1, 2 and 5 Staffing requirements are relative to department functions and assigned role expectations. Patient safety is the primary focus of perioperative nurses and other health care providers. One of the most important responsibilities of the perioperative RN administrator is to develop an effective http://www.selleckchem.com/hydroxysteroid-dehydrogenase-hsd.html staffing plan that is relevant to the individual practice setting and meets the safety needs of both patients and health care workers. The health care system is affected by increasing demand for health care, continued economic
pressures, the projected nursing shortage, and financial ramifications from medico-legal issues. Perioperative RN administrators have an ethical and legal responsibility to maintain staffing levels that are appropriate for providing safe patient care while balancing financial responsibilities. A systematic approach based on the operational needs of the department is required to develop a staffing plan. Identifying the hours of operation defined by the department or facility, in addition to the hours required to cover off-shift schedules (eg, holidays, nights, weekends), emergent and urgent procedures, and the number
of OR and procedure rooms is the initial step in determining staffing needs. Review of historical data regarding minutes and hours of service, procedure volumes, procedure mix, technology demands, and projections for the coming year are essential for staff scheduling and budgeting.1 Staffing plans must take into consideration
the effect of extended shift hours. Requirements for on-call schedules are subject to facility type, location, nature Crizotinib ic50 of services provided, and patient population served. Using 12-hour shifts, although a staff satisfier, has been identified in recent studies to be linked to an increase in patient care errors and worker injuries such as needle-stick injuries, musculoskeletal injuries, and subsequent health issues from fatigue and sleep deprivation.2, 3 and 4 Publication History AORN guidance statement: perioperative staffing” and “AORN guidance statement: safe on-call practices in perioperative practice settings” originally published in Standards, Recommended Practices, and Guidelines, 2005 edition; reprinted May either 2005, AORN Journal Reformatted September 2012 for publication in Perioperative Standards and Recommended Practices, 2013 edition Combined document, “AORN position statement on perioperative safe staffing and on-call practices,” pending ratification by the AORN House of Delegates, March 2014 Circulating nurse. A role performed by the perioperative registered nurse, without sterile attire, during the preoperative, intraoperative, and the postoperative phases of surgical patient care. In collaboration with the entire perioperative team, the circulating nurse uses the nursing process to provide and coordinate the nursing care of the patient undergoing operative and other invasive procedures.