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2. The Essentials of CNOR Certification: Everything You Need to Know to Get Certified in 2011 2011

3. PRESENTERS Mary O’Neale, MN, RN, CNOR, Director of Credentialing and Education Julie Mower, MSN, RN, CNS, CNOR, Credentialing and Education Project Manager 3

4. COURSE OBJECTIVES 1.Describe the value of certification 2.List eligibility requirements for CNOR certification 3.Generate a sample application form 4.Provide information on exam preparation 4

5. 5 CNOR CERTIFICATION CNOR Certification is defined as: The documented validation of the professional achievement of identified standards of practice by an individual registered nurse providing care for patients before, during and after surgery.

6. BENEFITS FOR YOU – THE NURSE Professional recognition and credibility – confirms a nurse’s competency and capabilities Professional achievement – validates and distinguishes nurse’s specialized knowledge Personal accomplishment – sense of pride, fulfillment and empowerment May be useful for career advancement and professional opportunities in some facilities Contributes to better patient care! 6

7. BENEFITS FOR YOUR EMPLOYER Quality indicator that attracts patients, physicians and other healthcare professionals Recognition factor demonstrating that the nursing staff is qualified, knowledgeable, experienced, and met rigorous requirements Helps with Magnet Status designation. The CNOR credential is a Category “A” ANCC Magnet Accepted National Certification. Supports a culture of patient safety! 7

8. CNOR ELIGIBILITY CRITERIA Licensed as a RN in the country where currently practicing perioperative nursing Completed a minimum of two years and 2,400 hours of perioperative practice as a RN in an administrative, teaching, research, or general staff capacity At least 50%, or 1200 hours, must be in the intraoperative setting Must be currently working in a perioperative role either full or part-time 8

9. CNOR EXAM 200 multiple choice questions 3 hours and 45 minutes to complete the test Updated annually to reflect current perioperative standards and recommended practices Administered by an independent testing company, Prometric May be taken Monday through Saturday, excluding holidays, at test centers nationwide 9

10. CNOR EXAM CONTENT Subject Area# of Questions% of Questions 1. Patient Assessment and Diagnosis2614% 2. Identify Expected Outcomes and Develop Plan of Care17 9% 3. Intraoperative Activities5731% 4. Communications17 9% 5. Discharge Planning9 5% 6. Cleaning, Disinfecting, Packaging and Sterilization2212% 7. Emergency Situations158% 8. Management of Personnel Services and Materials11 6% 9. Professional Accountability116% Total185100% 10 The Candidate Handbook is found at http://www.cc-institute.org/cnor/prepare/handbook-plan The estimated Subject Area breakdown on the CNOR exam is as follows: This information is subject to change.

11. SAMPLE QUESTION #1 1.Shelf life for sterile supplies is determined by all of the following except the method of: Sterilization. Handling. Packaging. Storage. 11

12. ANSWER #1 Correct answer is A: Sterilization Rationale: Shelf life is influenced by the type of packaging used, storage conditions, humidity, temperature, transport conditions, use of dust covers, and the amount of handling the item receives. Reference: From AORN. (2011). Standards and Recommended Practices, p. 88. Denver, CO: Author. 12

13. CNOR APPLICATION FEES $375 Regular $295 AORN member 13

14. EXAM PREPARATION RESOURCES Current edition of AORN Standards and Recommended Practices CCI CNOR Study Plan - free, downloadable plan from CCI website Interactive Guide to CNOR Exam Preparation – new publication E-Practice Tests – online simulation CD-ROM with 100 Practice Questions Reference books 14

15. LOGON PAGE 15

16. APPLICATION INFORMATION Information You Will Need: Personal contact information - address, email and phone number (home and work) Last four digits of your social security number (unique identifier) Birth year Highest degree earned AORN information – username (email address), password and membership number 16

17. APPLICATION INFORMATION (CONT.) Employer contact information – facility name, phone number RN information - RN license issue date, state licensed to practice Perioperative work history – last two years, date began working in the OR, current position, and current practice area Supervisor contact information (name, address, email, phone number) Payment information (check or credit card) 17

19. SAMPLE QUESTION #2 2. When doing the preoperative skin preparation on an abdominal case, the perioperative nurse should start at the: Nipples and proceed toward the pubis. Site of incision to the periphery. Incision site and proceed upwards to nipples. Umbilicus and proceed in circles around it. 19

20. ANSWER #2 Correct answer is B. Site of incision to the periphery. Rationale: Application of the skin antiseptic should progress from the incision site to the periphery of the surgical site. Reference: From AORN. (2011). Standards and Recommended Practices, p. 370. Denver, CO: Author. 20

21. DEADLINES FOR TESTING Apply two months prior to when you want to take the CNOR exam. Sign up by Sept. 30 th to test in November Sign up by Oct. 31 st to test in December Once your application is approved, you schedule a date, time, and location that are convenient for you. 21

22. SAMPLE QUESTION #3 3. If the sponge count is incorrect, the perioperative nurse should first: Notify the surgeon Arrange for an X-ray to be taken of the operative area. Document the incorrect count on the record Notify the operating room supervisor 22

23. ANSWER #3 Correct answer is A. Notify the surgeon Rationale: The RN circulator should inform and receive verbal acknowledgement from the surgeon and surgical team as soon as a discrepancy in a surgical count is identified. Reference: From AORN. (2011). Standards and Recommended Practices, p. 272. Denver, CO: Author. 23

24. CNOR RECERTIFICATION Certification is valid for 5 years, at which time you must apply for recertification by: Exam Contact hours (125) Portfolio 24

25. IMPORTANT RECERTIFICATION DATES CNOR Credential Valid Accrual Period for Recertification Activities Recert Application Due 2011 – 20161/1/11 – 12/31/157/1/16 2012 – 20171/1/12 – 12/31/167/1/17 25

26. Q & A Questions from discussion board on webinar If you have a question for follow-up, please send an email to webinar@cc-institute.org, and they will be answered. 26

27. Please know that the CCI staff is here to help you achieve your goal of CNOR certification. If you have questions, please contact us at 888-257-2667 or info@cc-institute.org www.cc-institute.orginfo@cc-institute.org