PERIO 1 Flashcards
The Australian College of Perioperative Nurses
(ACORN)’s vision
is for Australian patients to receive
the safest and highest quality perioperative care in
the world”
The Perioperative Nurse Knowledge & Technical Skills
Anatomy and Physiology Pharmacology , Standards/ Policy & Procedures ,
Aseptic Technique etc.
The Perioperative Nurse Non- Technical Skills
Interpersonal communication , Teamwork, Stress management, Situational
Awareness
Situational Awareness
Refers to an individuals ability to maintain the “big picture” in a
dynamically changing environment. Requires the ability to watch,
listen and understand cues, anticipating what might happen next.
Anesthetic Nurse
Collaborates with anesthetist to
provide assistance with the safe
administration of anesthetic services
Anesthetic Nurse ROLES
Checks equipment and anesthetic machine • Checks patient into theatre suite + handover to surgical team • Application of Monitoring • Assist with airway management • Ensures drugs available for case • Continual patient assessment • Crisis management
Circulator Nurse
Scout
Responsible for coordinating OR
activities related to patient care
Circulator Nurse
(Scout) ROLES
Set up of sterile field (opening) • Conducts count of instruments and accountable items with scrub nurse • Communicate & collaborate with team • Conducts ‘Time- Out’ • Continual assessment of patient & surgical field • Completes appropriate documentation
Instrument Nurse
Scrub
Responsible for establishing &
maintaining the intraoperative
integrity, safety & efficacy of the
sterile field
Instrument Nurse
(Scrub) ROLES
• Set up of sterile field in collaboration with circulating nurse • Assessment of patient & preempting surgical instruments or equipment • Managing instruments & accountable items on the sterile field • Drains + dressings • Handover to PACU • Important to have understanding of the surgical procedure
PACU/Recovery
Nurse
Responsible for post anesthetic
care of patient, recognition &
addressing post operative
complications
PACU/Recovery
Nurse roles
• Airway management • Post-op nausea & Vomiting (PONV) control • Pain therapy • Assessment of surgical site and drains • Care for patients with varying comorbidities • Documentation
Multidisciplinary Team
Other team members
• Anaesthetist (Consultant , Registrar) • Surgical team ( Consultant , Fellow, Registrar, Residents, Students) • Operation assistants (porters) • Sterilisation Technicians (CSSD) • Medical representatives
