Chapter 1: Concepts Basic to Perioperative Nursing

question

What is the nursing model created by the Association of periOperative Registererd Nurses (AORN) featuring domains that are in continuous interaction with the health system and encircling the focus of perioperative nursing practice—the patient?
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The Perioperative Patient-Focused Model.
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What is the expanded perioperative role characterized by handling and cutting tissue, using instruments and medical devices, providing exposure and hemostasis, and suturing, all as components of assisting-at-surgery behaviors?
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The registered nurse first assistant (RNFA) is an example of an expanded perioperative nursing role.
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The AORN publication, Standards of Perioperative Nursing, is an example of what kind of standard?
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The AORN Standards are an example of process-based standards.
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What standards are based on and describe the application of the nursing process in perioperative nursing?
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They include the collection and analysis of data, identification of expected outcomes, planning and implementation of care, and evaluation of outcomes.
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Institutional standards are usually directive about specific actions in specific circumstances within a facility or system. What type of standards typically provide generalized authoritative statements that can be implemented in all settings?
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National standards provide generalized authoritative statements that can be implemented in all settings.
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List the types of advanced practice nurses who may practice in the perioperative environment.
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Nurse practitioners (NPs), certified registered nurse anesthetists (CRNAs), and clinical nurse specialists (CNSs) are examples of nurses who may practice in the advanced role in the perioperative environment.
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Define the phase of the nursing process concerned with the collection of relevant data about the patient.
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The assessment phase.
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Define the phase of the nursing process that focuses on identifying and classifying data collected in the assessment in a way that provides a focus to plan nursing care.
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The nursing diagnosis phase.
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What is the act of transferring the authority for a selected nursing task or tasks in a selected situation(s) to a competent person?
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Delegation.
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What is the initiative that encompasses improvements in quality and effectiveness, based on ethical and economic perspectives?
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Performance improvement is the initiative that encompasses improvements in quality and effectiveness, based on ethical and economic perspectives.
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Define the phase of the nursing process typically associated with describing the desired or favorable patient condition that can be achieved through nursing interventions.
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The outcome identification phase.
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Define the phase of the nursing process characterized by preparation for what will or may happen and determining the priorities for care.
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The planning phase.
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Define the phase of the nursing process characterized by performing the nursing care activities and interventions that were planned, and responding with critical thinking and orderly action.
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The implementation phase.
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Define the phase of the nursing process that focuses on the patient’s progress in attaining identified outcomes.
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The evaluation phase.
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What is the specialty nursing language that provides a uniform and systematic method to collect and document the basic elements of perioperative nursing care?
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Perioperative Nursing Data Set (PNDS).
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What certification is available to perioperative nurses that demonstrates proficiency in support of quality patient care and sets a standard of commitment to the profession of OR nursing?
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Certified Nurse, Operating Room (CNOR).
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Describe the minimal level of education required for an advanced practice nurse.
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A Master’s degree is required for advanced practice nursing.
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What are some examples of emerging roles in the OR?
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Emerging roles include care coordinator, family liaison, robotics coordinator, and informatics specialist.

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