Healthcare Team Member Supervision and Education for Certified Perioperative Nurse (CNOR)
Included In This Lesson
Outline
Healthcare Team Member Supervision and Education
Guidelines:
- Delegation and supervision are essential perioperative nursing skills
- Delegation process is complex
- Safe and consistent delegation practices requires shared responsibilities among the organization (administrative policies and procedures), the perioperative RN, and the delegatee
- According to CMS, surgical technologists and LPNs in the scrub role are under the supervision of an RN who is immediately available
- Supervision also includes non-OR personnel and healthcare industry representative (HCIR)
Considerations:
- Organization responsibility:
- Implement a standardized method for delegation and supervision processes
- Provide education and verify the competency of the delegatee for tasks that may be delegated
- Create policies and procedures for nursing delegation that clarifies what may and may not be delegated in accordance with the state nurse practice act
- Remember, policy cannot contradict state nurse practice act or any state/federal regulations!
Nurse’s role:
- Perioperative RN responsibility:
- Complete competency verification activities related to delegation processes
- A perioperative RN with authority to delegate (eg, an RN involved in the procedure, charge RN, RN manager) can
delegate perioperative tasks (nursing activities)- The RN should NOT delegate tasks that require nursing judgment, clinical reasoning, and critical decision making (eg, assessing, evaluation) to a person who is not an RN
- Supervise STs, LPNs, non-OR personnel, and HCIRs in the OR
Pitfalls:
- Delegatee responsibility:
- Accepts only delegated responsibilities that they are competent to perform
- Perioperative activities, skills, procedures
- The delegatee may not then delegate responsibilities or tasks to another individual
- Remember, the perioperative RN delegating a task maintains accountability for the patient while the delegatee is responsible for the performance of the delegated skill, activity, or procedure
- Accepts only delegated responsibilities that they are competent to perform
Examples:
- N/A
Linchpins (Key Points):
- Delegation and supervision are essential perioperative nursing skills
- The perioperative RN supervises scrub techs and LPNs in the scrub role
- The perioperative RN supervises non-OR personnel and HCIRs
- The healthcare organization, perioperative RN, and delegatee are collaborative partners in delegation and supervision to promote patient safety
Transcript
References
- (2021), AORN position statement on delegation in perioperative practice settings. AORN J, 114:609-613. https://doi.org/10.1002/aorn.13537
- (2021), Guideline for team communication. In: Guidelines for Perioperative Practice. Denver,
CO: AORN, Inc.
NCLEX
Concepts Covered:
- Circulatory System
- Emergency Care of the Cardiac Patient
- Cardiac Disorders
- Cardiovascular
- Shock
- Shock
- Disorders of the Posterior Pituitary Gland
- Endocrine
- Disorders of Pancreas
- Disorders of the Thyroid & Parathyroid Glands
- Hematology
- Gastrointestinal
- Upper GI Disorders
- Liver & Gallbladder Disorders
- Newborn Complications
- Lower GI Disorders
- Multisystem
- Neurological
- Nervous System
- Central Nervous System Disorders – Brain
- Renal
- Respiratory
- Urinary System
- Respiratory System
- Noninfectious Respiratory Disorder
- Test Taking Strategies
- Note Taking
- Basics of NCLEX
- Prefixes
- Suffixes
- Medication Administration
- Gastrointestinal Disorders
- Respiratory Disorders
- Pregnancy Risks
- Labor Complications
- Hematologic Disorders
- Fundamentals of Emergency Nursing
- Factors Influencing Community Health
- Delegation
- Perioperative Nursing Roles
- EENT Disorders
- Basics of Chemistry
- Adult
- Emergency Care of the Neurological Patient
- Acute & Chronic Renal Disorders
- Emergency Care of the Respiratory Patient
- Respiratory Emergencies
- Studying
- Substance Abuse Disorders
- Disorders of the Adrenal Gland
- Behavior
- Documentation and Communication
- Preoperative Nursing
- Endocrine System
- Legal and Ethical Issues
- Communication
- Understanding Society
- Immunological Disorders
- Infectious Disease Disorders
- Oncology Disorders
- Female Reproductive Disorders
- Fetal Development
- Terminology
- Anxiety Disorders
- Cognitive Disorders
- Musculoskeletal Trauma
- Intraoperative Nursing
- Tissues and Glands
- Vascular Disorders
- Renal Disorders
- Eating Disorders
- Prenatal Concepts
- Microbiology
- Male Reproductive Disorders
- Sexually Transmitted Infections
- Infectious Respiratory Disorder
- Depressive Disorders
- Personality Disorders
- Psychotic Disorders
- Trauma-Stress Disorders
- Peripheral Nervous System Disorders
- Integumentary Disorders
- Neurologic and Cognitive Disorders
- Integumentary Disorders
- Newborn Care
- Basics of Mathematics
- Statistics
- Labor and Delivery
- Proteins
- Emergency Care of the Trauma Patient
- Hematologic System
- Hematologic Disorders
- Developmental Considerations
- Skeletal System
- Digestive System
- Urinary Disorders
- Postpartum Care
- Basic
- Musculoskeletal Disorders
- Bipolar Disorders
- Metabolism
- Cardiovascular Disorders
- Concepts of Population Health
- Musculoskeletal Disorders
- EENT Disorders
- Postpartum Complications
- Basics of Human Biology
- Postoperative Nursing
- Neurological Emergencies
- Prioritization
- Disorders of Thermoregulation
- Writing
- Community Health Overview
- Dosage Calculations
- Neurological Trauma
- Concepts of Mental Health
- Health & Stress
- Endocrine and Metabolic Disorders
- Childhood Growth and Development
- Prenatal and Neonatal Growth and Development
- Concepts of Pharmacology
- Integumentary Important Points
- Emotions and Motivation
- Renal and Urinary Disorders
- Developmental Theories
- Reproductive System
- Adulthood Growth and Development
- Psychological Emergencies
- Growth & Development
- Basics of Sociology
- Somatoform Disorders
- Reading
- Intelligence and Language
- Oncologic Disorders
- Med Term Basic
- Med Term Whole
- Central Nervous System Disorders – Spinal Cord
- Muscular System
- Neonatal
- Learning Pharmacology
- Pediatric
- Psychological Disorders
- State of Consciousness
- Sensory System