PRESENTATION OBJECTIVES Describe the value of certification. Review eligibility requirements for CNOR certification. Identify components of the CNOR exam. Discuss available exam prep aids. Discuss the CNOR application process.

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.

Nursing Certification Bibliography 2014 The American Board of Nursing Specialties maintains a comprehensive listing of all certification research studies. Found at: http://www.nursingcertification.org/research-bibliography.html

Blegen, M.A. (2012), Does Certification of Staff Nurses Improve Patient Outcomes? Evidence Based Nursing, 15(2), 54-55. Frank-Stromberg, M., Ward, S., Hughes, L., Brown, K., Coleman, A., Grindel, C. G., et al. (2002). Does certification status of oncology nurses make a difference in patient outcomes? Oncology Nursing Forum, 29(4), 665-672. Hart, S, Bergquist, S, Gajewski, B., & Dunton, N. (2006), Reliability testing of the National Database of Nursing Quality Indicators pressure ulcer indicator. Journal of Nursing Care Quality, 21(3), 256-265. Kendall-Gallagher, D., Aiken, L.H., Sloane, D.M. & Cimiotti, J.P.(2011), Nursing specialty certification, inpatient mortality, and failure to rescue. Journal of Nursing Scholarship, 43(2), 188-194. Kendall-Gallagher, D. & Blegen, M.A. (2009). Competence and certification of Registered Nurses and safety of patients in intensive care units. American Journal of Critical Care, 18(2), 106-116 Krapohl, G., Manojlovich, M., Redman, R., & Zhang, L. (2010), Nursing specialty certification and nursing-sensitive patient outcomes in Intensive Care Unit. American Journal of Critical Care, 19(6), 490-498. MeHugh, M. D., Kelly, L. A. Smith, H. L., WU. E. S., Vanak, J. M. & Aiken, L. H., (2012) Lower Mortality in Magnet Hospitals. Medical Care, October, www.lww-medicalcare.com Nelson, A., Powell-Cope, G., Palacios, P., Luther, S.L., Black, T., Hillman, T., et al. (2007). Nursing staffing and patient outcomes in inpatient rehabilitation settings. Rehabilitation Nursing. 32(5): 179-202.

BENEFITS FOR YOU – THE NURSE Professional recognition and credibility. Professional achievement – validates the nurse’s specialized knowledge. Personal accomplishment – sense of pride, fulfillment and empowerment. Useful for career advancement and professional opportunities.

BENEFITS TO YOUR PATIENT Contributes to better patient care Becoming a consumer expectation

BENEFITS FOR YOUR EMPLOYER Quality indicator that attracts patients, physicians and other healthcare professionals. Provides a rigorous benchmark to ensure that the nursing staff is qualified, knowledgeable, experienced. Aligns well with programs used by other healthcare professions

BENEFITS FOR MAGNET INSTITUTIONS The CNOR credential is a recognized by ANCC as a national certification for the Demographic Data Collection Tool (DDCT). Supports the Magnet process with a certification specific to perioperative nursing, a large part of the nursing workforce in a facility.

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 nursing practice in an administrative, teaching, research, or general staff capacity At least 50%, or 1,200 hours, must be in the intraoperative setting Must be currently working in a perioperative nursing role either full or part-time

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 Photo credit: Getcollegecredit.com

CNOR EXAM CONTENT 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: (information is subject to change) Subject Area % of Questions 1. Preoperative Patient Assessment and Diagnosis 14% 2. Develop Individualized Plan of Care 9% 3. Intraoperative Activities 31% 4. Communications 5. Transfer of Care 5% 6. Cleaning, Disinfecting, Packaging and Sterilization 12% 7. Emergency Situations 8% 8. Management of Personnel Services and Materials 6% 9. Professional Accountability Total 100%

COMPLIMENTARY RESOURCES These may all be found on the CCI website: Handbook Study plan CNOR exam content outline Learner/self assessment tools Sample test questions Webinar recordings Contact information for prep-for-cert courses

CCI READINES TOOLS CNOR Readiness Evaluation Survey Self Assessment Exam with Enhanced Score Report 200 questions

EXAM PREPARATION RESOURCES Current edition of AORN Standards and Recommended Practices Perioperative nursing reference books Phillips, N. (2013). Operating room technique (12th ed.). St. Louis, MO: Elsevier. Rothrock, J.C. (2015). Alexander’s care of the patient in surgery (15th ed.).

EXAM PREPARATION RESOURCES Current edition of AORN Standards and Recommended Practices Perioperative nursing reference books Phillips, N. (2013). Operating room technique (12th ed.). St. Louis, MO: Elsevier. Rothrock, J.C. (2015). Alexander’s care of the patient in surgery (15th ed.). St. Louis, MO: Elsevier. Script to Gary.

OPTIONAL REFERENCES A&P/Pathophysiology textbook Med/surg book Medical dictionary Lab/test reference manual Formulary/drug reference manual www.epocrates.org AORN Journal AAMI standards Websites TJC CDC

CCI STUDY AIDS CNOR Exam Study Guide Learning Modules with CHs https://store.cc-institute.org/

SOURCES FOR PRACTICE QUESTIONS CD-ROM with 100 practice questions Online practice exam Flashcards with 200 practice questions App or hard copy https://store.cc-institute.org/

DEADLINES FOR TESTING Apply and pay one month prior to the three month testing window (i.e. if you apply in February, then you can test in March, April, or May). Once your paid application is approved, you can schedule a date, time, and location that are convenient for you.

CURRENT CNOR APPLICATION FEES (Fees subject to change without notice) $385 Regular $310 AORN member Take 2 Facility Program Discount for employees of DoD/VA Please check our website for additional information

GROUP PROGRAMS Take 2 Program Facility-based program When a facility enrolls five (5) or more nurses, each receives a free CNOR exam retake during a 12 month contract period. Learn more at www.cc-institute.org/CNOR/Take2

Accrual Period for Recertification Activities IMPORTANT RECERTIFICATION INFORMATION (information is subject to change) At the end of your 5-year cycle, you must apply for recertification by one of the following: Contact hours (125) Points (300) Exam CNOR Credential Valid Accrual Period for Recertification Activities Recert Application Due (for discounted fee) 2014 – 2019 1/1/14 – 12/31/18 7/1/19 2015 – 2020 1/1/15 – 12/31/19 7/1/20

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.org