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Operating Room

The Association for periOperative Registered Nurses (AORN) defines the term "perioperative nursing" as the "practice of nursing directed toward patients undergoing operative and other invasive procedures." AORN recognizes the perioperative nurse as one who "provides, manages, teaches, and/or studies the care of patients undergoing operative or other invasive procedures, in the preoperative, intraoperative, and postoperative phases of the patient ' s surgical experience." According to AORN, "Perioperative nurses work on the surgical front lines, so no one is better qualified or has the capacity to advocate for and ensure patient safety in the surgical setting."

Perioperative nursing is a specialized area of nursing practice, according to AORN. As a fundamental member of the surgical team, the perioperative registered nurse works in collaboration with other health care professionals which may include the surgeon, circulating nurse, anesthesia provider, surgical assistant, and assistive personnel. The perioperative registered nurse provides nursing care to surgical patients preoperatively, intraoperatively, and postoperatively. Perioperative nursing requires a unique, highly developed set of knowledge, skills and attitudes.

The perioperative nurse plans and directs nursing care for patients undergoing operative and other invasive procedures. Perioperative RNs work in all types of health care facilities, such as hospitals, ambulatory or outpatient surgery centers, and physician offices. The perioperative nurse may delegate certain patient care tasks to suitably trained and competent unlicensed assistive personnel. UAPs are accountable to and work under the direct and indirect supervision of perioperative registered nurses when performing delegated nursing tasks.

Ask the experts



Sharon Mcnamara

Handing Off Sharps

Question: Is there a fail safe way to hand off sharps?

Response: The Operating Room is the second most common environment where sharps injuries occur. The Center for Disease Control provides an excellent resource on line, “Workbook for Designing, Implementing, and Evaluating a Sharps Injury Prevention Program”. I believe this ...(More)

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Handing off Sharps

Question: Is there a fail safe way to hand off sharps?Response: The Operating Room is the second most common environment where sharps injuries occur. The Center for Disease Control provides an excellent resource on line, “Workbook for Designing, Implementing, and Evaluating a Sharps Injury Prevention Program”. I believe this is the most important approach to preventing injuries to health care personnel. An interdisciplinary team initiative with a focus on building a culture of safety that ...

Leadership Transitions in AORN

Infection Control Today: Perspectives Leadership Transitions in AORN By Paula Graling, RN, MSN, CNOR, CNS, and Sharon McNamara, RN, MS, CNOR Leading a national specialty association of 40,000 members like the Association of periOperative Registered Nurses (AORN) requires a collaborative leadership model to meet the needs of the practitioners at the clinical interface and advance the profession of perioperative nursing. AORN made this paradigm shift last ...

Infection Control Today: pandemicals

Infection Control Today: pandemicals By Roger P. Freeman, DDS Napoleon Got a Lousy Break! How could the little guy have suspected, when he invaded Russia in 1812 with a half of a million men strong, he would lose nearly onethird of his troops to something even smaller, the common, er... louse. Lice are ectoparasites that tend to lease — long-term — on the outside of their hosts. They were known to have found Napoleon’s troops particularly tasty. ...

Infection Control Today: the last word

Infection Control Today: the last word Humanizing HAIs and Infection Control By Allen Soden “Infection control will really only make sense to people when it becomes about humans and not about incomprehensible statistics and invisible bugs.” This insight originated with a dinner companion during the 2005 Association for Professionals in Infection Control and Epidemiology (APIC) conference in Baltimore (whose name has been unfortunately lost in the midst ...


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