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Perioperative Series: Intro to Perioperative Nursing
As defined by the Association of periOperative Registered Nurses (AORN) (2019), the perioperative nurse’s goal is to help patients achieve or exceed the level of well-being they had at the pre-procedural baseline. The nurse is required to have the clinical knowledge, judgment, and clinical reasoning skills necessary to safely plan, deliver, and evaluate care for surgical patients.
The goal of this course is to equip perioperative nurses with knowledge of the nursing process and the roles and responsibilities within the perioperative team.
Identify the perioperative nursing process throughout the phases of surgery.
Define the roles and responsibilities of the members within the surgical team and the AORN standards of perioperative practice.
A Look at Malignant Hyperthermia
Malignant hyperthermia (MH) is a life-threatening syndrome associated with an anesthetic trigger. Awareness of MH by all perioperative team members, from those working in the preoperative holding area to those in the Post Anesthesia Care Unit (PACU), is important in preventing negative patient outcomes.
Define risk factors for MH and preventive measures for improving patient outcomes.
Identify the signs and symptoms of MH along with diagnostic and genetic considerations.
Describe the best practices for managing and treating MH.
Perioperative Specimen Handling
Proper surgical specimen handling is essential for patient safety. This course covers best practices for intraoperative personnel to prepare, label, and transfer specimens accurately. Adhering to these protocols ensures that specimens are identified and handled appropriately, minimizing the risk of harm to the patient.
This course provides OR nurses and surgical technologists with knowledge of best practices for specimen handling.
Describe the considerations and methods of preparing specimens for various pathologic and examination types.
Recall care standards for the appropriate handling, labeling, and transportation of specimens.
Identify common mistakes made during specimen management and prevention methods to avoid these errors.
Managing Coagulopathies
The focus of this course is coagulopathies. In general, the term coagulopathy refers to bleeding disorders. This course will provide a review of the components of a clot. It will also provide you with valuable information about how to care for those with coagulopathies such as immune thrombocytopenia (ITP), disseminated intravascular coagulopathy (DIC), heparin-induced thrombocytopenia (HIT), and warfarin-induced coagulopathy.
The goal of this course is to provide nurses in the critical care setting with a general overview of coagulopathies, including the recognition and nursing management of ITP, DIC, HIT, and warfarin-induced coagulopathy.
Describe the etiology and presentation of DIC, ITP, HIT, and warfarin-induced coagulopathy.
Identify proper nursing care for those with DIC, ITP, HIT, and warfarin-induced coagulopathies.
Identify emergency findings in those with coagulopathies and discuss the appropriate nursing interventions.
Reducing Medical Errors in the OR
The OR is a complex environment. Highly trained individuals interact in a specialized setting with sophisticated and technically complicated devices, instruments, and equipment. There are also substantial differences among team members related to education, experience, skill level, influence, and formal and informal power. This course will inform nurses and surgical technologists of the evidence-based steps to take to create a culture of safety in the OR.
Identify the communication processes that aid in reducing medical errors and review recommendations for the safe transfer of patient care information.
Name organizations that are helping to create a culture of patient safety and their recommendations to meet this goal.
Determine the components of a just culture that promote trust and accountability and recall a 10-step process for creating a culture of safety in the OR.
Perioperative Series: Communication in the OR
In the operating room, patient safety depends on high quality communication and shared knowledge among the surgical team. Several factors in this setting can contribute to communication failures like time constraints, shift changes, environmental barriers, the complex nature of surgical procedures, and clashing communication styles. All members of the surgical team must understand the risks to patient safety associated with communication failures, what information must be communicated and when, and how to use an assertive communication style.
The goal of this course is to equip nurses and CSTs with best practices for effectively communicating in the operating room.
Describe best practices for facilitating communication in the OR.
Identify four communication styles and which style is most effective for ensuring patient safety.
List common barriers to effective communication in the OR.
Perioperative Series: Anesthesia and Medication Management
Anesthesia administration has become increasingly safer, but is not without risk. Patient- and family-centered care and the desire to save costs has led to a shift in perioperative care needs from “stabilize and admit” to “stabilize and discharge.” Each patient undergoing anesthesia requires competent, professional nursing staff to assist in timely and safe medication administration, maintenance, and recovery. Knowledge of anesthetic techniques, agents, and adjuvants is vital to this competence.
Define the different types and stages of anesthesia.
Describe anesthetic agents and adjuvants commonly used for the perioperative patient.
Identify perioperative preparation, complications, and nursing interventions.
Anesthesia: Perioperative
The perioperative nurse plays a primary role in the anesthesia experience. Knowledge of techniques, patient assessment, and care management for the patient receiving or recovering from anesthesia positively impacts patient outcomes. This course discusses anesthetics and adjuvant medications used in the perioperative setting, anesthesia-related complications, and the nurse’s role in assisting with anesthesia management.
This course provides nursing professionals with information about the principles and practices of anesthesia care in the perioperative setting.
Identify the stages and types of anesthesia, and associated medications commonly used in the perioperative setting.
Recognize important assessment areas and nursing interventions for the perioperative patient receiving or recovering from anesthesia.
Describe complications of anesthesia and their treatments.
Perioperative Series: Emergencies in the OR
Perioperative providers can BEST prepare for emergencies in the operating room by knowing the responsibilities of each team member and rehearsing interventions ahead of time. When you are in the moment and your heart is racing, it’s easy to forget how to respond or even where supplies are located. Practicing your responsibilities and team interventions ahead of time will help to prepare you for the unexpected. This course provides you with an opportunity to participate in five emergency scenarios to test your knowledge. Time is of the essence when an emergency happens so you must think and act fast to save the patient!
The goal of this course is to equip nurses and STs with knowledge of the responsibilities of the team during a range of OR emergencies.
Recognize evidence-based strategies for treating and preventing a range of OR emergencies.
Describe the roles and responsibilities of members of the surgical team when emergencies occur.
Recall the best practices for improving patient outcomes during an emergency.