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THE CUTTING EDGE
EDITOR: JANISE NEPVEUX FEBRUARY 2000
THE FEBRUARY MEETING TO BE HELD AT INTEGRIS BAPTIST MEDICAL CENTER BUILDING D, LEVEL C, ROOMS F AND G (The website http://aornok.webjump.com contains a map to the meeting place)
P RESIDENTS MESSAGEThe question is not whether or not stress exists in the workplace, but rather “how are you going to deal with it”. Much energy is expended being stressed out over relatively minor things. There is a correlation between the way you handle small stuff and the overall quality of your experience at work. As you learn to stop sweating the small stuff at work, you’ll experience them quite differently. Your stress level will lower and you’ll begin to have more fun.
(Taken from “Don’t Sweat the Small Stuff at Work” by Richard Carlson, Ph.D.) MARY
WHAT MAKES CRNFA’s SPECIAL? CNRFAs bring the patient-centered perspective of nursing into the operating room, continuously utilizing critical thinking skills and assessing patient health in order to ensure optimal patient outcomes. Further CNRFAs have received more advanced education and training in surgical first assisting than any other non-physician provider who first assists. For example, PA’s commonly complete much less than the 2,000 hours of surgical assisting currently required before RNFAs may take the CRNFA certification exam. NPs are not required to have any extensive training in first assisting and yet receive direct reimbursement. In addition, CNRFAs and RNFAs are the only providers — aside from the rare physician making house calls — who sometimes provide post-operative care by actually visiting the patient at home following surgery. Thus, not only do CRNFAs have more clinical experience and education but they also provide continuity of care to patients enabling higher quality and better patient outcomes. How would CNRFAs save the health care system money? Health claims data from the Health Care Financing Administration (HCFA) reveal that physicians file more than 90 percent of the first assistant at surgery claims for Medicare reimbursement. Physicians receive 16 percent of the surgeon's fee for first assisting. CNRFAs are requesting only 13.6 percent of the surgeon’s fee for their first assisting services. Use of CRNFAs would therefore be a high quality yet cost-effective alternative for the nation’s health care delivery system, affording additional flexibility to surgeons, hospitals and ambulatory surgery center. Further, CRNFAs are equally as cost-effective as other non-physician providers (PAs and some NPs) who currently are reimbursed at 13.6 percent of the surgeon’s fee for first assisting. Moreover, CRNFAs have more rigorous training in first assisting, which likely would result in positive patient outcomes such as lower recidivism rates, decreased complications from surgery, higher patient satisfaction levels and overall lower expected cost per patient. Until CRNFAs can receive direct reimbursement, however, there is no incentive to use these high quality, cost-effective providers for first assisting in surgery. Who currently reimburses CRNFAs?
Cost estimate An independent cost estimate by Muse & Associates determined that coverage eligibility for CRNFAs under Part B of the Medicare program would cost $7.2 million in 2000, increasing to $25.1 million in 2004. The total cost over a five-year period would be $84.6 million. SUMMARY As a provider of health care, the CRNFA is a viable solution for controlling rising health care cost. Working in collaborative practice with surgeons, CRNFAs are cost-effective to the patient and to the health care delivery system. The AORN proposal would extend Medicare coverage eligibility to CRNFAs for their surgical first assisting services. Because CRNFAs would be reimbursed under Medicare at a lower rate than physicians who first assist, and because CRNFAs routinely proved much-needed patient education and counseling, use of CRNFAs could well decrease the frequency and length of hospital stays.
“WHAT’S NEW IN CARDIOVASCULAR SURGERY” presented by DR. VANHOOSER
COMING MARCH 21, 2000 ( Originally scheduled for February 15, 2000 )Intergris Baptist Medical Center
PROTECT YOUR HEART WITH FIBER The amount of fiber consumed may better predict weight gain, insulin levels and other cardiovascular disease (CVD) risk factors than the amount of total fat consumed, according to the Oct. 27 Journal of the American Medical Association (JAMA). In a study of 2,909 healthy young black and white adults to determine the role of fiber compared with other major dietary components in the development of obesity and other CVD risk factors, researchers found that the subjects who ate the most fiber had better waist-hip ratios and fasting insulin levels adjusted for body mass index (BMI).“We believe that the strong inverse associations between dietary fiber and multiple CVD risk factors — excessive weight gain, central adiposity, elevated blood pressure, hypertriglyceridemis, low HDL-C, high LDL-C and high fibrinogen — are mediated, at least in part, by insulin levels,” the authors write. “Dietary fiber exerts a major effect on the glycemic, and therefore the insulinemic, response to carbohydrate in a meal. Fiber was shown, for example, to account for about 40 percent of the variance in glycemic index (a measure of the rate of carbohydrate absorption) among 18 starchy foods. Due to its inherently high glycemic index, a low-fiber diet would tend to stimulate relatively more insulin secretion than a high-fiber diet. In this study, the highest insulin levels after adjustment for BMI were indeed found among individuals with the lowest fiber intake. “ In summary, dietary fiber was inversely associated with insulin levels, weight gain and other risk factors for CVD in young adults,” conclude the authors. “The findings from this investigation, together with those of the Health Professionals” Follow-up Study, raise the interesting possibility that fiber may play a greater role in determining CVD risk than total or saturated fat intake. Long-term interventional studies are needed to examine the effects of high-fiber and low glycemic index diets in the prevention of obesity and CVD.” (Source The American Nurse, November/December 1999)
EXTRA, EXTRA, READ ALL ABOUT IT WANTED BY THE EDITOR Articles for The Cutting Edge! Deadline for submitting articles for each publication is the 20th of each month. Please send to: Janise Nepveux veux@msn.com
SURFING NEWS NOT SO LOVELY SPAM WHAT TO DO IF YOU GET SPAMMEDSo what to do when you see spam in your e-mailbox? That depends in large part on how you want to involve yourself in the process.If the spam came from a mailing list you subscribe to, the best advice is to just delete it. If the spammer instructs you to send a reply asking to have your e-mail address removed from the list, chances are it’s a trap. Replying will simply provide the spammer with your individual e-mail address, and sadly, experience has shown that “remove” requests generally result in an increase in spam, since your e-mail address is now on a list somewhere and many spammers are unethical enough to ignore a polite request to stop. Additionally, if you don’t pay attention to the “reply-to” option, you might re-spam the entire list with a message whose subject line says “remove” and whose body reports the original spam, to the ire of all list members. If you are annoyed enough to complain, talk to the list owner and your Internet service provider. If the list owner is paying attention, he or she probably has already taken steps to counteract the spam. The ISP has even more clout, since they can talk to the provider who hosts the spammer’s e-mail account, and they will be even less happy than the list owner that paying customers are angry. Individually targeted spam, however, is a different matter. According to the “Death to Spam” site by Steven William Rimmer (www.mindworkshop.com/alchemy/mospam.html), stopping it usually means sending a message to the spammers which implies that rather than successfully accessing a new market, they’ve managed to enrage potential customers who will thereafter not deal with them commercially. Rimmer suggests replying to spam with the following message: Our private e-mail facilities are not your advertising medium. People who use them as such abuse our re-sources and waste our time, which are extremely valuable. We have entered your e-mail address and company name in our corporate blacklist database. We will not do business with you now, nor will consider other requests from you in the future. Please remove this e-mail address from your junk mail list immediately and do not contact us again.Send it without any sort of signature. If the message bounces back because the recipient's mail box is full, wait a day and send the message again. If the “reply-to” address is false, the real address will be somewhere in the body of the message. A more effective way of getting to spammers is to find the owner of the server hosting the domain on which the offending e-mail account or web page resides. At the InterNIC registry (rs.internic.net/cgibin/who is) enter the domain name (typically the part after the @ symbol in the e-mail address, or after www. in an Internet URL), and CC: the spam you received to the e-mail addresses listed in the InterNIC response. Most domain owners frown on users who send spam, even if the spammers choose to ignore your protests. For the most part, spam originates from the servers of commercial Internet providers, who typically will not condone spam if they know about it. Many of them have set up accounts on their servers called “root” and “postmaster,” and some even have specific complaint accounts called “abuse.” When you send spam complaints, duplicate the message to these three e-mail accounts (for example, “root@domain.name”) just to be on the safe side. Be polite and businesslike in your message. Here is another example from the “Death to Spam” site: stockbroker@polyester.com The above user has been sending unwanted and unsolicited e-mail to this address. I would like to request that you instruct this person to delete our e-mail address from his or her junk-mail list immediately, and to never contact us again for any reason. Clearly this is someone who has no idea of how to behave on the Internet— we want nothing to do with them. Our private e-mail facilities are not an advertising medium. People who use them as such abuse our resources and waste our time.Append the original spam to your message, including all its headers. Next month: HOW TO PREVENT BEING SPAMMED
WELCOME NEW, RENEWED, & REJOINED MEMBERS Jerry Bunch Drucilla WentworthBonnie Roberson Gayle Hull Janet Lewis Cynthia Johnson Deborah McClary Elizabeth Pockrus Pamela Sewell Phyllis Sherwood Stella Walton Leesa Thompson
MEMBERLINE NEWS
Recent MemberTalk Discussions One of the recent topics of discussion on AORN's online discussion forum, MemberTalk, is the involvement of managers in chapters. The topic has generated a lot of discussion. Following are some thoughts posted:
MEMBERS WHO WILL LAPSE FEBRUARY 29, 2000
Cindy Baudedistel Shannon Davis Rosie Dupus Leslie Haidek Suzetta Hartpence Matthew Hefez Janet Johnson Rosina Mann Diana Martin Gina Mersman Deborah Miller Sherry Mills Cynthia Phillips Carol Weddle Charlotte Wurtzbacher Gary Gordon You can renew your membership or join AORN online using E-Shop@AORN.org: current members watch for your access code on your membership renewal notice. You can also call National AORN at (1-800-755-2676 to renew your membership.)
FOUNDATION FLYER AORN Foundation announces the Millennium Club For a minimum donation of $20.00 to the Foundation, you will become a member of the Millennium Club and receive a commemorative pin shown above. The pins will be sold at the Foundation booth at Congress and are available by calling the Foundation office at (303) 755-6304 x 366. Foundation Scholarship Applications for Fall 2000 Scholarship applications for the fall 2000 funding period have been revised and can be obtained from the Foundation office. The deadline for submitting your application is April 1, 2000. Partners in Care ornaments are available for purchase for $15,00 plus $3.00 shipping. It’s not too late to get your holiday ornament!Named Scholarship Endowments Individuals, chapter, and corporations may establish an endowment through the AORN Foundation. An endowment is an accumulation of contributions not expended for programs at the time of receipt, but instead held for investment, with earnings distributed according to donor’s restrictions. Legal restrictions require that the principal sum remain intact, with only its earned income being expended. Current Foundation endowments include 3M Health Care Endowment Certified Board Perioperative Nursing Endowment Dr. Jane C, Roth RNFA Endowment Judith Pfister/Julia Kneedler Education Endowment Michael Corley Memorial Endowment by the AORN Exhibitors’ Advisory Committee Patricia C. Seifert Perioperative Nursing Internship Endowment President George W. Bush Endowment by AORN of Greater Houston Ruth P. Shumaker Endowment by Advanced Sterilization Products William A. Clarke Endowment The Foundation would like to thank everyone who has made these endowments possible. For information about establishing a named endowment, please contact the Foundation office. Ruth P. Shumaker Endowment Chapter Challenge Winners! AORN of Northlake, Louisiana, and AORN of Orange County are the two lucky chapter that will be receiving one free registration per chapter for a chapter member to attend Congress 2000. Congratulations to these two chapters and thank you to all of the chapters who “met the challenge” and gave to the Foundation.The Chapter Challenge will continue through June 30, 2000. Additional grants are available to chapters meeting the Chapter Challenge. Four chapters will receive a $750 grant made possible by Dan Sandel, Founder, Devon Industries, Inc. Any chapter that makes a minimum contribution of $1.00 per member will be entered into the drawing. Winners will be announced at the 2000 AORN Leadership Conference, July 8-9 in Denver. 2000 Annual Campaign As we count down to the new millennium, the AORN Foundation prepares to look ahead on behalf of the members to the next century and beyond. Our continued dedication will be to provide resources for educational opportunities for our members. In October, the Foundation launched its first annual campaign. All members should have received a letter or brochure from the Foundation asking for a commitment to join in the effort of continuing to fund Foundation programs. We are pleased to announce that to date more than $10,000 has been contributed to the Foundation from 99 members from our first mailing. Our goal for the annual campaign is $100,000 in general support from AORN members. That is less than $5.00 per member. Your investment in the Foundation pays off through superior education and research that advances your profession and make you proud to be a perioperative nurse. Please consider a gift to the Foundation when you receive this mailing. Together we can continue to make a difference and give our patients something they can count on — quality care in 2000 and beyond. What are some of the benefits to giving?
You may send your contributions to: AORN Foundation 2170 South Parker Road Suite 300 Denver, CO 80231-5711
CONGRESS NEWS CONGRESS ORIENTATION: To help those who are attending Congress for the first time, the AORN Membership Committee will present a Congress orientation Saturday, April 1, form 4:15 to 5:15 PM. The session will provide the “who, what, when, where, why, and how” of Congress and help first-timers learn the “lingo.” Attendees can meet other first-time attendees and learn about the resources available at Congress. Space is limited, so those who wish to attend should plan to arrive early and indicate their first-time status on the Congress registration form. CONGRESS MENTORING PROGRAM Attending your first Congress? Learn the ropes and get support from someone who’s a veteran of the Congress experience. The Congress Mentoring Program pairs first-time attendees with AORN members who have attended previous Congresses. Mentors communicate with their first-timers before and during Congress. If you are interested in having a mentor, check the appropriate box on the registration form under”First Time Attending Congress.” If you are interested in serving as a mentor, contact Lorrie Briggs, AORN chapter relations coordinator, by sending an e-mail to lbriggs@aorn.org, or by calling (800)755-2676, x367. Be sure to check the appropriate box on the registration form under “Congress Mentor Volunteer.” OPPORTUNITIES TO NETWORK WITH SPECIALTY GROUPS Make contacts and exchange ideas at the networking group informal meetings scheduled during Congress week. More than 15 groups,including plastic/reconstructive, otorhinolaryngology, urology, gynecology, multicultural nursing, alternative/complementary therapies, research, and ehtics will meet. These informal networking groups help to determine the potential need for new specialty assemblies. If 200 members express interest in forming a new assembly, AORN will solicit a core group of 200 members who are committed to perform the initial work to create a specialty assembly.
Central Oklahoma AORN “Surgery of the Sinus and Larnyx”
Perry Santos, MD
February 15, 2000 7:00 PM Integris Baptist Hospital Bldg. D, Level C, Rooms F & G
OPEN TO THE PUBLIC Invite your family, friends, & acquaintances!
REFRESHMENTS FOR THE FEBRUARY MEETING WILL BE PROVIDED BY
DEACONESS HOSPITAL ST. ANTHONY HOSPITAL SURGERY CENTER OF SOUTH OKLAHOMA CITY SURGERY CENTER OF MIDWEST CITY (PLEASE BRING SOMETHING TO DRINK)
CONGRESS 2000 MODERATORS SOUGHT Would you like to moderate an education session at Congress? Submit the session title, session number, your name, address and phone number to This is a wonderful opportunity for anyone going to the 2000 Congress.
EDUCATION OPPORTUNITIES ON THE EXHIBIT FLOOR AORN members continue to ask for meaningful education opportunities at their Congress meeting. The highly successful continuing education activities on the exhibit floor continue to be an excellent method to meet this membership request. We are happy to announce that Education Design, a subsidiary of AORN, will once again be the accrediting provider of such activities at Congress 2000. Check out their offerings at the EDI website.
ANA IDENTIFIES CORE ISSUES Because of its exceptional reputation in the health care community and beyond, the ANA is increasingly being called upon to become involved in a host of health care and social issues. At the same time, its very foundation, its membership, faces challenging times. Therefore, in order to hone its focus and become a more effective organization, ANA has identified “core issues” as part of its strategic planning process. Identification of core issues will help focus resources and shape a meaningful identity for ANA among the nurses of America, both members and non-members. This tighter focus in work effort and identity will help ANA better meet the needs of state nurses associations and nurses, and by working together, all will benefit from a stronger, more robust organization. The core issues identified for 2000 are workplace rights, appropriate staffing, workplace health and safety, continuing competence and patient safety/advocacy. The ANA also will continue to develop and maintain nursing standards and ethics. The individual missions for the ANA for the core issues are as follows: Workplace Rights: ANA protects, defends and educates nurses about their rights as employees under the law. Appropriate Staffing: ANA is leading the way in research, policy and practice, and workplace strategies to ensure that the number and mix of staff are appropriate — protecting patients and nurses. Workplace Health and Safety: ANA fights for a safer workplace by addressing the growing number of hazards that threaten nurses, such as needlestick injuries, latex allergy, back injuries and violence. Continuing Competence: Today’s informed consumers are demanding that the competency of licensed professional be validated throughout their career. ANA must lead the debate and guide the development and implementation of continuing competency standards for the profession. Patient Safety/Advocacy: By effecting positive change around issues that are so critical to nursing and its future, ANA will advance its ultimate goal, quality patient care. In today’s environment that means ensuring that patient safety and quality are the priority, not profit-making.
CNOR APPLICATION PROCESS To request the application you can call CBPN at (888) 267-2667 or you can now type your application information directly onto the online form from your keyboard. However, original signatures are required. Therefore, no on-line submission of your application is available. You must print the application, obtain the required signatures, and mail your application to CBPN. They can not be faxed or e-mailed. APPLICATION INSTRUCTIONS Complete all questions on the application, enclose appropriate fee and mail to CBPN, 2170 South Parker Road, Suite 295, Denver, Colorado 80231. (Refer to the application checklist prior to mailing your application) After your application has been received, processed and accepted by CBPN, the information will be transmitted to PES. Approximately 7 days prior to the testing window you have chosen, PES will mail you a candidate handbook, a list of Sylvan Testing Centers and an authorization-to-test letter (which includes your candidate ID number along with the Sylvan Headquarters toll-free number that you must use to schedule your exam) Your receipt of the authorization-to-test letter indicates that PES has notified Sylvan of your candidacy and has authorized them to work with you to schedule your exam appointment. Remember that weekend time slots fill up quickly, so schedule early if you want a Saturday appointment. APPLICATION CHECKLIST Failure to comply with any of the following result in the return of your application. Be very sure you have:
AORN NAMES FOUR MAJOR INITIATIVES FOR 2000 During the strategic planning session, the Board emphasized four major initiatives for the immediate future.AORN is stepping up its government affairs activities, especially in relation to assuring that the perioperative nurse is in charge of the operating room suites and is the circulator for all patient procedures. We have reaffirmed our position that surgical technologists need not be regulated (including registration, state certification and licensure) in the states. And finally, we have reaffirmed the position that “in the absence of a qualified physician, the RN who possesses appropriate knowledge and technical skills is the best qualified non-physician to serve as the first assistant.” The Board believed this was necessary to help support the AORN legislative priorities that include reimbursement for RNFAs and supervision and delegation to unlicensed assistive personnel. Other major initiatives that will be primary in the next year are consumer education, the perioperative nursing data set, and membership recruitment and retention. You will undoubtedly see more on all these issues,in the Journal, on AORN Online, and during Congress. An exciting strategic initiative related to making nursing care visible and valued in OR suites as well as in the minds of consumers was approved. AORN will begin to develop consumer information to meet unmet needs of patients and their families as they approach the potential for surgery. AORN believes that perioperative nurses, in partnership with surgical colleagues, are the best professionals to provide trustworthy, comprehensive,and continuously updated information and education for consumers. By developing a Surgical Knowledge Base for members to share with patients, perioperative nurses will become the leading source for patients to turn to for information and support through their entire surgical experience and recovery. More information on this initiative will be available at Congress. The Nominating Committee has been asked to re-examine the requirement that to be eligible for national office, a member must have been a member continuously for two years prior to being put on the ballot. The Nominating Committee did ask the Board to direct the Bylaws Committee to propose a bylaws change in Article V, Section 3, B, which would eliminate that requirement.
The Board ratified the revised mission statement of the AORN Foundation, which is “to secure resources and administer assets that provide support for meeting AORN’s strategic goals in education and research.” The AORN Board also ratified Foundation bylaws changes sent by the AORN Foundation Board of Trustees that would set the number of trustees, their desired qualifications, tenure, and terms. The Foundation will now implement those recommendations, as well as a budgetary goal, as normal procedures. On another note, the AORN Board did approve some investigation of updating the AORN logo. The staff will commission a graphic firm that specializes in logos to develop artwork for the AORN Board to consider at its next meeting. The Board approved affiliate status for the state councils in Florida, Maryland/District of Columbia, Illinois, Ohio, Alabama,and Washington.
Oklahoma Nurses Association
H NURSES LEGISLATIVE DAY FEBRUARY 29, 2000 H St. Luke’s United Methodist Church 222 Northwest 15th Street Oklahoma City, Oklahoma
Registration received prior to February 18, 2000: $25.00 ONA Member $40.00 Non Member $10.00 Undergraduate Nursing Student Registration received after February 18, 2000: $35.00 ONA Member $50.00 Non Member $20.00 Undergraduate Nursing Student $10.00 ONA-PAC LUNCHEON payable by check only to ONA-PAC. Must be accompanied by PAC Contributor Statement, see back side of registration form. * REFUNDS: Written requests for refunds post marked by February 16, will receive a full refund minus a 25% processing fee. No refunds will be made after February 16, 2000. Registration ..........................................................................7:15Greetings and Introductions..............................................8:00 Francene Weatherby, ONA President Kesha Cornelius, ONSA President Oklahoma Legislative Issues.............................................8:16 *Senator Cal Hobson *Representative Ray Vaughn *Jerry Regier, Health & Human Services Cabinet Secretary Keynote Speaker.................................................................9:00 Judith Leavitt, RN, M.Ed., FAAN Break..................................................................................10:15 2000 ONA Legislative Agenda.........................................10:30 ONA-PAC Luncheon.........................................................11:15 Welcome To The Capitol....................................................1:00 Introductions in House/Senate Chambers.......................1:30 Individual Visits With Legislators By Group.....................2:00 YOU are the key to the success of the Nurses Legislative Day 2000. Political action makes a difference when it comes to health care policy. On February 29, you can successfully.
For Registration form prior to February meeting contact: Dorothy Paulk: 632-3204
HOUSE OF DELEGATES TO VOTE ON ITEMS DURING CONGRESS 2000 The following will come before the House of Delegates for a vote: Proposed bylaws amendment related to the eligibility of candidates for national office: Article V. Section 3, B. The Nominating Committee was asked to re-examine the requirement that to be eligible for national office, a member must have been a member continuously for two years prior to being put on the ballot. This is a requirement dictated by AORN bylaws and recently, some very active members have been denied a spot on the ballot because of a few days lapse in their membership records. Current language - To be eligible for elective office as a member of the Board of Directors or a member of the Nominating Committee, a nominee must been a member of the Association continuously for two (2) years immediately prior to being nominated and may not be an employee of AORN Headquarter.Proposed language - To be eligible for elective office as a member of the Nominating Committee, a nominee must be a member of the Association and may not be an employee of AORN, Inc. Revised Resolution on the Role of the Scrub Person. This is a revised “Resolution on the Role of the Scrub Person.” This resolution, which was originally developed in 1988 and reaffirmed in 1995, has now been updated. Text in italics is proposed, additional language - Whereas, perioperative nursing practice incorporated both behavioral and technical components of professional nursing; and Whereas, registered nurses have performed the role of the scrub person for more than 100 years; and Whereas, registered nurses have defined practice standards for the role of the scrub person; and Whereas, the activities of the role of the scrub person are considered an integral part of perioperative nursing practice; therefore be it Resolved, that the registered nurse who performs the role of the scrub person is practicing nursing; and Resolved, that the individual who is not licensed to practice professional nursing and performs the role of the scrub person is doing so as a delegated technical function and under the direct supervision of the perioperative nurse; and Resolved, that the perioperative registered nurse should maintain an active presence in performing the scrub role to ensure appropriate delegation and supervision of scrub duties and to maintain the integral link between scrub and circulating duties. DELEGATES Proposed AORN Statement on the Role of the Health Care Industry Representative in the Operating Room.A task force developed the statement in cooperation with more than 100 professionals from AORN Specialty Assemblies, industry leaders, nurses in industry, and AORN Board and staff. AORN recognized the need for a structured system within the perioperative setting for education, training, and introduction of procedures, technique, technology, and equipment to practicing health care professionals. In defined conditions, AORN believes that health care industry representatives, by virtue of their training, knowledge, and expertise, can provide technical assistance to the surgical team, which expedites the procedure and facilitates desired patient outcomes. The purpose of this statement is to affirm the valuable role health care industry representatives play in the care of surgical patients and to assist the perioperative team in maintaining the a surgical procedure . A health care industry representative may be present during a surgical procedure under conditions prescribed by the facility. AORN recognized there is a wide range of geographic and regional variations regarding the activities of the health care industry representative in the operating room. This statement provides general guidelines to assist the individual facility in developing policies best suited to its community standards. Along with concerns pertinent to the facility. AORN recommends that the following precepts guide policy development.
Please read these items carefully and let your delegates know what you think about them. They represent our chapter and will be voting on these very items during the Congress.
DELEGATES TO THE CONGRESS 2000
HAPPY VALENTINES DAY TO ALL PERIOPERATIVE NURSES FROM
AORN OF CENTRAL OKLAHOMA
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