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Upon completion of the course, the student will be able to:

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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.

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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.
5. Identifies basic surgical technique principles regarding tissue handling, wound

closure, and hemostasis

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I. INTRODUCTION TO PERIOPERATIVE NURSING

A. OR Team

B. Perioperative Nursing History

C. Roles of the Individual Members

1. Sterile Team vs. Unsterile Team Members

2. Circulator Role

3. Scrub Role

4. First Assistant Role

5. Second Assistant Role

6. Second Circulator Role

7. Student Role

D. Perioperative Nursing Defined

1. Preoperative

2. Intraoperative

3. Postoperative

II.  
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A. Overview of the Surgical Experience

1. Nursing Process and the Surgical Patient

2. Sample Care Plan ± Safe Environment for the patient

B. Documentation

1. Quality Management
 2. Risk Management

III.  c   c 


A. OR Sanitation and Universal Precautions

B. Aseptic Technique - Association of Operating Room Nurses (AORN) Standards

C. Scrubbing, Gowning, and Gloving

D. Establishment of a Sterile Field

IV.  c   c 
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A. Sterilization and Disinfection

B. Care and Handling of Instruments

1. Decontamination

2. Packaging and Sterilization

3. Sterile Processing

V. 
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A. Types of Instruments ± Basic Identification and Usage

B. Overview of Most Common Surgical Instruments utilized for all surgical

Procedures

C. Universal Case Setup

a. Minor vs Major setup

b. Separation of clean and dirty

D. Care and Handling of Instruments

1. Intraoperative care

2. Postoperative care

VI.  c   c

A. Anesthesia

1. Types and Agents Utilized

 2. Induction

3. Maintenance

4. Extubation

B. Anesthesia Agents

1. Gas Inhalants ± Scavenging System

2. Malignant Hyperthermia

3. Monitoring the patient receiving local anesthesia

VII.  c   c 

A. Positioning the Patient

B. Surgical Skin Preparation

C. Sponge Sharp, and Instrument Counts

C. Specimen Handling

1. Care of Surgical Specimens

2. Formalin - Safety

D. Electrosurgery

E. Laparoscopic Equipment

VIII.  c   c

A. Hemostasis

B. Wound Closure and Healing

C. Suture

IX.    
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A. General Surgery Service - GEN

B. Gynecological Surgery Service ± GYN

C. Laparoscopic Surgery Service ± LAP GEN or LAP GYN

D. Genitourinary Surgery Service - GU

E. Orthopedic Surgery Service ± ORTHO

F. Otorhinolaryngological Surgery Service ± ENT

G. ORIENTATION TO SURGICAL SERVICES ± SPECIALTY CASES

A. Plastic-Reconstructive Surgery Service ± PLAS

B. Vascular Surgery Service - VAS

C. Cardiac Surgery Service - CV

D. Thoracic Surgery Service ± THOR

E. Neurosurgical Surgery Service ± NEURO

F. Ophthalmic Surgery Service ± OP TH

G. Pediatric Surgery Service ± PEDS