Consideration of AORN’s Position Statement:
One Perioperative Registered Nurse Circulator Dedicated to Every Patient Undergoing a Surgical or other Invasive Procedure.
As of 1/24/2012
Report type: Action
Recommended Motion: The ANA Board of Directors endorses the Association of Perioperative registered nurses’ (AORN) position statement, one perioperative registered nurse circulator dedicated to every patient undergoing a surgical or other invasive procedure.
- The perioperative nurse is a registered nurse who plans, coordinates, delivers, and evaluates nursing care to patients whose protective reflexes or self-care abilities are potentially compromised during surgical or other invasive procedures. Although the perioperative registered nurse works collaboratively with other perioperative professionals (eg, surgeons, anesthesia care providers, surgical technologists) to meet patient needs, the perioperative registered nurse is accountable for the patient outcomes resulting from the nursing care provided during the surgical or invasive procedure.
- Since its 1999 report, the Institute of Medicine’s (IOM’s) Committee on the Adequacy of Nurse Staffing in Hospitals and Nursing Homes has begun to illustrate the relationship between nurse staffing, patient outcomes, and cost of care.
- AORN’s Position Statement maintains that AORN is committed to the provision of safe perioperative nursing care by ensuring that every patient undergoing a surgical or other invasive procedure is at a minimum cared for by a registered nurse in the circulating role, regardless of the setting.
- To improve patient safety and quality of care for the patient, the provision of one perioperative registered nurse circulator dedicated to every patient undergoing a surgical or other invasive procedure must include awareness of community needs and the needs of the population served and must provide for appropriate perioperative nursing staff to meet those needs.
- ANA’s endorsement of the AORN’s position statement, one perioperative registered nurse circulator dedicated to every patient undergoing a surgical or other invasive procedure supports the constituent and state nurses associations’ (C/SNAs) engagement with AORN state chapters for the advancement of this staffing model.
- There is no associated cost or direct impact to C/SNAs.
 Institute of Medicine. Maximizing workforce capability. In: Keeping Patients Safe: Transforming the Work Environment of Nurses. Washington, DC: National Academies Press; 2004:171. 6. Centers for