AORN
Module 1- Essential Elements of RNFA Practice
Scope of practice- determined by state BON through state’s nurse practice act; shaped by
facility policies and medical staff bylaws
nursing process- assessment, diagnosis, outcome identification, planning, implementation,
evaluation
Perioperative Pt Focused Model- safety, health systems, physiologic responses to surgery,
pt/family behavioral responses to surgery; pt is core
Perioperative Nursing Data
Set Domain 1- safety
Domain 2- physiologic responses
Domain 3a- behavioral responses: knowledge
Domain 3b- behavioral responses: rights and ethics
Domain 4- health systems (structural data elements, operational efficiency, quality data)
Benner’s novice to expert model is foundation for RNFA professional practice model
Practice types
Facility employed practice- health care organizations employ RNFA to compensate for
shortage of surgical interns or residents
Physician employed practice- employer/employee relationship between surgeon/RNFA
allowing both parties to negotiate agreement terms for their own interest
Self-employed practice- nurse entrepreneurs create sole proprietorship business opportunities
to contract their services based on sound business practices; should consult with
attorney and accountant
Group practice- RNFAs join together and share overheard expenses of business
Credentialing- process of obtaining, verifying, assessing qualifications of practitioner to provide
serves in or for a health care organization.
Privileging- based on set of consistent criteria covering verification of applicant’s education,
experience, licensure, competence, validation of credentials; process used to determine
if applicant is qualified to provide services.
Accountability- ability and willingness to assume responsibility to one’s action and accepting
consequences of one’s behavior.
To the profession- practice within scope of practice and use knowledge/skills to benefit
Patients
To the public- ability to know how and why things are done; expectation of providing
safe care; allowing pt to participate in care
To the patient- serving as pt advocate; demonstrating concern for welfare of pts; ex-
achievement of certification ( CNOR, CRNFA)
To the team- having specialized education/skill set, participating in CE, maintaining
certifications, participating in research
, To the employer- demonstrated by performing quality work, avoiding unsafe practices,
having positive attitude (maintaining pt confidentiality)
To self- practicing nursing to personal standards using professional standards as basis
Autonomy- independence of
functioning. Authority- power to act.
Responsibility- acting in a reliable, trustworthy, credible manner
RNFA is within scope of RN practice in all 50 states
Negligence- cause of most malpractice cases
Duty- lawful obligation that requires a professional to conform to a certain standard of
conduct for the protection of others against unreasonable risk
Breach of duty- failure on professional’s part to conform to the required
standard Causation- conduct of professional that actually caused pt harm
Compensable damages or injury- pt must suffer actual or compensable injury due to
conduct or breach
Module 2- Communication, Collaboration, Safety
Effective listening- most important element of good communication
Emotional intelligence- ability to properly interpret feelings and
emotions
SBAR- situation, background, assessment, recommendation
RNFA can participate in intubation/extubation
Workplace safety is regulated by federal and state levels. Facilities must comply.
OSHA- department of labor signed by Pres. Nixon; addresses workplace safety and health
protection; employees are required to have yearly inservice education on workplace
safety
Fines can be $50-7000- 1. Gravity of the violation, 2. Size of the company, 3. Good faith,
4. History
Nurses- most frequently injured healthcare personnel
Recapping needles- onehanded recap, using the sterile sharps on the sterile field, using
mechanical devices (instrument) to load/reload sharps onto syringes and scalpel handles
may help decrease injuries
Suture needles cause most sharps injuries in OR; usually in non-dominant hand
Healthcare and social workers have highest rate of work related injury
Module 1- Essential Elements of RNFA Practice
Scope of practice- determined by state BON through state’s nurse practice act; shaped by
facility policies and medical staff bylaws
nursing process- assessment, diagnosis, outcome identification, planning, implementation,
evaluation
Perioperative Pt Focused Model- safety, health systems, physiologic responses to surgery,
pt/family behavioral responses to surgery; pt is core
Perioperative Nursing Data
Set Domain 1- safety
Domain 2- physiologic responses
Domain 3a- behavioral responses: knowledge
Domain 3b- behavioral responses: rights and ethics
Domain 4- health systems (structural data elements, operational efficiency, quality data)
Benner’s novice to expert model is foundation for RNFA professional practice model
Practice types
Facility employed practice- health care organizations employ RNFA to compensate for
shortage of surgical interns or residents
Physician employed practice- employer/employee relationship between surgeon/RNFA
allowing both parties to negotiate agreement terms for their own interest
Self-employed practice- nurse entrepreneurs create sole proprietorship business opportunities
to contract their services based on sound business practices; should consult with
attorney and accountant
Group practice- RNFAs join together and share overheard expenses of business
Credentialing- process of obtaining, verifying, assessing qualifications of practitioner to provide
serves in or for a health care organization.
Privileging- based on set of consistent criteria covering verification of applicant’s education,
experience, licensure, competence, validation of credentials; process used to determine
if applicant is qualified to provide services.
Accountability- ability and willingness to assume responsibility to one’s action and accepting
consequences of one’s behavior.
To the profession- practice within scope of practice and use knowledge/skills to benefit
Patients
To the public- ability to know how and why things are done; expectation of providing
safe care; allowing pt to participate in care
To the patient- serving as pt advocate; demonstrating concern for welfare of pts; ex-
achievement of certification ( CNOR, CRNFA)
To the team- having specialized education/skill set, participating in CE, maintaining
certifications, participating in research
, To the employer- demonstrated by performing quality work, avoiding unsafe practices,
having positive attitude (maintaining pt confidentiality)
To self- practicing nursing to personal standards using professional standards as basis
Autonomy- independence of
functioning. Authority- power to act.
Responsibility- acting in a reliable, trustworthy, credible manner
RNFA is within scope of RN practice in all 50 states
Negligence- cause of most malpractice cases
Duty- lawful obligation that requires a professional to conform to a certain standard of
conduct for the protection of others against unreasonable risk
Breach of duty- failure on professional’s part to conform to the required
standard Causation- conduct of professional that actually caused pt harm
Compensable damages or injury- pt must suffer actual or compensable injury due to
conduct or breach
Module 2- Communication, Collaboration, Safety
Effective listening- most important element of good communication
Emotional intelligence- ability to properly interpret feelings and
emotions
SBAR- situation, background, assessment, recommendation
RNFA can participate in intubation/extubation
Workplace safety is regulated by federal and state levels. Facilities must comply.
OSHA- department of labor signed by Pres. Nixon; addresses workplace safety and health
protection; employees are required to have yearly inservice education on workplace
safety
Fines can be $50-7000- 1. Gravity of the violation, 2. Size of the company, 3. Good faith,
4. History
Nurses- most frequently injured healthcare personnel
Recapping needles- onehanded recap, using the sterile sharps on the sterile field, using
mechanical devices (instrument) to load/reload sharps onto syringes and scalpel handles
may help decrease injuries
Suture needles cause most sharps injuries in OR; usually in non-dominant hand
Healthcare and social workers have highest rate of work related injury
