STANDARDS, RECOMMENDED PRACTICES, AND GUIDELINES This title has been archived.

Author: Aorn
Affiliation:
Publisher: Association of periOperative Registered Nurses
Publication Date: 2007
ISBN 10: 1888460555
ISBN 13: 9781888460551
Edition: 1st

Description:

AORN's classic resource for perioperative practice brings together all of the Association's official positions and recommendations in one unique volume--from professional practice standards to laser safety, from competency statements to aseptic technique, from clinical pathways to patient safety. The 2007 edition features critical updates and new information that will directly impact daily life in the operating room. Changes include updated recommended practices for managing the patient receiving local anesthesia, prevention of transmissible infections in the perioperative practice setting, selection and use of packaging systems for sterilization and use of the pneumatic tourniquet in the perioperative practice setting.

Table of Contents

Front Matter

  • ABOUT
  • Introduction to 2007 Edition

AORN Vision, Mission, Philosophy, and Values

  • AORN Vision and Mission
  • Philosophy
  • Values Statement
  • Strategic Initiatives

AORN National Bylaws

  • Article I
  • Article II
  • Article III
  • Article IV
  • Article V
  • Article VI
  • Article VII
  • Article VIII
  • Article IX
  • Article X
  • Article XI
  • Article XII

Perioperative Patient Focused Model

  • Introduction
  • The Perioperative Patient Focused Model
  • Goal of perioperative nursing practice
  • Philosophy of perioperative nursing practice
  • Definition of perioperative nurse
  • Scope of perioperative nursing practice
  • Glossary
  • REFERENCES

Section One Perioperative Nursing Practice

    AORN Document Definitions

      Competency Statements in Perioperative Nursing

      • Background
      • Suggestions for implementation
      • How to use these statements
      • REFERENCES
      • Perioperative Nurse Competency Statements

      Perioperative Advanced Practice Nurse Competency Statements

      • The Validation Study
      • REFERENCES
      • Perioperative Advanced Practice Nurse Competency
      • Glossary
      • REFERENCES
      • RESOURCES

      Perioperative Care Coordinator Nurse Competency Statements

      • Perioperative Care Coordinator Competency Statements

      AORN Guideline: Human and Avian Influenza and Severe Acute Respiratory Syndrome

      • I. Overview
      • II. Nursing Process Application
      • III. Conclusion
      • REFERENCES
      • RESOURCES

      AORN Bariatric Surgery Guideline

      • I. Overview
      • II. Nursing Process Application
      • III. Developing a Program
      • IV. Conclusion
      • REFERENCES
      • RESOURCES

      AORN Explications for Perioperative Nursing

      • AORN Explications
      • ANA Code of Ethics for Nurses With Interpretive Statements
      • Conclusion
      • REFERENCES

      AORN Latex Guideline

      • I. Overview
      • II. Nursing Process Application
      • III. Conclusion
      • REFERENCES
      • RESOURCES

      AORN Malignant Hyperthermia Guideline

      • I. Introduction
      • II. Assessment
      • III. Nursing Diagnosis and Identification of Outcomes
      • IV. Plan, Implementation
      • V. Evaluation of outcomes
      • REFERENCES
      • RESOURCES

      AORN Guideline for Prevention of Venous Stasis

      • Introduction
      • Definitions
      • Prevalence
      • Pathophysiology
      • Pathogenesis of Deep Vein Throm bosis and Pulmonary Embolism
      • Assessing for Risk Factors
      • Special Considerations for High-Risk Patients
      • Nursing Process Application
      • Treatment and Prevention
      • Evaluation of Outcomes
      • Summary
      • REFERENCES
      • APPENDIX A

      AORN Guidance Statement: “Do-Not-Use” Abbreviations, Acronyms, Dosage Designations, and Symbols

      • Preamble
      • Guidance Statement
      • REFERENCES
      • RESOURCES

      AORN Guidance Statement: Environmental Responsibility

      • Introduction
      • Background
      • Guidance Statement
      • Summary
      • Glossary
      • REFERENCES
      • RESOURCES

      AORN Guidance Statement: Fire Prevention in the Operating Room

      • Introduction
      • Background
      • Guideline
      • REFERENCES

      AORN Guidance Statement: The Role of the Health Care Industry Representative in the Perioperative Setting

      • Introduction
      • Background
      • Guidance Statement
      • REFERENCES
      • RESOURCES

      AORN Guidance Statement: Care of the Perioperative Patient With an Implanted Electronic Device

      • Introduction
      • Definitions
      • General Safety Issues and Concerns
      • General Patient Management
      • Cardiac IEDs
      • Neurostimulators
      • Implantable Hearing Devices
      • Implantable Infusion Pumps
      • Sacral Nerve Stimulators
      • Osteogenic Stimulators
      • Gastric Electronic Stimulation
      • Nursing Process Application
      • Conclusion
      • REFERENCES

      Exhibit A: Care of the Patient With an Implanted Electronic Device

        AORN Guidance Statement: Mass Casualty, Triage, and Evacuation

        • Introduction
        • Background
        • Guidance Statement
        • Summary
        • REFERENCES
        • RESOURCES

        Exhibit A: Mass Casualty Practice Scenarios

        • Scenario 1: Explosions occurring at the same time in several areas.
        • Scenario 2: Release of a biological agent.

        AORN Guidance Statement: Creating a Patient Safety Culture

        • Introduction
        • Background
        • Preamble
        • Summary
        • Glossary
        • REFERENCES
        • RESOURCES

        AORN Guidance Statement: Postoperative Patient Care in the Ambulatory Surgery Setting

        • Introduction
        • Guidance Statement
        • Perioperative Nursing Data Set
        • Nursing Care Policies
        • Staffing
        • Supplies and Equipment
        • Postanesthesia Care
        • Postoperative Patient Outcomes
        • Fast Tracking of Patients
        • Pain Management
        • Documentation
        • Discharge Criteria
        • Patient Transfer
        • Discharge Instructions
        • Monitoring of Outcomes
        • REFERENCES

        AORN Guidance Statement: Preoperative Patient Care in the Ambulatory Surgery Setting

        • Introduction
        • Guidance Statement
        • Perioperative Nursing Data Set
        • Nursing Care Policies
        • Staffing
        • Preadmission Assessment
        • Preoperative Testing
        • Anesthesia Evaluation
        • Preoperative Teaching
        • Preoperative Nursing Assessment
        • Preoperative Patient Outcomes
        • Communication of the Preoperative Nursing Assessment
        • Prevention of Postoperative Infections
        • Documentation
        • Monitoring of Outcomes
        • REFERENCES

        AORN Guidance Statement: Reuse of Single-Use Devices

        • Introduction
        • Background
        • Guidance Statement
        • Federal Regulatory Requirements
        • Quality System Regulation
        • Medical Device Reporting (MDR)
        • Registration and Listing
        • Labeling
        • Premarket Approval and Premarket Notification
        • Medical Device Corrections and Removals
        • Medical Device Tracking
        • Definitions
        • REFERENCES
        • RESOURCES

        AORN Guidance Statement: Safe On-Call Practices in Perioperative Practice Settings

        • Introduction
        • Background
        • Guidance Statement
        • Suggested Strategies
        • Summary
        • REFERENCES
        • RESOURCES

        AORN Guidance Statement: Safe Medication Practices in Perioperative Settings Across the Life Span

        • Introduction
        • Background
        • Guidance Statement
        • General Risk Reduction Strategies
        • Additional Strategies for Medication Safety
        • REFERENCES
        • RESOURCES

        AORN Guidance Statement: Sharps Injury Prevention in the Perioperative Setting

        • Introduction
        • Background
        • Guidance Statement
        • Perioperative-Specific Risk Reduction Strategies
        • Individual Perioperative RN’s Responsibilities
        • Employer Responsibilities
        • Overcoming Obstacles to Compliance
        • Selecting and Evaluating New Products
        • Summary
        • REFERENCES

        AORN Guidance Statement: Perioperative Staffing

        • Introduction
        • Background
        • Guidance Statement
        • Call
        • Intraoperative Staffing Formula
        • Post Anesthesia Care Unit (PACU) Staffing Formula
        • Summary
        • Glossary
        • REFERENCES
        • RESOURCES

        AORN Guidance Statement: The Value of Clinical Learning Activities in the Perioperative Setting in Undergraduate Nursing Curricula

        • Introduction
        • Background
        • Guidance Statement
        • Summary
        • REFERENCES
        • RESOURCES

        Policy for Sunset of AORN Position Statements

        • Procedure
        • AORN POSITION STATEMENT: ALLIED HEALTH CARE PROVIDERS AND SUPPORT PERSONNEL IN THE PERIOPERATIVE PRACTICE SETTING
        • AORN POSITION STATEMENT: AORN REVISED STATEMENT ON PATIENTS AND HEALTH CARE WORKERS WITH BLOODBORNE DISEASES
        • AORN POSITION STATEMENT: STATEMENT ON CORRECT SITE SURGERY
        • AORN POSITION STATEMENT: CREATING A PATIENT SAFETY CULTURE
        • AORN POSITION STATEMENT: PERIOPERATIVE CARE OF PATIENTS WITH DO-NOT-RESUSCITATE (DNR) ORDERS
        • AORN POSITION STATEMENT: STATEMENT ON ENTRY INTO PRACTICE
        • AORN POSITION STATEMENT: ENVIRONMENTAL RESPONSIBILITY
        • AORN POSITION STATEMENT: ERGONOMICALLY HEALTHY WORKPLACE PRACTICES
        • AORN POSITION STATEMENT: STATEMENT ON FIRE PREVENTION
        • AORN POSITION STATEMENT: THE ROLE OF THE HEALTH CARE INDUSTRY REPRESENTATIVE IN THE PERIOPERATIVE/INVASIVE PROCEDURE SETTING
        • AORN POSITION STATEMENT: CARE OF THE PERIOPERATIVE PATIENT WITH AN IMPLANTED ELECTRONIC DEVICE
        • AORN POSITION STATEMENT: RESPONSIBILITY FOR MENTORING
        • AORN POSITION STATEMENT: STATEMENT ON ONE PERIOPERATIVE REGISTERED NURSE CIRCULATOR DEDICATED TO EVERY PATIENT UNDERGOING A SURGICAL OR OTHER INVASIVE PROCEDURE
        • AORN POSITION STATEMENT: ORIENTATION OF THE REGISTERED PROFESSIONAL NURSE TO THE PERIOPERATIVE SETTING
        • AORN POSITION STATEMENT: ORIENTATION OF THE SURGICAL TECHNOLOGIST TO THE PERIOPERATIVE SETTING
        • AORN POSITION STATEMENT: STATEMENT ON PATIENT SAFETY
        • AORN POSITION STATEMENT: PEDIATRIC MEDICATION SAFETY
        • AORN POSITION STATEMENT: PERIOPERATIVE ADVANCED PRACTICE NURSE
        • AORN POSITION STATEMENT: AORN OFFICIAL STATEMENT ON RN FIRST ASSISTANTS
        • AORN POSITION STATEMENT: STATEMENT ON THE ROLE OF THE SCRUB PERSON
        • AORN POSITION STATEMENT: SAFE WORK/ON-CALL PRACTICES
        • AORN POSITION STATEMENT: OPERATING ROOM STAFFING SKILL MIX FOR DIRECT CAREGIVERS
        • AORN POSITION STATEMENT: THE VALUE OF CLINICAL LEARNING ACTIVITIES IN THE PERIOPER ATIVE SETTING IN UNDERGRADUATE NURSING CURRICULA
        • AORN POSITION STATEMENT: AORN POSITION STATEMENT ON WORKPLACE SAFETY

      Section Two Standards of Nursing Practice

        Perioperative Patient Care Quality

        • Preamble
        • Operational definition of perioperative patient care quality
        • REFERENCES

        Standards of Perioperative Nursing

        • Standards Defined
        • Organizing Principles
        • Categories of Standards
        • REFERENCES

        Standards of Perioperative Administrative Practice

        • Standard I
        • Standard II
        • Standard III
        • Standard IV
        • Standard V
        • Standard VI
        • Standard VII
        • Standard VIII

        Standards of Perioperative Clinical Practice

        • Summary
        • Standard I: Assessment
        • Standard II: Diagnosis
        • Standard III: Outcome Identification
        • Standard IV: Planning
        • Standard V: Implementation
        • Standard VI: Evaluation

        Standards of Perioperative Professional Practice

        • Standard I: Quality of Practice
        • Standard II: Practice Evaluation
        • Standard III: Education
        • Standard IV: Collegiality
        • Standard V: Collaboration
        • Standard VI: Ethics
        • Standard VII: Evidence-Based Practice
        • Standard VIII: Resource Utilization
        • Standard IX: Leadership
        • RESOURCES

        Quality and Performance Improvement Standards for Perioperative Nursing

        • Standard I
        • Standard II
        • Standard III
        • Standard IV
        • Standard V
        • Standard VI
        • Standard VII
        • Standard VIII
        • Standard IX
        • Standard X
        • Models and Improvement Processes
        • Glossary
        • REFERENCES
        • RESOURCES

        Perioperative Patient Outcomes

        • DOMAIN: Perioperative Safety
        • DOMAIN: Physiologic Responses
        • DOMAIN: Behavioral Responses—Patient and Family

        AORN Standards for RN First Assistant Education Programs

        • Standard I
        • Standard II
        • Standard III
        • Standard IV
        • Glossary
        • REFERENCES

      Section 3: Recommended Practices for Perioperative Nursing

        Introduction to the AORN Recommended Practices

        • Application in Practice
        • Recommended Practices and the PNDS
        • Revision Process
        • RESOURCE
        • AORN gratefully acknowledges the work of the 2006–2007 Recommended Practices Committee

        Recommended Practices for Managing the Patient Receiving Moderate Sedation/Analgesia

        • Recommended Practice I
        • Recommended Practice II
        • Recommended Practice III
        • Recommended Practice IV
        • Recommended Practice V
        • Recommended Practice VI
        • Recommended Practice VII
        • Recommended Practice VIII
        • Recommended Practice IX
        • Glossary
        • REFERENCES
        • RESOURCES

        Recommended Practices for Cleaning, Handling, and Processing Anesthesia Equipment

        • Recommended Practice I
        • Recommended Practice II
        • Recommended Practice III
        • Recommended Practice IV
        • Recommended Practice V
        • Recommended Practice VI
        • Recommended Practice VII
        • Recommended Practice VIII
        • Recommended Practice IX
        • Recommended Practice X
        • Glossary
        • REFERENCES

        Recommended Practices for Surgical Attire

        • Recommended Practice I
        • Recommended Practice II
        • Recommended Practice III
        • Recommended Practice IV
        • Recommended Practice V
        • Recommended Practice VI
        • Recommended Practice VII
        • Glossary
        • REFERENCES

        Recommended Practices for Sponge, Sharp, and Instrument Counts

        • Recommended Practice I
        • Recommended Practice II
        • Recommended Practice III
        • Recommended Practice IV
        • Recommended Practice V
        • Recommended Practice VI
        • Glossary
        • REFERENCES
        • RESOURCES

        Recommended Practices for High-Level Disinfection

        • Recommended Practice I
        • Recommended Practice II
        • Recommended Practice III
        • Recommended Practice IV
        • Recommended Practice V
        • Recommended Practice VI
        • Recommended Practice VII
        • Recommended Practice VIII
        • Glossary
        • REFERENCES
        • RESOURCES

        Recommended Practices for Documentation of Perioperative Nursing Care

        • Recommended Practice I
        • Recommended Practice II
        • REFERENCES

        Recommended Practices for Electrosurgery

        • Recommended Practice I
        • Recommended Practice II
        • Recommended Practice III
        • Recommended Practice IV
        • Recommended Practice V
        • Recommended Practice VI
        • Recommended Practice VII
        • Recommended Practice VIII
        • Recommended Practice IX
        • Recommended Practice X
        • Recommended Practice XI
        • Recommended Practice XII
        • Recommended Practice XIII
        • Recommended Practice XIV
        • Recommended Practice XV
        • Recommended Practice XVI
        • Glossary
        • REFERENCES

        Recommended Practices for Cleaning and Processing Endoscopes and Endoscope Accessories

        • Recommended Practice I
        • Recommended Practice II
        • Recommended Practice III
        • Recommended Practice IV
        • Recommended Practice V
        • Recommended Practice VI
        • Glossary
        • REFERENCES

        Recommended Practices for Endoscopic Minimally Invasive Surgery

        • Recommended Practice I
        • Recommended Practice II
        • Recommended Practice III
        • Recommended Practice IV
        • Recommended Practice V
        • Recommended Practice VI
        • Recommended Practice VII
        • Recommended Practice VIII
        • Glossary
        • REFERENCES
        • RESOURCES

        Recommended Practices for Environmental Cleaning in the Surgical Practice Setting

        • Recommended Practice I
        • Recommended Practice II
        • Recommended Practice III
        • Recommended Practice IV
        • Recommended Practice V
        • Recommended Practice VI
        • Glossary
        • REFERENCES

        Recommended Practices for Selection and Use of Surgical Gowns and Drapes

        • Recommended Practice I
        • Recommended Practice II
        • Recommended Practice III
        • Recommended Practice IV
        • Recommended Practice V
        • Recommended Practice VI
        • Recommended Practice VII
        • Recommended Practice VIII
        • Glossary
        • REFERENCES

        Recommended Practices for Surgical Hand Antisepsis/Hand Scrubs

        • Recommended Practice I
        • Recommended Practice II
        • Recommended Practice III
        • Recommended Practice IV
        • Recommended Practice V
        • Recommended Practice VI
        • Glossary
        • REFERENCES

        Recommended Practices for Safe Care Through Identifica tion of Potential Hazards in the Surgical Environment

        • Recommended Practice I
        • Recommended Practice II
        • Recommended Practice III
        • Recommended Practice IV
        • Recommended Practice V
        • Recommended Practice VI
        • Recommended Practice VII
        • Glossary
        • REFERENCES

        Recommended Practices for Cleaning and Caring for Surgical Instruments and Powered Equipment

        • Recommended Practice I
        • Recommended Practice II
        • Recommended Practice III
        • Recommended Practice IV
        • Recommended Practice V
        • Recommended Practice VI
        • Recommended Practice VII
        • Recommended Practice VIII
        • Glossary
        • REFERENCES

        Recommended Practices for Laser Safety in Practice Settings

        • Recommended Practice I
        • Recommended Practice II
        • Recommended Practice III
        • Recommended Practice IV
        • Recommended Practice V
        • Recommended Practice VI
        • Recommended Practice VII
        • Recommended Practice VIII
        • Recommended Practice IX
        • Glossary
        • REFERENCES

        Recommended Practices for Managing the Patient Receiving Local Anesthesia

        • Recommended Practice I
        • Recommended Practice II
        • Recommended Practice III
        • Recommended Practice IV
        • Recommended Practice V
        • Recommended Practice VI
        • Recommended Practice VII
        • Recommended Practice VIII
        • Recommended Practice IX
        • REFERENCES
        • RESOURCES

        Recommended Practices for Selection and Use of Packaging Systems for Sterilization

        • Recommended Practice I
        • Recommended Practice II
        • Recommended Practice III
        • Recommended Practice IV
        • Recommended Practice V
        • Recommended Practice VI
        • Recommended Practice VII
        • Recommended Practice VIII
        • Recommended Practice IX
        • Recommended Practice X
        • Recommended Practice XI
        • Recommended Practice XII
        • Glossary
        • REFERENCES

        Recommended Practices for the Use of the Pneumatic Tourniquet in the Perioperative Practice Setting

        • Recommended Practice I
        • Recommended Practice II
        • Recommended Practice III
        • Recommended Practice IV
        • Recommended Practice V
        • Recommended Practice VI
        • Recommended Practice VII
        • Recommended Practice VIII
        • Recommended Practice IX
        • Recommended Practice X
        • Recommended Practice XI
        • Recommended Practice XII
        • Recommended Practice XIII
        • Recommended Practice XIV
        • Recommended Practice XV
        • Recommended Practice XVI
        • Recommended Practice XVII
        • Recommended Practice XVIII
        • Glossary
        • REFERENCES

        Recommended Practices for Positioning the Patient in the Perioperative Practice Setting

        • Recommended Practice I
        • Recommended Practice II
        • Recommended Practice III
        • Recommended Practice IV
        • Recommended Practice V
        • Recommended Practice VI
        • Glossary
        • REFERENCES
        • RESOURCES

        Recommended Practices for Product Selection in Perioperative Practice Settings

        • Recommended Practice I
        • Recommended Practice II
        • Recommended Practice III
        • Recommended Practice IV
        • Recommended Practice V
        • REFERENCES
        • RESOURCES

        Recommended Practices for Reducing Radiological Exposure in the Perioperative Practice Setting

        • Recommended Practice I
        • Recommended Practice II
        • Recommended Practice III
        • Recommended Practice IV
        • Recommended Practice V
        • Recommended Practice VI
        • Recommended Practice VII
        • Recommended Practice VIII
        • Recommended Practice IX
        • Recommended Practice X
        • Recommended Practice XI
        • Glossary
        • REFERENCES

        Recommended Practices for Skin Preparation of Patients

        • Recommended Practice I
        • Recommended Practice II
        • Recommended Practice III
        • Recommended Practice IV
        • Recommended Practice V
        • Recommended Practice VI
        • Recommended Practice VII
        • Glossary
        • REFERENCES
        • RESOURCES

        Recommended Practices for the Care and Handling of Specimens in the Perioperative Environment

        • Recommended Practice I
        • Recommended Practice II
        • Recommended Practice III
        • Recommended Practice IV
        • Recommended Practice V
        • Recommended Practices VI
        • Recommended Practice VII
        • Recommended Practice VIII
        • Recommended Practice IX
        • Recommended Practice X
        • Recommended Practice XI
        • Glossary
        • REFERENCES

        Recommended Practices for Maintaining a Sterile Field

        • Recommended Practice I
        • Recommended Practice II
        • Recommended Practice III
        • Recommended Practice IV
        • Recommended Practice V
        • Recommended Practice VI
        • Recommended Practice VII
        • Glossary
        • REFERENCES
        • RESOURCES

        Recommended Practices for Sterilization in the Perioperative Practice Setting

        • Recommended Practice I
        • Recommended Practice II
        • Recommended Practice III
        • Recommended Practice IV
        • Recommended Practice V
        • Recommended Practice VI
        • Recommended Practice VII
        • Recommended Practice VIII
        • Recommended Practice IX
        • Recommended Practice X
        • Recommended Practice XI
        • Recommended Practice XII
        • Recommended Practice XIII
        • Recommended Practice XIV
        • Recommended Practice XV
        • Recommended Practice XVI
        • Glossary
        • REFERENCES
        • RESOURCES

        Recommended Practices for Surgical Tissue Banking

        • Recommended Practice I
        • Recommended Practice II
        • Recommended Practice III
        • Recommended Practice IV
        • Recommended Practice V
        • Recommended Practice VI
        • Recommended Practice VII
        • Recommended Practice VIII
        • Recommended Practice IX
        • Recommended Practice X
        • Recommended Practice XI
        • Recommended Practice XII
        • Recommended Practice XIII
        • Recommended Practice XIV
        • Recommended Practice XV
        • Glossary
        • REFERENCES
        • RESOURCES

        Recommended Practices for Traffic Patterns in the Perioperative Practice Setting

        • Recommended Practice I
        • Recommended Practice II
        • Recommended Practice III
        • Recommended Practice IV
        • Recommended Practice V
        • Recommended Practice VI
        • Glossary
        • REFERENCES
        • RESOURCE

        Recommended Practices for Prevention of Transmissible Infections in the Perioperative Practice Setting

        • Recommended Practice I
        • Recommended Practice II
        • Recommended Practice III
        • Recommended Practice IV
        • Recommended Practice V
        • Recommended Practice VI
        • Recommended Practice VII
        • Recommended Practice VIII
        • Recommended Practice IX
        • Recommended Practice X
        • Recommended Practice XI
        • Recommended Practice XII
        • Recommended Practice XIII
        • Recommended Practice XIV
        • Recommended Practice XV
        • Glossary
        • REFERENCES

      Section Four Additional Resources

        Appendix A: Glossary of Times Used for Scheduling and Monitoring of Diagnostic and Therapeutic Procedures