Perioperative/Operating Room and Surgical Nurse/Nursing

Overview of Perioperative Nursing

Perioperative nursing encompasses the care of patients undergoing surgical procedures. These specialized nurses work in various settings, including the operating room (OR), post-anesthesia care unit (PACU), and same-day surgery units. Their primary focus is ensuring patient safety and optimal outcomes throughout the entire surgical journey.

Key Concepts in Perioperative Care

The perioperative period is divided into three phases:

• Preoperative Phase: Patient assessment, education, and preparation before surgery.
• Intraoperative Phase: Direct patient care within the operating room, including circulating and scrub roles.
• Postoperative Phase: Recovery, monitoring, and management of the patient after surgery.

Deep Dive: The Operating Room Nurse

Operating room nurses are central to the intraoperative phase. They can function as:

• Circulating Nurse: Manages the OR environment, patient positioning, documentation, and communication.
• Scrub Nurse/Technician: Assists the surgeon directly by preparing and handing instruments and supplies.

Their responsibilities include maintaining a sterile field, anticipating the needs of the surgical team, and ensuring all necessary equipment is available and functioning correctly.

Applications and Specializations

Perioperative nursing is crucial for all types of surgeries, from minor procedures to complex, life-saving interventions. Specializations can include:

• Cardiovascular surgery
• Neurosurgery
• Orthopedic surgery
• Pediatric surgery

Advanced practice nurses may also work in perioperative settings, providing advanced assessment and management.

Challenges and Misconceptions

A common misconception is that OR nurses only assist surgeons. In reality, they are critical patient advocates and managers of the complex surgical environment. Challenges include managing high-stress situations, maintaining concentration for extended periods, and adapting to rapidly changing patient conditions.

Frequently Asked Questions

What are the main responsibilities of a perioperative nurse?

They assess patients, prepare them for surgery, maintain a safe environment in the OR, assist the surgical team, and monitor recovery.

Is certification necessary for perioperative nurses?

While not always mandatory, certifications like CNOR (Certified Nurse Operating Room) demonstrate expertise and commitment to the specialty.

What skills are essential for this role?

Key skills include critical thinking, attention to detail, excellent communication, technical proficiency, and the ability to remain calm under pressure.