Perioperative Nursing
Perioperative Nursing
CHOP’s comprehensive orientation program welcomes new-to-practice and experienced nurses with no prior Operating Room (OR) experience.
Periop 101 Transition-to-Practice Program
Periop 101 Transition-to-Practice Program
During the first 5 weeks of the program, candidates complete the Association for periOperative Registered Nurses (AORN)’s Periop 101: A Core Curriculum course, facilitated by CHOP’s Nursing Professional Developmental Specialists and Educational Nurse Specialists.
You'll develop the following core competencies:
- Roles and responsibilities of surgical team (including circulating and scrub nurses)
- Principles of aseptic and sterile technique
- Creating and maintaining a sterile field
- Intra-operative documentation
- Handling and processing surgical specimens
- Safe positioning of patients for surgery
- Care and handling of surgical instruments and equipment
- Safe medication administration
- Anesthesia, airway safety, and malignant hyperthermia management
- Prioritizing periop nursing tasks
- Completion of a nursing diploma through a Bachelor of Science in Nursing (preferred), Associate of Science in Nursing, or diploma program
- Valid Pennsylvania RN licensure prior to hire date
- A strong interest in being a pediatric operating room nurse
- Full-time schedule (7 a.m. to 3:30 p.m., Monday through Friday); can change after first 5 weeks depending on hired unit
- Must pass AORN’s Periop 101 exam upon completion of 5-week course
- New-to-practice nurses will also participate in the nurse residency program for additional support during their first year transitioning as a practicing RN
Main OR
Main OR
During this phase, you will be paired with a preceptor.
Clinical Foundations
- Begin Nurse Residency (if new graduate)
- Complete Periop 101
- Learn about safe practice as part of the Quality Practice and Patient Safety (QPPS) Council
- Complete two weeks of foundational skills in the circulating role and two weeks in the scrub role
Service Rotations
Orientees rotate through all Main OR surgical services (General, ENT, Urology, Orthopedics, Neurology, Plastics, and Ophthalmology). Each rotation is 3 weeks long. You'll focus on the circulating role Week 1; on the scrub role Week 2; and on both during Week 3 (with one week of off shift).
During this phase, the orientee is practicing independently, but partnered with a strong staff member who can provide guidance as needed. Orientee should be able to function independently in the circulating and scrub role and will continue to be a member of QPPS or join another council (Supporting Practice and Management (SPM), Advancing Practice and Education (APE), or Informatics).
Cardiothoracic OR
During this phase, the orientee should be able to focus on the circulating nurse responsibilities.
- Begin CHOP’s Nurse Residency Program (if new graduate)
- Complete 5-week Perioperative 101 course
- Complete a Cardiac Care Unit (CCU)/Cardiac Prep and Recovery Unit (CPRU) Shadow Experience
- Attend Cardiac Days (Cardiac Intensive Care Unit (CICU) Educational Classes)
- Complete a learning experience with the Perfusion team
- Develop understanding of cardiac procedural equipment and supplies
- Weekly debrief to discuss progress and challenges
- Attend Cardiac Days (CICU Educational Classes)
- Attend a VAD class
- Participate in an ECMO simulation
- Attend mock codes in the CICU
- Orient to cases in the Hybrid Operating Room and CICU
- Begin training in the scrub nurse role
- Complete CHOP’s Nurse Residency Program (if new graduate)
- Function independently as the scrub nurse
- Start taking cardiac calls
- Get involved in the unit (shared governance, harm prevention, committees/groups)
- Apply for Professional Excellence & Advancing Knowledge (PEAK) I
- Strengthen independence in the circulating and scrub nurse roles, striving for expert level
- Begin precepting new hires and/or nurse externs
- Continue to be involved in unit activities & initiatives
- Take the Certified Nurse- Operating Room (CNOR) certification exam
- Apply for PEAK II