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RNFA Study Guide (1)
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RNFA Study Guide (1)
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RNFA Study GuideDescribe the minimal level of education required for an advanced practice nurse. -
ANS-A Master's degree is required for advanced practice nursing.
What is the nursing model created by the Association of periOperative Registererd
Nurses (AORN) featuring domains that are in continuous interaction with the health
system and encircling the focus of perioperative nursing practice—the patient? -
ANS-The AORN model is referred to as the Perioperative Patient-Focused Model.
Define the phase of the nursing process characterized by preparation for what will or
may happen and determining the priorities for care. - ANS-The planning phase is
characterized by preparation for what will or may happen and determining the priorities
for care.
Institutional standards are usually directive about specific actions in specific
circumstances within a facility or system. What type of standards typically provide
generalized authoritative statements that can be implemented in all settings? -
ANS-National standards provide generalized authoritative statements that can be
implemented in all settings.
Define the phase of the nursing process characterized by performing the nursing care
activities and interventions that were planned, and responding with critical thinking and
orderly action. - ANS-The implementation phase is characterized by performing the
nursing care activities and interventions that were planned, and responding with critical
thinking and orderly action.
Define the phase of the nursing process that focuses on identifying and classifying data
collected in the assessment in a way that provides a focus to plan nursing care. -
ANS-The nursing diagnosis phase focuses on identifying and classifying data collected
in the assessment in a way that provides a focus to plan nursing care.
What is the expanded perioperative role characterized by handling and cutting tissue,
using instruments and medical devices, providing exposure and hemostasis, and
suturing, all as components of assisting-at-surgery behaviors? - ANS-The registered
nurse first assistant (RNFA) is an example of an expanded perioperative nursing role.
The AORN publication, Standards of Perioperative Nursing, is an example of what kind
of standard? - ANS-The AORN Standards are an example of process-based standards.
,What is the specialty nursing language that provides a uniform and systematic method
to collect and document the basic elements of perioperative nursing care? -
ANS-Perioperative Nursing Data Set (PNDS) is the name of the specialty nursing
language that provides a uniform and systematic method to collect and document the
basic elements of perioperative nursing care.
Define the phase of the nursing process typically associated with describing the desired
or favorable patient condition that can be achieved through nursing interventions. -
ANS-The outcome identification phase describes the desired or favorable patient
condition that can be achieved through nursing interventions.
What is the act of transferring the authority for a selected nursing task or tasks in a
selected situation(s) to a competent person? - ANS-Delegation is the act of transferring
the authority for a selected nursing task or tasks in a selected situation(s) to a
competent person.
What standards are based on and describe the application of the nursing process in
perioperative nursing? - ANS-Standards of care are based on and describe the
application of the nursing process in perioperative nursing. They include the collection
and analysis of data, identification of expected outcomes, planning and implementation
of care, and evaluation of outcomes.
What is the initiative that encompasses improvements in quality and effectiveness,
based on ethical and economic perspectives? - ANS-Performance improvement is the
initiative that encompasses improvements in quality and effectiveness, based on ethical
and economic perspectives.
What are some examples of emerging roles in the OR? - ANS-Emerging roles include
care coordinator, family liaison, robotics coordinator, and informatics specialist.
Define the phase of the nursing process that focuses on the patient's progress in
attaining identified outcomes. - ANS-The evaluation phase focuses on the patient's
progress in attaining identified outcomes.
What certification is available to perioperative nurses that demonstrates proficiency in
support of quality patient care and sets a standard of commitment to the profession of
OR nursing? - ANS-Certified Nurse, Operating Room (CNOR) is the certification for
perioperative nursing.
,List the types of advanced practice nurses who may practice in the perioperative
environment. - ANS-Nurse practitioners (NPs), certified registered nurse anesthetists
(CRNAs), and clinical nurse specialists (CNSs) are examples of nurses who may
practice in the advanced role in the perioperative environment.
Define the phase of the nursing process concerned with the collection of relevant data
about the patient. - ANS-The assessment phase is associated with the collection of
relevant data about the patient.
How is a count recorded in the record when an item is missing but not located on an
X-ray? - ANS-Unresolved counts are documented as follows: if the X-ray is negative,
the count is recorded as incorrect, and the X-ray results are noted on the patient's
intraoperative record. An incident/occurrence/event report should be initiated according
to institution policy.
Define the term electrolytes. - ANS-Electrolytes are substances in the blood essential to
transmission of nerve impulses, regulation of water distribution, contraction of muscles,
generation of adenosine triphosphate (ATP, needed for cellular energy), regulation of
acid-base balance, and hemostasis.
Define the term root cause analysis. - ANS-A root cause analysis is a systematized
process used to identify variations in performance that cause or could cause untoward
patient events.
Define the term sentinel event. - ANS-Sentinel events are unexpected occurrences
involving death or risk of serious physical or psychologic injury to a patient.
Define the term active transport. - ANS-Active transport is the process by which
molecules are moved across a cell membrane against a concentration gradient, with the
use of external energy.
List examples of initiatives developed by the World Health Organization (WHO) to
promote patient safety. - ANS-The WHO has endorsed the Hand Hygiene Initiative
(Clean Care is Safer Care), the Surgical Hand Preparation guideline, and the Surgical
Safety Checklist (Safe Surgery Saves Lives).
Describe the verification steps for transfusion of blood or blood products. - ANS-The
circulating nurse and anesthesia provider (or a second licensed individual) confirm the
following during blood and blood product verification: (1) The unit number on the blood
product corresponds with the unit number on the blood requisition. (2) The name, birth
, date, and number on the patient's identification band agrees with the name, birth date,
and number on the slip with the blood product. (3) The patient's name on the blood
product corresponds with the name on the requisition. (4) The blood group indicated on
the blood product corresponds with that of the patient. (5) The date and time of
expiration have not been reached. (6) The blood product bag is free of leaks, damage,
or signs of possible bacterial contamination (e.g., presence of fine gas bubbles,
discoloration, clots or excessive air in the bag).
Define the term diffusion. - ANS-Diffusion is the movement of molecules from an area of
high concentration to one of low concentration.
List examples of physical risks to patients in the perioperative environment. -
ANS-Physical risks include any damaging or noxious element that comes into contact
with the patient to cause harm, such as: electrosurgical/laser beam, pooled prep
solution, glutaraldehyde retained in an endoscope, or a retained foreign object.
Describe the steps used when weighing sponges to estimate blood loss. - ANS-The
procedure for weighing sponges is as follows: (1) Weigh a dry sponge in a plastic bag,
and adjust the scale to register zero. (2) Place used, bagged sponges on the scale. (3)
Record the scale reading: 1 g equals 1 mL of blood loss. (4) Note the blood loss on the
record. (5) Add subsequent weight to the preceding weight each time sponges are
weighed so that a running total blood loss, calculated from sponges, is available. (6)
Measure blood in the suction canister(s) at regular intervals, subtracting the amount of
any irrigating solution used. (7) Add the amount of blood loss calculated from suction
canisters to the total recorded from sponges to obtain accurate blood loss estimates.
What are the key elements of informed consent? - ANS-During informed consent, the
patient must be informed about the proposed operation or other invasive procedure and
its inherent risks, benefits, alternatives, and complications in terms that he or she can
understand.
How are first, second, and third spacing defined? - ANS-First spacing is the normal
distribution of fluid in extracellular and intracellular compartments. Second spacing
refers to excess accumulation of interstitial fluid (edema), while third spacing occurs
when fluid accumulates in areas that normally have no fluid or only a minimal amount of
fluid.
Define the acronym SBAR. - ANS-SBAR stands for: S=Situation, B=Background,
A=Assessment, R=Recommendation.
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