real matter so read extensively for more knowledge.
Simulation training in medicine and technology managementMCH-org-ua
Presentation by the Ukrainian-Swiss Mother and Child Health Programme at 2nd Regional Health Technology Management Worskhop (April 10-11, 2014, Chisinau, Moldova)
at the end of this lecture, the learner will be able to Define the three phases of perioperative nursing.
Identify the members and functions of the surgical team.
Describe the principles of surgical asepsis.
Differentiate the three phases of post-anesthesia care.
Identify measures to manage postoperative complications.
Lecture on Professionalism in Medicine, prepared and presented by Dr. Mohamed Alrukban and Dr. Ghaiath Hussein for 4th year medical students in the Medical Ethics Course on Monday Febraury 5, 2012.
Strategic priorities in Patient Safety. Philip Hassen. IV International Conference on Patient Safety. (Madrid, Ministry of Health and Consumer Affairs, 2008)
Values are enduring beliefs or attitudes about the worth of a person, object, idea, or action. Values are important because they influence decisions and actions, including
Nurses ethical decision making.
Nurses who understand how patients’ values and their own values shape nurse-patient interactions, and who continually develop sensitivity to the ethical dimensions of nursing practices, are best able to provide quality care and advocate for their patients.
reflection on a conflict situation
critical thinker
critical care
decision maker
analyzing and reflecting on a conflict or any situation being an advocate of a patient how to protect the patients right of right and fair care.
Learn about the principles behind the surgical checklist and the evidence for adopting the checklist and how one NHS Board has applied the checklist to their surgical theatres and how another has expanded the checklist principle to other areas.
Lecture on Professionalism in Medicine, prepared and presented by Dr. Mohamed Alrukban and Dr. Ghaiath Hussein for 4th year medical students in the Medical Ethics Course on Monday Febraury 5, 2012.
Strategic priorities in Patient Safety. Philip Hassen. IV International Conference on Patient Safety. (Madrid, Ministry of Health and Consumer Affairs, 2008)
Values are enduring beliefs or attitudes about the worth of a person, object, idea, or action. Values are important because they influence decisions and actions, including
Nurses ethical decision making.
Nurses who understand how patients’ values and their own values shape nurse-patient interactions, and who continually develop sensitivity to the ethical dimensions of nursing practices, are best able to provide quality care and advocate for their patients.
reflection on a conflict situation
critical thinker
critical care
decision maker
analyzing and reflecting on a conflict or any situation being an advocate of a patient how to protect the patients right of right and fair care.
Learn about the principles behind the surgical checklist and the evidence for adopting the checklist and how one NHS Board has applied the checklist to their surgical theatres and how another has expanded the checklist principle to other areas.
This presentation is from an AORN webinar that helps guide perioperative team members through the evidence appraisal and rating process using the AORN appraisal tools and evidence-rating model. The webinar replay is available for free at http://bit.ly/1i9r4En. Get the 2014 edition of Perioperative Standards and Recommended Practices at http://bit.ly/1bJmXAT.
Experience with the implementation of the WHO checklist and briefing in the operating theatre. Krishna Moorthy. IV Internacional Conference on Patient Safety. (Madrid, Ministry of Health and Consumer Affairs, 2008)
Contents :
Anesthesiology instruments
General features of anesthetic instruments
Anesthetic cylinders
Pin index
Anesthetic gases
Anesthetic machines and circuits
Mapleson system
Oxygen control devices
Devices for co2 absorption
Dead space
Endotracheal tube
Laryngoscopy and endotracheal intubation
Nasotracheal intubation
Laryngeal mask airway
Trendelenberg position
General features of monitoring during anesthesia
Central venous pressure monitoring
Pulmonary artery catheter
Capnogram
Anesthetic complications
Air embolism
Respiratory complications
Malignant hyperthermia
Intraoperative and postoperative complications
Resuscitation
Mendelson syndrome
Hypothermia in anesthesia
Clinical anesthesia
History of anesthesia
Stages of anesthesia
Preanesthetic assessment
Pediatric anesthesia
Anesthesia in head injury
Cardiovascular anesthesia
Anesthesia in ent
Obstetric anesthesia
Anesthesia in orthopedics
Respiratory anesthesia
Day care anesthesia
Drugs of anesthesia
Preanesthetic drugs
General features of anesthetic drugs
Inhalational anesthetics
Minimum alveolar concentration
Partition coefficient
General features of inhalational anesthetics
Xenon
Nitrous oxide
Trilene
Ether
Helium
Chloroform
Halothane
Enflurane
Isoflurane
Desflurane
Sevoflurane
Methoxyflurane
Intravenous anesthetics
General features of intravenous anesthetics
Propofol
Ketamine
Thiopentone
Etomidate
Local anesthetics
General features of local anesthetics
Bupivacaine
Lignocaine
Prilocaine
Cocaine
Procaine
Bier’s block/IVRA
Peribulbar and retrobulbar block
Stellate ganglion block
Brachial plexus block
Celiac plexus block
Neuromuscular blockers
General features of neuromuscular blockers
Depolarising muscle relaxants – Succinly choline
Features of non depolarizing muscle blockers
D-tubocurarine
Pancuronium
Vecuronium
Mivacurium
Atracurium
Gallamine
Alcuronium
Spinal, epidural and caudal anesthesia and pain management
Splanchnic block
Neuraxial blockade
Spinal anesthesia
Epidural anesthesia
Caudal anesthesia
Other blocks
Pain
General features of pain
Assessment of pain
Analgesic drugs
For more details, visit www.medpgnotes.com
You can send your queries to medpgnotes@gmail.com
Discover evidence-based practices to prevent sharps injuries and to reduce blood borne pathogen exposure to perioperative patients and personnel. This presentation is from a recent AORN webinar. Listen to the replay for free at http://bit.ly/1asAKXx. When registering for the replay, you can also earn one contact hour through June 27, 2014.
Purpose of the call:
•Review current data and state of the SSCL
•Discuss the role of communications and team work in patient safety
•Discuss and define how we can measure the effectiveness of the SSCL.
Read more and watch the webinar recording: http://bit.ly/1sXDqaZ
Learn about AORN's recommended practices for surgical attire in the perioperative setting. This presentation is from a webinar on August 8, 2012. Listen to the webinar for free to learn more, and you can also earn 1.0 contact hour: www.aorn.org/PreviouslyRecordedWebinars
Cleaning: It’s everyone’s responsibility. Review environmental cleaning procedures for all perioperative patient care areas (preoperative, OR, postoperative, and sterile processing). This information was originally shared in an AORN webinar, which is also available for free on demand at http://bit.ly/IHTNnp. One contact hour is available for the webinar through November 13, 2014. Learn more about AORN educational events at www.aorn.org/Events.
The correct application of the safety check steps in our routine theatre operations and procedures will greatly reduce surgically related mortality and morbidity.
You have the right to work in an environment that is safe. Lateral violence continues to be a recurring topic in health care discussions. Learn the most common types of bullying encountered in our workplace and the best ways to respond in this presentation from a recent webinar. You can also access the webinar replay (http://bit.ly/1cs44w8) and earn one contact hour through November 21, 2014. Learn more about AORN events at www.aorn.org/Events.
Leveraging Patient Support Programs in Biologic-Biosimilar Competitive LandscapeAlex Xiaoguang Zhu
Biologics are facing intense competition from biosimilars. In this competitive landscape, strategic levers for both branded biologics and biosimilars typically include payor strategy, promotion and new formulation. As patients become more engaged and patient-centricity is on the rise, there is an increased opportunity to leverage patient support programs as additional strategic lever. This presentation will cover five key learnings that we have uncovered while conducting multi-phase patient support program research for both branded biologics and biosimilars.
Creating value through patient support programsSKIM
How do we become more patient-centered as an organization? How do we ensure the patient/caregiver experience is as optimal as possible?
These are the questions that are being poised to healthcare market researchers in today’s healthcare landscape. And typically healthcare market researchers are turning to methods like “patient journeys” and “patient personas” to help bring that patient-centered understanding to the organization. Problem is … in order to be truly patient-centered, you need to take this charge on from the inside out.
Experience, Design and Innovation departments are springing up in all kinds of healthcare organizations intent on facilitating the organizational shift towards patient-centricity. And, unfortunately, market researchers are intentionally not being invited to the table. If history repeats itself, that will soon change though. These Experience, Design and Innovation departments will need the rigor and breadth of method knowledge that market researchers have in order to succeed in the strategic agendas of their work.
This presentation will give market researcher pointers on which skills, methods and mindsets they’ll likely need to adopt if they are hoping to be perceived as a valued contributor to an Experience, Design or Innovation team. In essence, give attendees a blueprint for how to open up a whole new professional opportunity for themselves, with a simple reframe on whom they are and what they do.
At the end of the session patient/family champions as well as health authorities will understand different approaches to patient engagement in patient safety and quality committees (e.g. dealing with incident reporting, root cause analysis, developing policies and procedures) and how patient engagement impacted patient safety and quality outcomes. The participants and presenters are invited to present examples, tools, and leading practices so the participants will leave with at least one practical idea to implement.
Competency Validation: An Advisory Board ApproachAPI Healthcare
Over the past decade competency has gone from buzzword to requirement in healthcare. The Joint Commission, along with federal and state regulatory agencies, has increasingly focused on staff competency with each coming year. Why this focus on competency?
https://www.nursingworld.org/practice-policy/nursing-excellence/ethics/code-of-ethics-for-nurses/coe-view-only/
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1-800-274-4ANA (4262)
www.Nursingworld.org
ISBN-13: 878-1-55810-619-2 SAN: 851-3481 10K 07/2015
Nursing
Scope and Standards of Practice
3rd Edition
The premier resource for professional nursing practice, Nursing: Scope and Standards
of Practice, 3rd Edition, is informed by the advances in health care and professional
nursing today. This keystone publication contains 17 national standards of practice and
performance and their competencies. It describes the scope of nursing practice: the
who, what, where, when, why, and how of nursing practice activities.
Nursing: Scope and Standards of Practice informs and guides nursing practice and is
often used as a reference for:
˩ Quality improvement initiatives.
˩ Certification and credentialing.
˩ Position descriptions and performance appraisals.
˩ Classroom teaching and in-service education programs.
˩ Members’ orientation programs and regulatory decision-making activities for
boards of nursing.
It also outlines key aspects of nursing’s professional role and practice for any level,
setting, population focus, specialty, and more!
In sum, Nursing Scope and Standards of Practice is an authoritative, detailed, and
practical discussion of the competent level of nursing practice and professional
performance. It is a must-have for every registered nurse.
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Scope and
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of PracticeNursing
3rd Edition
ANA’s Standards of Professional Nursing Practice
The Standards of
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Standards of Professional Performance
Standard 7. Ethics
The registered nurse practices ethically.
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The registered nurse practices in a manner that is congruent with
cultural diversity and inclusion principles.
Standard 9. Communication
The registered nurse communicates effectively in all areas of practice.
Standard 10. Collaboration
The registered nurse collaborates with the healthcare consumer and
other key stakeholders in the conduct of nursing practice.
Stan.
EXECUTIVE SUMMARYClient’s requirement Panion Project seeks to aBetseyCalderon89
EXECUTIVE SUMMARY
Client’s requirement: Panion Project seeks to address the optimal performance of care workers in Canada and the USA by ensuring better access to quality care. ………………………………
Introduction
Healthcare happens to be the concern of every facet of humanity and for this reason, the Panion project is of great interest and relevance to every community where it exists. At some point in our lives, we have found ourselves, or a family member, or a colleague, or friends needing medical attention, and we all desire that this health/medical situation be treated with the utmost care, skill, professionalism, and acceptable standard.
It would therefore be interesting to render our professional knowledge towards providing valuable information, analyzing potential challenges and opportunities, improving the system and methods to optimize the desired outcome of the Panion project.
A lot of factors that undermine the performance of care workers as identified by the client are but are not limited to;
· The mismatch between job specification and care worker’s attributes.
· The huge commission charged by health care agencies.
· Poor compensation and benefits packages,
· Long distances are often required to deliver service to health-seeker,
· Absence of incentives for skill enhancement and career development.
Scope: Having identified the problems that increased employee turnover in health care services, the Panion project seeks to address these problems and also increase employee retention by using employees retention strategies and tools like training, employee engagement, and development, benefits, and other employee capacity building skills.
Speak up…
• If you don’t understand something or if something doesn’t seem right.
• If you speak or read another language and would like an interpreter or translated materials.
• If you need medical forms explained.
• If you think you’re being confused with another patient.
• If you don’t recognize a medicine or think you’re about to get the wrong medicine.
• If you are not getting your medicine or treatment when you should.
• About your allergies and reactions you’ve had to medicines.
Pay attention…
• Check identification (ID) badges worn by doctors, nurses and other staff.
• Check the ID badge of anyone who asks to take your newborn baby.
• Don’t be afraid to remind doctors and nurses to wash their hands.
Educate yourself…
• So you can make well-informed decisions about your care.
• Ask doctors and nurses about their training and experience treating your condition.
• Ask for written information about your condition.
• Find out how long treatment should last, and how you should feel during treatment.
• Ask for instruction on how to use your medical equipment.
Advocates (family members and friends) can help…
• Give advice and support — but they should respect your decisions about the care you want.
• Ask questions, and write down important information and instructi ...
This presentation is from AORN's Authors Workshop at the 2013 Volunteer Leadership Academy in Denver, Colorado, and is a great resource for those interested in writing for the AORN Journal. Learn how you can help patients through authorship, and get all the tools to start today. http://bit.ly/14mLLtp
Check out this introduction to Lean processes in a health care setting—touching on 5 keys to Lean success. This presentation is from a recent AORN webinar, which is available for replay at http://bit.ly/188O2uQ. Get complete Lean instruction and tools for implementation during a workshop in Denver, CO; more information on these August and September events available at http://bit.ly/14B9gLu.
Learn about the newest updates to AORN's evidence-based Recommended Practices for the Prevention of Transmissible Infections. This is the presentation given in a live webinar with Lisa Spruce, RN, DNP, ACNS, ACNP, ANP, CNOR. The webinar is available for free replay at http://bit.ly/1243qQU. 1 contact hour is also available with this webinar replay. See more of AORN's webinars at http://bit.ly/16A2G9v.
Learn about the AORN Syntegrity® Framework, standardized clinical content providing a consistent method for documenting perioperative patient care that has been validated by expert perioperative nurses. This framework aligns documentation with nursing workflow enabling reliable and valid data to be captured. Documentation represents the perioperative nursing plan of care via the most up-to-date version of the PNDS language (3rd version) and complements a perioperative information system or Electronic Health Record.
A renowned expert on health care and health care law, Linda Rouse O’Neill, Vice President of Government Affairs at HIDA shared this presentation at AORN's 60th Annual Congress in early March 2013. These slides provide an overview of the current (and future) state of health care in the U.S. including the sequestration, the Affordable Health Care Act, and other pressing issues that affect the health care industry.
Effective management of hemostasis during surgery is critical for the patient. Using the nursing process and evidence-based practices, this independent study program will assist the perioperative RN identify risks, benefits, indications, contraindications, and adverse effects for the various methods available for control of bleeding during surgery. The goal of this learning activity is to educate perioperative RNs about the methods for effective management of hemostasis during surgery to promote positive outcomes for the surgical patient.
Objectives
After completion of this continuing nursing education activity, the participant will be able to:
1. Identify the clinical implications of surgical bleeding.
2. Differentiate between mechanical, energy-based, and chemical methods of surgical hemostasis.
3. Compare the various categories of topical hemostatic products.
4. Identify key factors to consider in the selection of hemostatic products.
5. Describe perioperative nursing care for patients undergoing surgical hemostasis.
2.4 Contact Hours are available through AORN. Learn more at http://bit.ly/HemostasisStudyGuide. This education program was funded through the AORN Foundation by a grant from Ethicon Biosurgery.
This presentation is from a webinar on AORN's new Sterilization Recommended Practices and new evidence rating processes. AORN Recommended Practices, although extensively referenced, will now be truly evidence-based. Where there is evidence, it will be indicated. Where evidence is lacking, that too will be indicated.
Listen to the webinar replay by registering for free at http://bit.ly/UhG3F7. One contact hour is available for this webinar through June 7, 2013 using this free evaluation: http://bit.ly/W775sR. Learn more about AORN events at www.aorn.org/Events.
Whether you’re just entering into the profession, mid-career or executive level, this impressive event gives you access to the latest technology, perioperative practices and valuable networking all at once.
Check out this presentation to learn about all the benefits of attending. You can learn more and register at www.aorn.org/Congress.
This presentation is from an AORN webinar about CNOR certification and how the Prep for CNOR online course can help you prepare for the CNOR exam. Topics include:
• The Importance of the CNOR® designation
• Eligibility to sit for the CNOR® exam
• Steps and strategies for success
• AORN study resources
Listen to the webinar at https://cc.readytalk.com/cc/playback/Playback.do?id=fd95y9.
More from Association of periOperative Registered Nurses (AORN) (9)
How to Make a Field invisible in Odoo 17Celine George
It is possible to hide or invisible some fields in odoo. Commonly using “invisible” attribute in the field definition to invisible the fields. This slide will show how to make a field invisible in odoo 17.
The Art Pastor's Guide to Sabbath | Steve ThomasonSteve Thomason
What is the purpose of the Sabbath Law in the Torah. It is interesting to compare how the context of the law shifts from Exodus to Deuteronomy. Who gets to rest, and why?
How to Split Bills in the Odoo 17 POS ModuleCeline George
Bills have a main role in point of sale procedure. It will help to track sales, handling payments and giving receipts to customers. Bill splitting also has an important role in POS. For example, If some friends come together for dinner and if they want to divide the bill then it is possible by POS bill splitting. This slide will show how to split bills in odoo 17 POS.
Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
The Indian economy is classified into different sectors to simplify the analysis and understanding of economic activities. For Class 10, it's essential to grasp the sectors of the Indian economy, understand their characteristics, and recognize their importance. This guide will provide detailed notes on the Sectors of the Indian Economy Class 10, using specific long-tail keywords to enhance comprehension.
For more information, visit-www.vavaclasses.com
Sectors of the Indian Economy - Class 10 Study Notes pdf
Role of the Periop Clinical Nurse Specialist
1. The Role of the Perioperative
Clinical Nurse Specialist
Dr. Mary A. Hillanbrand, RN, DNP, CNOR
October 9, 2013
2. Dr. Mary A. Hillanbrand
Dr. Mary A. Hillanbrand, is a perioperative Clinical Nurse Specialist on active duty in
the US Air Force currently assigned as an assistant professor and Deputy Program
Director in the Clinical Nurse Specialist program at the Uniformed Services University
in Bethesda, Maryland. Dr. Hillanbrand earned her Doctorate of Nursing Practice from
the University of Alabama, in Tuscaloosa, Alabama. Her capstone project “Identifying
Gaps in Perioperative Registered Nurses Knowledge of the Cleaning and
Decontamination Process for Surgical Instruments” provided the groundwork for the
development of educational interventions aimed at increasing knowledge of
recommended practices to improve practice and patient outcomes.
Dr. Hillanbrand has worked in the perioperative environment for over 30 years, which
includes more than 12 years as a certified surgical technician. Her field of interest is
the development of educational interventions to increase compliance with
recommended practice guidelines with a focus on improved patient outcomes.
Additionally, Dr. Hillanbrand is involved with promoting certification for all perioperative
team members including advanced practice nurses in the perioperative environment.
3. Disclosure Information
Speaker:
Dr. Mary A. Hillanbrand, RN, DNP, CNOR
Disclose No Conflict
Planning Committee:
AORN Nurse Educator
Ellice Mellinger, MS, BSN, RN, CNOR
Disclose No Conflict
AORN’s policy is that the subject matter experts for this product must disclose any financial
relationship in a company providing grant funds and/or a company whose product(s) may be discussed
or used during the educational activity. Financial disclosure will include the name of the company
and/or product and the type of financial relationship, and includes relationships that are in place at the
time of the activity or were in place in the 12 months preceding the activity. Disclosures for this activity
are indicated according to the following numeric categories:
1. Consultant/Speaker’s Bureau
2. Employee
3. Stockholder
4. Product Designer
5. Grant/Research Support
6. Other relationship (specify)
7. No conflict of interest
Successful completion of this educational activity includes attendance at 90% of the webinar and completion of the
evaluation form.
Accreditation Statement
AORN is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on
Accreditation.
AORN is provider-approved by the California Board of Registered Nursing, Provider Number CEP 13019.
AORN IS PLEASED TO PROVIDE THIS WEBINAR ON THIS IMPORTANT TOPIC. HOWEVER, THE VIEWS
EXPRESSED IN THIS WEBINAR ARE THOSE OF THE PRESENTERS AND DO NOT NECESSARILY
REPRESENT THE VIEWS OF, AND SHOULD NOT BE ATTRIBUTED TO AORN.
4. Objective
• Discuss the history of the Clinical Nurse
Specialist
• Identify the four APRN roles within the
Regulatory Model
• Discuss the 5 domains of CNS practice
within the 3 spheres of influence
5. History of CNS
• Early 20th century “Nurse Specialist” was brought
forward
• 1943 - Frances Reiter promoted the idea of a “nurse
clinician”
– A nurse with advanced knowledge, clinical
competence and commitment to providing high quality
nursing care
– Recognized need for graduate education
• Clinical Nurse Specialist (CNS)
– 1944 - NLNE’s Committee to Study Post-graduate
Clinical Nursing Courses inception of the specialty
– 1949 - University of Minnesota National Conference
of Director’s of Graduate Programs credited with
genesis of the clinical-nurse specialty
(Towers, J, 2011)
7. Consensus Model for APRN Regulation
APRN SPECIALTIES
Licensure occurs at levels of
Role and Population foci
Focus of practice beyond role and population focus linked to health care needs
Examples include but not limited to: acute care (perioperative, trauma, intensive care), oncology, older
adults, orthopedics, nephrology, palliative care
POPULATION FOCI
Family/
Individual
across lifespan
Adult/Gerontology
Neonatal
Pediatrics
Women's
Health/ Genderrelated
Psychiatric
Mental Health
APRN ROLES
Nurse
Anesthetist
Nurse
Practitioner
Clinical Nurse
Specialist
Nurse
Midwife
(APRN Consensus Work Group, 2008, p 9.)
8. APRN Similarities
• Certification
• Prescriptive Authority **(NCSBN, 2013)
– 36 States authorize CNS Prescriptive Authority
• 13 States: Independent Authority
• 23 States: Not Independent Authority
• 15 States: No Prescriptive Authority
• Independent Practice** (NCSBN, 2013)
– 22 States: CNS Independent Practice
– 23 States: NP Independent Practice
**Defined by State Boards of Nursing Scope of Practice Acts
(National Council of State Boards of Nursing [NCSBN], 2013)
9. AORN Position Statement
“The APRN functioning in the perioperative setting
is a registered professional nurse who:
– is competent in the use of specialized perioperative nursing
knowledge and skills in the care of patients and families
undergoing operative and other invasive procedures…;
– functions autonomously and collaboratively with the surgeon in
the preoperative and postoperative management of surgical
patients and their complex responses to the surgical process…;
– integrates clinical practice, education, research, management,
leadership, and consultation into a single but multifaceted role...;
– continually functions in a collegial relationship with nurses,
physicians, health care organizations, and systems to influence
care of the surgical patient.”
(AORN, 2013, pp. 299-300)
10. Clinical Nurse Specialist - CNS
• Unique role to integrate care across the continuum throughout
the three spheres of influence
– Patient
– Nurse
– System
• Improve patient outcomes and nursing care
• Create environments to empower nurses
– Evidence-based practice
– Facilitate ethical decision making
• Responsible for diagnosis, treatment, and management of
health and illness
• Health promotion
• Prevention of illness and risk behaviors
(APRN Joint Dialogue Group, 2008)
12. Domain 2: Consultant
• Interdisciplinary and multidisciplinary
• Committee membership
– Expert resource for perioperative continuum
• Infection control
• Risk mitigation
• Root cause analysis
13. Domain 3: Education
• Nurses and staff
– In-services
– Continuing education offerings
– Competency validation
• Patient/Family
– Surgical expectations
– Pain management
– Post-operative management/wound care
• Community
– Health promotion
14. Domain 4: Clinical Inquiry
•
•
•
•
•
•
Evaluate current practice
Patient safety initiatives
Evidence-based practice
Recommended practice guidelines
Literature reviews
Synthesize and disseminate research
finding
16. Professional Accountability
• Professional development
– Perioperative team members
– Continuing education
– Professional organizations
• Mentorship
• Certification
• Health policy and legislation
17. Final thoughts
• The perioperative CNS is an APRN who
provides care within the patient, nurse,
and organization spheres of influence
• The domains that define the CNS role are:
– Clinical expert
– Consultant
– Education
– Clinical inquiry
– Manager/leader
18. References
APRN Consensus Work Group & National Council of State Boards of Nursing APRN
Advisory Committee. (2008). Consensus model for APRN regulation: Licensure,
accreditation, certification & education. Retrieved from
https://www.ncsbn.org/Consensus_Model_for_APRN_Regulation_July_2008.pdf
Association of periOperative Registered Nurses. (2013). AORN Position Statement:
Advanced Practice Registered Nurse Practicing in the Perioperative Setting. AORN
Journal, 97(3), 299-301.
National Council of State Boards of Nursing. (2013). APRNs in the U.S. Retrieved from
https://www.ncsbn.org/2567.htm
Towers, J. (2011). The evolution of advanced practice in nursing. In J. Stanley (Ed.)
Advanced practice nursing: Emphasizing common roles (pp.3-31). Philadelphia: F.A.
Davis Company.
All pictures in this presentation were obtained from public domain on Google images at
https://www.google.com/imghp?hl=en&tab=ii
19. Contact Hours
You must complete the Learner Evaluation online
to earn the 0.5 nursing contact hour.
Registered for this webinar?
Complete the evaluation by using the link in your purchase confirmation e-mail or
by visiting the AORN website:
o Visit www.aorn.org and login using your AORN Web Login.
o Navigate to My AORN and select “Manage Your Education”.
o Earn your Contact Hour by selecting and completing the appropriate webinar
evaluation.
Once you have submitted your evaluation, you can print your certificate
immediately, or you can visit MY AORN > View All Contact Hours > select the
session > click Print Your Certificate at any time.
20. Contact Hours
You must complete the Learner Evaluation online
to earn the 0.5 nursing contact hour.
Not Registered for this Webinar?
Follow the below instructions to obtain access to the evaluation:
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Visit www.aorn.org and login using your AORN Web Login.
Go to the Product Catalog > Search by name of the webinar or other key word >Select the webinar
you just attended that has ‘EVAL’ under it.
Follow the shopping cart instructions to complete your transaction.
You will then receive an e-mail containing a link to the online evaluation.
You may complete the evaluation by using the link in the purchase confirmation e-mail or by visiting
the AORN website: www.aorn.org > Navigate to My AORN > select “Manage Your Education”.
Once you have submitted your evaluation, you can print your certificate immediately, or you
can visit MY AORN > View All Contact Hours > select the session > click Print Your
Certificate at any time.
If you have any questions or require assistance, please contact AORN Customer Service
at (800) 755-2676 or custsvc@aorn.org.
21. NOTICE/COPYRIGHT
NOTICE
The content in this publication is provided on an “as is” basis.
TO THE FULLEST EXTENT PERMITTED BY LAW, AORN, INC. DISCLAIMS ALL WARRANTIES,
EITHER EXPRESS OR IMPLIED, STATUTORY OR OTHERWISE, INCLUDING BUT NOT
LIMITED TO THE IMPLIED WARRANTIES OF MERCHANTABILITY, NON-INFRINGEMENT OR
THIRD PARTIES RIGHTS, AND FITNESS FOR A PARTICULAR PURPOSE.
COPYRIGHT
AORN’s training and educational materials are protected under federal copyright and trademark
law. Only registered students may use our materials. Any unauthorized use of our materials is
strictly prohibited. Violations of these requirements or of our valuable intellectual property rights
may incur substantial penalties, including statutory damages of up to $150,000 for a single willful
violation of AORN’s copyrights.
PRESENTATION/SPEAKER INFORMATION
Presenters are responsible for the content of their presentations and for obtaining permission to
use any copyrighted material. AORN recognizes the sessions as continuing education for RNs.
This recognition does not imply that AORN or the American Nurses Credentialing Center’s
Commission on Accreditation approves or endorses products mentioned in the activity. AORN is
not responsible for and does not assume any liability for presentations.
22. Take Your Career to the Next Level
Go for your CNS-CP Credential. Get there with AORN!
The Perioperative CNS Certification Exam Prep Course Includes:
• Two-day educational coaching event
• Three additional facilitated, interactive webinars and assignments
This course will provide advanced knowledge, review the core
competencies, and review the domains of nursing practice for the RN,
CNS in the specialty of perioperative practice.
Denver, CO | AORN Headquarters
January 17-18
$450 includes all events
www.aorn/CNS-CPCourse