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14th Edition Now Available
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          Standalone Collection: ORNAC (14th ed. pub. October 2019) Standalone Collection

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  6. ORNAC Approved Educator Discount provides ORNAC Approved Perioperative Programs Educators will receive a ten (10%) discount which may be applied to the individual sale of the standard by utilizing the applicable discount code. Please contact info@ornac.ca for access to the discount code. (Not applicable to multi-user or bulk purchases, and not accepted in tandem with any other discount code)


The primary objective of the Operating Room Nurses Association of Canada is to "...promote high standards of operating room nursing practice in order to promote quality nursing care in Canada " (Article 2.03. (i) Bylaws). The present document, which presents recommended standards for perioperative nursing, represents the Association's response to this objective and reflects ORNAC's motto - "Promoting Excellence." The document details three sets of recommendation; those relating to Professional Standards, to Competencies, and to Clinical Standards

ORNAC endorses initiatives for “Safer Healthcare Now” as well as CSA Standards on multiple subjects such as perioperative safety, sterilization and health care facilities.This semi-annual compendium was developed and reviewed by perioperative registered nurses across Canada and reflects current practice, research, and review of medical/surgical/nursing literature. ORNAC Standards, Guidelines, and Position Statements for Registered Nurses, 14th edition – 2019 serves as a guide and reference for perioperative Registered Nurses, health care facilities providing care to surgical patients, and other professional associations. The volunteer members of the ORNAC Standards Committee review/revise modules on a continuous basis within a two year timeframe. The Standards are available in both English and French. 

Thank you to the committee members who worked diligently on the 14th edition of the Standards.

  • Erin Robertson RN, BScN, MN, CPN(C) - ON (Co Chair)
  • Heather Lithgow RN, BScN, MN, CPN(C) - ON (Co Chair)
  • Linda Becker RN, BScN, MSN, RNFA, CPN(C) - ON
  • Heather Martin RN, BScN, CPN (C) - BC
  • Isabelle Andre RN, BScN, CPN(C) - PQ
  • Jaswant Birk RN, BScN, CPN(C) - BC
  • Sylvie Beauregard RN, BScN - PQ
  • Vanja Ryan RN, BScN, MN - BC
  • Kate Sullivan RN, BScN - SK
  • Joanne Clark RN, BScN, CPN(C) - BC


  • Fully reviewed, revised and expanded Section 2
  • Fully reviewed, revised and expanded Section 5
  • New content added:
    • Environmental Responsibilities
    • Enhanced Cleaning for Transmission Based Precautions
    • Enhanced Recovery After Surgery
      (ERAS®) and Surgical Safety Checklist (SSCL) joint practice statements
  • Permission letter - Provincial Infectious Diseases Advisory Committee (PIDAC) decision making algorithm
  • Expert reviewers
    • Canadian Anesthesia Society (CAS) Standards (Section 3)
    • Infection Control Practitioners (ICP)-CJD, Routine & Transmission Based Precautions, Cleaning
  • Levels of Evidence (LOE) included for all references
  • American Psychological Association (APA) 6th edition referencing

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Historical Development

2019 ORNAC Standards, Guidelines and Position Statements for Perioperative Registered Nurses 14th Edition- October 2019 (English) January 2020 (French)
2017 ORNAC Standards, Guidelines and Position Statements for Perioperative Registered Nurses 13th Edition – April 2017 (English & French Versions)
2015 ORNAC Standards for Perioperative Registered Nursing Practice 12th Edition – April 2015 (English & French Versions)
2013 ORNAC Standards for Perioperative Registered Nursing Practice 11th Edition – April 2013 (English & French Versions)
30th anniversary edition with a special commemorative cover.
2003 Recommended Standards, Guidelines and Position Statements for Perioperative Nursing Practice
Revision incorporated a major format change. This edition has been re-designed into modules.
The constant rapid change in healthcare requires a design that enables more consistent review/revision.
1998 Recommended Standards for Perioperative Nursing Practice
1998 edition reflected the movement towards ambulatory surgery.
1993 Recommended Standards for Perioperative Nursing Practice
The two documents were combined in a single issue and also included a chapter on competencies. That issue was used as a primary resource for the development of the Canadian Nurses Association (CNA) Certification exam in Perioperative Nursing Practice.
1988 Recommended Technical Standards were published.
This was a significant milestone for a young organization. The body of knowledge required in the specialty was defined as required by the Canadian Nurses Association to meet the requirements of a certification process.
1986 Recommended Standards for Operating Room Nursing Practice
First Edition for ORNAC!
1983 ORNAC inaugurated

Association des infirmières et infirmiers de salles d’opération du Canada (AIISOC)

FaLang translation system by Faboba
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