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Published by: Filipinas A. Manahan on Feb 07, 2011
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COURSE OBJECTIVES Upon completion of the course, the student will be able to: ROLE AS A CIRCULATOR WITHIN THE DISCIPLINE

OF NURSING: 1. Describe the basic role and responsibilities of the Registered Nurse during the preoperative, intraoperative, and postoperative phase of the patient¶s surgical experience. Identifies the role and responsibilities of the circulator as a member of the OR Team. 2. Identifies the basic principles of surgical Aseptic Technique including the Association of Operating Room Nurses Standards of Care and the methods of sterilization and disinfection. 3. Establishes a client outcome and plan of care that focuses on prevention of problems. Identifies potential surgical hazards and safety measures to prevent injury including patient and occupational related hazards. 4. Identifies the basic nursing functions related to Intraoperative care including positioning and surgical skin preparation for the surgical patient. 5. Identifies the principles and standards related to the establishment and maintenance of the sterile field as a nonsterile member of the team. ROLE AS A SCRUB WITHIN THE DISCIPLINE OF NURSING: 1. Identifies the role and responsibilities of the surgical scrub as a member of the OR team. 2. Identifies the principles and standards related to the performance of the surgical scrub including closed glove and gown technique. 3. Identifies the principles and standards related to the establishment and maintenance of the sterile field as a sterile member of the team. 4. Identifies key basic surgical instruments necessary for all surgical procedures.

Perioperative Nursing Defined 1.5. First Assistant Role 5. Unsterile Team Members 2. Documentation 1. INTRODUCTION TO PERIOPERATIVE NURSING ± NURSING CARE PLAN A. Overview of the Surgical Experience 1. Second Circulator Role 7. Perioperative Nursing History C. Preoperative 2. INTRODUCTION TO PERIOPERATIVE NURSING A. Nursing Process and the Surgical Patient 2. Sterile Team vs. Scrub Role 4. Identifies basic surgical technique principles regarding tissue handling. OR Team B. and hemostasis TOPICAL OUTLINE I. Intraoperative 3. Quality Management . Student Role D. Second Assistant Role 6. Postoperative II. Circulator Role 3. Sample Care Plan ± Safe Environment for the patient B. wound closure. Roles of the Individual Members 1.

Types and Agents Utilized . Sterile Processing V. Gowning. and Gloving D. Separation of clean and dirty D. Risk Management III.Association of Operating Room Nurses (AORN) Standards C. PRINCIPLES OF PATIENT CARE I A. Care and Handling of Instruments 1. Aseptic Technique . Universal Case Setup a. Types of Instruments ± Basic Identification and Usage B. Intraoperative care 2. PRINCIPLES OF STERILE TECHNIQUE A. SURGICAL INSTRUMENTS A. Decontamination 2. Scrubbing. Establishment of a Sterile Field IV. Packaging and Sterilization 3.2. Postoperative care VI. APPLICATION OF STERILE TECHNIQUE PRINCIPLES A. OR Sanitation and Universal Precautions B. Anesthesia 1. Minor vs Major setup b. Care and Handling of Instruments 1. Overview of Most Common Surgical Instruments utilized for all surgical Procedures C. Sterilization and Disinfection B.

Suture IX. Laparoscopic Surgery Service ± LAP GEN or LAP GYN D. Induction 3. Hemostasis B. Gas Inhalants ± Scavenging System 2. Extubation B. PRINCIPLES OF PATIENT CARE III A. Electrosurgery E. Maintenance 4. Surgical Skin Preparation C. Formalin .CORE CASES: A. Specimen Handling 1. Laparoscopic Equipment VIII. Gynecological Surgery Service ± GYN C. Genitourinary Surgery Service .GU . ORIENTATION TO SURGICAL SERVICES . Care of Surgical Specimens 2. Anesthesia Agents 1.GEN B. Sponge Sharp. Positioning the Patient B.2. and Instrument Counts C. General Surgery Service . Wound Closure and Healing C. Monitoring the patient receiving local anesthesia VII. PRINCIPLES OF PATIENT CARE II A. Malignant Hyperthermia 3.Safety D.

ORIENTATION TO SURGICAL SERVICES ± SPECIALTY CASES A. Vascular Surgery Service . Pediatric Surgery Service ± PEDS . Neurosurgical Surgery Service ± NEURO F. . Ophthalmic Surgery Service ± OP TH G.CV D. Orthopedic Surgery Service ± ORTHO F. Otorhinolaryngological Surgery Service ± ENT G. Thoracic Surgery Service ± THOR E. Plastic-Reconstructive Surgery Service ± PLAS B. Cardiac Surgery Service .VAS C.E.

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