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for Perioperative Nurses, NPs and RNFAs
 
April 15, 2010                                                                                           Vol. 3, No. 4
In This Issue
Sharps Injuries in the OR
New Online Resource
Graduate Spotlight: Kimberly Jones
NIFA's Favorite Links
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From the Editor 

Spring has sprung and with it (at least in the Northern Hemisphere) longer, warmer days--cue the spring fever!

Though it may be harder this time of year, keeping focused and safe in the OR is vital. Especially in view of a newly released study that reports an increase in OR sharps injuries in the US--rather than the expected decrease--since passage of needlestick safety bill in 2000.
Julie Lancaster
Read on to learn a new site for accessing online surgical resources. And finally, meet Kimberly Jones, a 2008 graduate of the NIFA program currently working as an RNFA in Illinois.

Julie Lancaster, Editor
red arrow Sharps Injuries in the OR Increase After Passage of 2000 Safety Law

A new study published in the April 2010 issue of the Journal of the American College of Surgeons reports that, despite the passage of the Needlestick Safety and Prevention Act in 2000, operating room sharps injuries increased by 6.5% between 2000 and 2006. During that same period, sharps injuries in nonsurgical settings decreased by 31.6%.

The study identifies nurses and surgical techs as the most commonly injured personnel in the OR, with suture needles, scalpel blades and syringes as the most common mechanisms of injury. 75% of OR sharps injuries occur during use or passing of these devices. Read the abstract at the journal's website.

For more information on the Needlestick Safety and Prevention Act, see this collection of frequently asked questions on the OSHA (Occupational Safety and Health Administration) website.
red arrow RNFA Tip: New No-cost Online Resource

The Society of Laparoendoscopic Surgeons (SLS) is now offering free (and password-free) online access to full-text journal articles, abstracts, surgical textbooks and award-winning procedural videos on their website, www.sls.org.
 
The site's video selections include procedures for bariatrics, cancer, hernia, lap chole, and several others. 
 
SLS Chairman, Paul Allan Wetter, MD, explained that offering entirely free access aligned best with the SLS mission of providing "information and education in the field of minimally invasive surgery to surgeons worldwide." 
red arrow Graduate in the Spotlight: Kimberly Jones

Kimberly JonesName:  Kimberly Jones

Credentials: RN, CNOR, RNFA

City and State: Mattoon, IL--a small town (rural farming community) in central Illinois known as the bagel capital of the world

Current Job:  Currently I work for Lincoln Trail Orthopedics as the office nurse and RNFA for the orthopedic surgeon. I enjoy meeting the patients before surgery, which enables me to fill the operative team in on any information that might be helpful for the case. I have had patients tell me they are glad to see a familiar face in the OR. I also work in a very limited PRN status in a local trauma center as a circulator in the OR.

Graduate Status: I graduated from the NIFA program in 2008 and passed my CNOR at the same time.*

Story: I became an RNFA after I was placed into the position of assisting an orthopedic surgeon. I had absolutely no experience in the OR when I started the journey, and it took a lot of patience on the surgeon's part to get me to the day I felt I needed to become an official RNFA. I had been in another program but I didn't feel it met my goals. I proceeded to enroll in NIFA's program and knew I had made the correct choice when the surgeon pointed out my skills and knowledge had increased. I was impressed he noticed.

I now find it enjoyable to explain the process of why things are done the way they are to students or new staff in the room. I have since begun working with another orthopedic surgeon who had never had an RNFA. I think knowing he can leave the room and leave me to complete the closure shows a level of trust that is needed in an operative team; of course I do have to check out my closures and critique my work when the patient comes back to the office.

I have only been involved as an orthopedic RNFA and cannot imagine doing anything else. There is such a variety of procedures as well as patient ages that there is always something to learn. It is never a routine procedure. I think that is the most important thing to take away from being an RNFA. NIFA's program prepared me even more to be able to think on my feet in the OR setting. Thanks, NIFA.

*  NIFA note to readers: If you do not yet hold the CNOR title, click here to learn how you can study for the CNOR exam and your RNFA concurrently.
red arrow NIFA's Favorite Links

Here are the five most-in-demand sites for our students, prospective students and grads. Enjoy!

AORN Legislative Map
RNFA Scope of Practice 
CNOR Certification Eligibility
ACS List of Cases that Require an Assistant at Surgery
AORN Perioperative Bookstore
AORN Educational Partner
Disclaimer: The views expressed in this newsletter are strictly those of their respective authors and do not necessarily represent the views of NIFA. NIFA does not give any express or implied warranty as to the
accuracy of statements made by our contributors and does not accept any liability for error or omission. It is the responsibility of all perioperative personnel to work within and adhere to their facility bylaws and individual state scope of practice.
 
NIFA logo with college capThe National Institute for First Assisting (NIFA) is the nation's leader of distance learning RNFA programs. NIFA students receive over 34 hours of simulated skills hands-on lab training at our 3-day SutureStarXpress Workshops (or over 54 hours of simulated skills hands-on lab training at our 6-day SutureStar Workshops). NIFA's RNFA programs are CCI-accepted and meet all standards as set forth by the AORN for formal RN First Assistant programs, taking Perioperative Nurses and NPs to expert levels in the expanded role of Registered Nurse First Assistant.