Surgical e-News banner
for Perioperative Nurses, NPs and RNFAs
 
January 7, 2010                                                                                                 Vol. 3, No. 1
In This Issue
Robotics-Assisted Surgery in the News
Student in the Spotlight
CNOR and You
Fall/Winter Hours
Monday - Thursday
8am - 5pm MST
-----------------------------
Friday
8am - 2pm MST
Need Answers Now?
Call Emily!

Emily

Questions about RNFA training, credentialing, reimbursements, state issues, or just want to "talk shop" between cases? Call Emily on the NIFA HOT LINE! She'll answer your question or immediately direct you to the right person for an answer. Call 1-800-92ASSIST, press 1.
Spread the Word!
If you enjoy reading this newsletter and have a friend or colleague who might also benefit from it, please send it along using the "forward email" button at the bottom of this email.

Anyone can sign up for a free, privacy-protected subscription by clicking on the "join our mailing list" button below.
From the Editor 

Robotics-assisted surgery is showing up everywhere these days--on the news, maybe in your institution, and even on TV dramas like ABC's Grey's Anatomy.
 
Unlike industries in which robots pose a threat to employment, robotics-assisted surgery doesn't necessarily reduce the number of personnel involved in a surgery--good news for RNFAs--but it can often reduce the invasiveness, risk and recovery time involved in many different procedures.
 
Read on for a few news stories about robotics-assistJulie Lancastered surgery. And in this month's student spotlight, NIFA graduate Angela Uhler talks about how her institution's commitment to robotics is giving her new and fascinating work opportunities.

 

Julie Lancaster, Editor
red arrow Robotics-Assisted Surgery in the News

This week the U.S. Food and Drug Administration approved an approach developed by surgeons at the University of Pennsylvania School of Medicine using the da Vinci Surgical System (Intuitive Surgical, Inc., Sunnyvale, CA) for certain TransOral otolaryngologic surgical procedures; click to read the Science Daily report.
 
In December, the Independent online reported on joint surgery successes in Great Britain. Also last month, the Science Daily announced a 3-D computerized modeling approach developed by a French team that will allow a robotic arm to adjust to heart and chest movement during surgery, allowing a surgeon to perform a procedure on a beating heart as if it were stationary.
red arrow Student in the Spotlight

Angela UhlerName:
Angela L. Uhler
Credentials: RN, BSN, CNOR
City and State: York, PA
Current Job: Clinical Nurse Operating Room, Wellspan Health-York Hospital
Student Status: About halfway through clinical hours
 
Career Path: I grew up in York, PA, then went to Harrisburg Area Community College for my Associates in Nursing in 2000, and York College of PA for my BSN in 2003. I am attending Drexel University for my MSN in Educator track, and will graduate in 2011.
 
I started in the Operating Room by chance--I really knew nothing about it. I never thought I would like this type of nursing and eight years later, I love it! About three years ago, I decided to approach my nurse manager to apply for RNFA. I was thinking of changing my major to Nurse Practitioner and thought the RNFA would be a great asset. Currently, we have NPs who work alongside the resident program. They round, admit/discharge and assist in the OR.
 
When I did my training last July, it also was around the same time that a robotics program was just starting to emerge at our institution. My training through NIFA helped me to become the primary RNFA for the da Vinci robotics program at York Hospital. I was able to attend "wet labs" with these surgeons and practice on pigs prior to our first case. It's amazing how my training through NIFA has helped me step up to this new challenge and feel confident to take on such an amazing responsibility.
 
Over the past year, we have done an amazing 200 robotic cases, and they thought were only going to do 50!  Our institution is using robotics for GYN-hysters, sacrocolpopexy, cancer cases, gallbladders, Nissens, LARs, GU-prostates and heart cases. I primarily do general/gyn cases and also have become an unofficial robotics coordinator for this specialty. We are on our way to become an epicenter for GYN procedures, one of only a few institutions across the country! WOW!
 
This spring, I will be traveling to California or Texas with another RNFA from our hospital to learn about doing thyroids with the da Vinci. We will get to do a "wet lab" with cadavers.
 
I am so excited for this new adventure and very lucky that RNFAs are involved in this from the beginning, since we lack a resident training program at this time for the da Vinci. I'm thankful to NIFA for helping me qualify to be the primary RNFA for this program.
red arrow RNFA Tip: CNOR and You

Are you aware that you don't need CNOR to enroll in NIFA's RNFA Program 2.0?

You only need to be CNOR eligible and later have CNOR before graduation. (The CNOR requirement is waived for APNs.) About 50% of our RNFA students do not have CNOR at the time of enrollment. However, they are studying for the CNOR concurrently with their RNFA Program by using AORN's "Prep for CNOR" course. That course is so good that AORN guarantees you will pass CNOR or receive a refund. Click the link above for details.
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
NIFA helps fund OR Management Education monthly as an
AORN Mgmt. Resources Corporate 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.