Interdisciplinary Healthcare Team Collaboration for Certified Perioperative Nurse (CNOR)

Interdisciplinary Healthcare Team Collaboration

Guidelines:

• Find a way to “yes”
• The best interest of the patient prevails
• Identified and discuss before start of case
  • Huddle
• Historical data may help
  • scrutiny

Considerations:

• Clarify/need objective
• Risk/benefit
  • include patient where possible
• cost/benefit
• Committee (ethics, practice)
• guidance should be found in policy

Nurse’s role:

• Voice identified inconsistencies in plan
• Facilitate conversation between teams
• Anticipate

Pitfalls:

• Anesthesia vs. anyone
• Gensurg vs GYN
  • Laparoscopy
• Different names same instrument
• Differing policies by department for practice specifics
  • Neuro – every patient gets Ancef, anesthesia – only given when needed

Examples:

• Gensurg wants 300mL fluid restriction on patient for EUA with local/MAC (open discussion, risks benefit, establish parameters for maintenance before inducing patient)

Linchpins (Key Points):

• Each team believes their needs will prevail, the RN has to make this true for everyone.