November 2018 • Volume 11, No. 11

From the Editor

Here we stand on the brink of the holidays, gazing out over a two-month landscape dotted with tempting pies, cookies, candies and sugary beverages. It’s fitting that November is American Diabetes Month, because this is a good time of year to keep in mind the importance of balanced eating for our own health. Type 2 diabetes can be prevented or delayed through a structured lifestyle change program that promotes weight loss, healthy eating and increased physical activity.

Moreover, diabetes is important to understand on behalf of our patients. According to the Centers for Disease Control and Prevention, 30.3 million people are living with diabetesthat’s 9.4% of the US population. Of those people, 23.1 million are diagnosed and 7.2 million undiagnosed. This issue brings you resources to help you learn more.

Finally, November 11-17 is both Perioperative Nurses Week and Nurse Practitioner Week. It’s a good time to acknowledge your coworkers and / or stand up and advocate for your profession. Click on the links to learn how AORN (the Association of Operating Room Nurses) and AANP (the American Association of Nurse Practitioners), respectively, suggest observing these weeks.

Our student in the spotlight is Lisse Daugaard-Gordon, FNP-C, of Sonora, CA.

Scroll down for jobs we’ve assembled for you, a new crossword puzzle, and NIFA’s favorite links.


Julie Lancaster, Editor

Photo by Toa Heftiba on Unsplash 


FDA Approves Powerful New Opioid

On November 2, the FDA approved the controversial drug sufentanil (Dsuvia) to be used in health care settings only. Sufentanil is approximately 10 times as strong as fentanyl, one of the leading causes of overdose in America.


10 Years of WHO Surgical Checklist

The World Health Organization Surgical Checklist has been in place for 10 years now. Has it been effective?

“Team-based approaches to the checklist accompanied by other institutional support have demonstrated double-digit reductions in mortality,” reported Atul Gawande, MD, MPH, FACS, according to an article by Andrew D. Bowser in ACS Surgery News. “While in contrast, a mandate-only approach resulted in a 0% change.” These results have implications for for creating change in organizations generally. Read more . . .

The Diabetic Patient in the Perioperative Setting

Management of glycemic levels during surgery is critical, especially in diabetic patients. Each stage of surgery presents unique challenges in keeping glucose levels within target range. The following two articles provide valuable insights into this process:

From Surgery Research and Practice (2015). Read more . . .

From Health Service Insights (2017). Read more . . .


An animated video that illustrates the way insulin is normally produced in the body and how its production is destroyed in type 1 diabetes.  Watch video . . .

Kahn Academy, in partnership with the American Association of Colleges of Nursing, offers an entire course on how the blood glucose cycle works. This video is focused on Type 2 Diabetes and its treatment.Watch video . . .

Postoperative Patient Care Crossword Puzzle

SurgiQuiz Puzzle

Test your knowledge of Postoperative Patient Care with this month’s all-new crossword puzzle.

When you’re ready to check your answers, follow this link to see how well you did. Good luck!


Student Spotlight: Lisse Daugaard-Gordon

Lisse Daugaard-GordonCredentials

City & State
Sonora, CA

Current Position
NP for Adventist Health Sonora 

Where did you get your RN degree?  
ColoradoDenver School of Nursing (BSN)
Univ. of Colorado, Colorado Springs (FNP & MSN)
Duke University (post-grad in ortho)

How did you come to choose perioperative nursing? 
It was part of my current job, and I received training when I started.

What is one technique or RNFA trick you’ve learned from NIFA this week that you will use for life? 
Different ways to close portal holes, and close skin under tension.

How do you feel having your RNFA will impact your life/career?   
Make me more marketable if I change jobs. Give me more confidence and knowledge.

Jobs Front

Click here for the RNFA job postings we’ve collected for you this month.

NIFA – Office Hours

Monday-Thursday, 8:00am – 4:00pm
Friday, 8:00am – 3:00pm

Practice Resources

Here are several of the most-in-demand sites for our students, prospective students and grads:

ACS Surgery News: Specialty News and Commentaries, Videos and More
RNFA Scope of Practice by State (PDF)
ACS List of Cases that Require an Assistant at Surgery, 2018 (PDF)
Perioperative Nurse Links (state nursing boards & professional associations)
APRN Nurse Links

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 scope of practice.

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