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Implant Records and Tracking for Certified Perioperative Nurse (CNOR)

Implant Records and Tracking for Certified Perioperative Nurse (CNOR)

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Outline

Implant Records and Tracking

Guidelines:

United States Food and Drug Association (FDA) requires strict guidelines in properly documenting and tracking implants
Documentation should included in, but not limited to:
- Patient’s permanent record
- Patient’s operative record
- Implant registry maintained by the OR
Implant registry includes:
- Lot #
- Serial #
- Manufacturer
- Size
- Type
- Anatomic position of implant

Considerations:

Implants may be medical devices, tissue, or tissue products
- Allografts
- Xenografts

Nurse’s role:

Perioperative nurses are responsible for:
- Complying with tracking regulations for implantable materials and devices
- Follow institutional policy for implant tracking and documentation requirements
- Document complete implant information in the OR documentation
- Promote patient safety and privacy

Pitfalls:

Incomplete documentation of implants can endanger the patient
Policies and procedures for required implant documentation and logging may not be the same at other healthcare organizations

Examples:

N/A

Linchpins (Key Points):

FDA: requires implants to be documented and tracked
Healthcare organization: creates policies and procedures for documentation and tracking
Manufacturer: provides and tracks implants
Perioperative RN: complies with tracking regulations and documentation policies for implantable material and devices

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Transcript

References

Rothrock, J. (2019). Alexander’s Care of the Patient in Surgery (16th ed.). Elsevier Health Sciences.
Association of perioperative Registered Nurses (AORN): Guideline Essentials (website), 2022, https://www.aorn.org/guidelines-resources/guidelines-for-perioperative-practice/guideline-essentials

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Transitions HESI Prep

Concepts Covered:

Documentation and Communication
Preoperative Nursing
Legal and Ethical Issues
Communication
Studying
Prioritization
Postoperative Nursing
Fundamentals of Emergency Nursing
Intraoperative Nursing
Emergency Care of the Cardiac Patient
Delegation
Perioperative Nursing Roles
Community Health Overview
Factors Influencing Community Health
Integumentary Disorders
Concepts of Mental Health
Neurological Emergencies
Test Taking Strategies
Basics of NCLEX

Study Plan Lessons

Admissions, Discharges, and Transfers

Advance Directives

Advocating For Your Patient

Barriers to Health Assessment

Caring Licensed Practical Nurse Nursing Mnemonic (CLPN)

Climbing the Clinical Ladder

Collaboration for Progressive Care Certified Nurse (PCCN)

Communicating with Family Members

Communicating with Other Departments

Communicating with Other Nurses

Communicating With Other nurses

Communicating with Patients

Communicating With Pharmacy, RT, OT, PT

Communicating with Providers

Communicating With Providers

Communicating with UAPs

Communication Course Introduction

Communication of Patient Outcomes (Continuum of Care) for Certified Perioperative Nurse (CNOR)

Confidence Building as a New Grad Nurse

Confidence in Communication

Confidence in Communication – Live Tutoring Archive

Conflict Management (Patient, Perioperative Team, Family) for Certified Perioperative Nurse (CNOR)

Day in the Life of a Community Health Nurse

Day in the Life of a Labor Nurse

Day in the Life of a Med-surg Nurse

Day in the Life of a Mental Health Nurse

Day in the Life of a NICU Nurse

Day in the Life of a Peds (Pediatric) Nurse

Day in the Life of a Postpartum Nurse

Day in the Life of an ICU (Intensive Care Unit) Nurse

Day in the Life of an Operating Room Nurse

Delegation and Personnel Management for Certified Perioperative Nurse (CNOR)

Delegation of Tasks to Assistive Personnel for Certified Emergency Nursing (CEN)

Documentation Basics

Documentation Course Introduction

Documentation Pro Tips

Documenting Escalation (Chain of Command)

Ethical and Professional Standards for Certified Perioperative Nurse (CNOR)

Facilitation of Learning for Progressive Care Certified Nurse (PCCN)

Fall and Injury Prevention

Finding Your First Nursing Job as a New Grad

Fire and Electrical Safety

First Year in Nursing Course Introduction

Function Within Scope of Practice for Certified Perioperative Nurse (CNOR)

Fundamentals Course Introduction

Giving Handoff Report

Giving the Best Patient Education

Handling Job Rejection

HCIR Management (Healthcare Industry Representative) for Certified Perioperative Nurse (CNOR)

Healthcare Team Member Supervision and Education for Certified Perioperative Nurse (CNOR)

How to Give a Perfect Nursing Report (plus report sheet)

How to Take Nursing Report

How to Write A Nursing Progress Note

ICU Nurse Report to Floor Nurses

Impaired or Disruptive Behavior Reporting (Interdisciplinary Healthcare Team) for Certified Perioperative Nurse (CNOR)

Implant Records and Tracking for Certified Perioperative Nurse (CNOR)

Interdisciplinary Healthcare Team Collaboration for Certified Perioperative Nurse (CNOR)

Interdisciplinary Team Member Functions for Certified Perioperative Nurse (CNOR)

Interdisciplinary Team Participation for Certified Perioperative Nurse (CNOR)

Interviewing with Behavioral Questions

Interviewing with Nurse Manager

Introduction to the Electronic Medical Record (EMR)

Invoicing Process

Joint Commission

Legal Aspects of Documentation

Legal Considerations

Legalities of Charting

License Maintenance

Live Bedside Report OB and PACU

Live Bedside Report Medsurg (Medical surgical)

MSN (Masters) vs. DNP (Doctorate)

NRSNG Live | From Student to Real Nurse

NRSNG Live | Avoiding Legal Issues as a Nurse

NRSNG Live | So You Want to be a Surgical Nurse?

NRSNG Live | The Successful State of Mind

Nurse-Patient Relationship

Nursing Care Delivery Models

Nursing Interviews & Resumes Course Introduction

Nursing Report & Communication Course Introduction

Nursing Skills (Clinical) Safety Video

Nursing Skills Course Introduction

OB (Labor) Nurse Report to OB (Postpartum) Nurses

Patient and Family Teaching (Per Procedure) for Certified Perioperative Nurse (CNOR)

Patient Communication Techniques for Certified Perioperative Nurse (CNOR)

Patient Confidentiality for Certified Perioperative Nurse (CNOR)

Patient Consent for Treatment for Certified Emergency Nursing (CEN)

Patient Education

Patient Privacy and Dignity Maintenance for Certified Perioperative Nurse (CNOR)

Patient Records and Care Documentation for Certified Perioperative Nurse (CNOR)

Patient Rights Advocacy for Certified Perioperative Nurse (CNOR)

Patient Satisfaction for Certified Emergency Nursing (CEN)

Patient Status Communication for Certified Perioperative Nurse (CNOR)

Patient Status Evaluation (Transfer of Care) for Certified Perioperative Nurse (CNOR)

Patients with Communication Difficulties

Precepting a New Nurse

Precepting a Student

Prioritizing Assessments

Professional Organization Participation for Certified Perioperative Nurse (CNOR)

Provider Phone Calls

Radiation Safety for Nurses

SBAR and How to Give Handoff Report like a BOSS – Live Tutoring Archive

SBAR Communication

SBAR Communication Nursing Mnemonic (SBAR)

SBAR Practice Scenarios

The Top 5 Things You Need To Know About Documentation 1 – Live Tutoring Archive

The Top 5 Things You Need To Know About Documentation 2 – Live Tutoring Archive

Therapeutic Communication

Time Management

Transition To Practice

Transition to Practice Course Introduction

Trusting your Gut

Why CEs (Continuing education) matter