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Description: Perioperative nursing comprises of three phases: the preoperative, intra-operative and post-operative phases. Each phase would entail
varying roles and responsibilities of the nurse as part of the team. It is because of the vastness of these responsibilities and the key role the nurses
play in each phase that this training plan was established. Cognitive, interpersonal and technical competencies are developed in order to render the
best possible quality care to customers.
The training plan would include a refresher course on basic OR principles and guidelines that would enable new perioperative nurses as
they start to adapt in the OR environment.
The training plan would also include routine activities performed in the operating room with its allotted time frame of exposure, strategies
to be implemented and methods of evaluating the effectiveness and adequacy of exposure.
The training plan would mainly utilize the preceptorship method in which the preceptor, the senior staff nurse, will teach, train, counsel,
advise, and motivate the probee until he or she can function independently and become a regular staff nurse. The training coordinator will be
assigning a competent staff nurse to be the preceptor. The training coordinator will facilitate exams and post conferences. With the help of the
preceptor, the training coordinator then makes evaluation.
Objective: At the end of the training plan, the probee should be able to:
1. Demonstrate ability to apply principles of sterilization, disinfection, and aseptic and sterile techniques in preparation and use of all
supplies and equipment under all conditions and circumstances.
2. Increase and clarify knowledge of anatomy and physiology in normal structure and function, and pathophysiology altered by disease
processes.
3. Comprehend the interrelationships between biologic, psychologic, and social factors that affect patients and their families adaptation
to the risk factors and outcomes of surgical intervention.
4. Identify procedures necessary to prepare each patient for operation by understanding individualized needs.
5. Demonstrate an understanding of more common operations by anticipating needs of OR team members and by organizing work
efficiently in the best interest of patient safety and welfare.
6. Understand actions and uses of anesthetic agents, fluids and electrolytes and patient responses to them by having appropriate supplies
available in the event of adverse reactions.
7. Identify the potential environmental dangers to the patient through an understanding of the function and care of surgical instruments,
supplies, and equipment, so as to prevent hazards to patient safety.
8. Identify the members of the OR team and the legal responsibilities of each for the care of the conscious or the unconscious patient as
a basis for maintaining continuity of surgical patient care.
9. Participate in making decisions that demonstrate willingness to collaborate with members of the OR team to ensure positive patient
outcome.
10. Function as a team member by showing consideration for and cooperating with others within the OR and by communicating with the
interdependent departments of the hospital that work together for the well being of the patient.
11. Develop flexibility, adaptability, and self-reliance as a team member by acquiring a working knowledge of all aspects of the operating
room environment and the functions of all personnel.
12. Develop manual dexterity and the ability to manage personal anxiety by learning basic techniques so well that correct activity
response is quickly carried out in life-threatening emergency or stressful situations as well as in normal circumstances.
13. Exert a conscientious effort to carry out all duties accurately and with integrity, in compliance with hospital policies and recognized
standards of practice, and thus to develop pride in performance consistent with personal, professional, and vocational ethical and
moral values.
14. Help control patient and hospital costs through the correct, safe, and economical use of supplies and equipment and personal
efficiency in time and motion.
Week
Week 1
Tool
Lecture
Unit Tour
Observation
*Delegated to Unit Manager
Content
Day 1 & 2 General Orientation
Operating Room Organizational Chart
Operating Room Policies
Operating Room Procedures
Reference Manual
Hospital Manual
Day 3 & 4
Operating Room Physical Set-up
Unit Tour
Orientation to Different Documents, Forms and Logbooks
Day 5
Week 2
Lecture
Video Clips
Return demonstration
Observation
*Delegated to Training Coordinator
Proper Positioning
Skin Preparation
Roles and Responsibilities of the Operating Room Nurse
Hand Washing
Scrubbing, Gowning and Gloving
Surgical counting
Day 4 & 5
Observation
Second Scrub
Lecture
*Delegated to Preceptor 1
Day 1 5
Second scrub in Minor surgeries
Ophthalmology procedures
ENT procedures
Plastic Surgery procedures
Excision cases
Second scrub in major GS procedures
Post conference
Review learning experience encountered
Day 6 10
Continue with skills from previous week focusing on increasing
independence
Second scrub in OB/Gyne procedures
Second scrub in GU procedures
Second scrub in TCVS procedures
Week 5 - 6
Observation
Second scrub
First scrub to preceptor
Lecture
*Delegated to Preceptor 2
Week 7 - 8
Observation
Solo scrub
Lecture
*Delegated to a competent circulating
nurse
Week 9 - 10
Lecture
Observation
Third month evaluation exam
*Delegated to a capable preceptor
*Third month evaluation
Week 11 - 12
Lecture
Observation
*Delegated to PM Charge Nurse
Week 13 - 15
Lecture
Observation
Week 16 - 17
Lecture
Observation
Week 18 - 20
Lecture
Observation
*Sixth month evaluation exam
*Sixth month evaluation
Week 21 - 22
Lecture
Observation
Week 23 - 24
Lecture
Observation