National Standards for Perioperative Registered Nursing Practice
ORNAC holds the following beliefs regarding standards:
Conceptual Model for Perioperative Registered Nursing Practice
The conceptual model provides direction for perioperative Registered Nursing practice. The surgical patient is the focus of perioperative Registered Nursing practice, which has as its' foundation professional and clinical standards, and competencies.
The professional standards provide guidelines for the perioperative Registered Nurse on which to base decisions in such areas as ethics, legal aspects, and professional conduct.
The competency statements reaffirm that perioperative Registered Nurses are responsible and accountable for the nursing care of the surgical patient during the perioperative phase.
In order to implement the standards and develop competence, the perioperative registered nurse shall be cognizant of the qualities necessary to become a Registered Nurse. Competence integrates the characteristics of knowledge, clinical and ethical decision-making, communication skills, psychomotor skills, safety, accountability, responsibility, team organization, continuing education, and leadership skills. The perioperative Registered Nurse us guided in the clinical area by these characteristics in order to function both independently and in collaboration with other members of the health care team.
The clinical standards provide a basis for consistent, uniform, and acceptable outcomes of nursing practice. The perioperative Registered Nurse is systematically guided through the perioperative phase. The clinical standards are the benchmarks for quality improvement.
The standards are implemented during the immediate preoperative, intraoperative, and immediate postoperative phases of the surgical patient's experience. Administration and management provide support, direction, leadership, resources, and commitment to the practice of these standards.