1. By Bernadette Wagner RN, CNOR Surgical Robotics

2.  Describe the use of Robots in performing surgery  Describe Hardware and Software programs  Assess the Role and Function of the Nurse  Describe the Advantages/Disadvantages from a Nursing perspective

3.  Surgical robot is a computer controlled device used by a surgeon  Surgical robotics is minimally invasive and precise

4.  An alternative to open and laparoscopic surgery  Used successfully in over tens of thousands cases: Cardiothoracic, Gynecologic, Urology and Pediatric surgeries

5.  Robotic Arm-Automated Endoscopic System for Optimal Positioning (AESOP)  Haptic Sensor- a sensor that gives the surgeon a “sense” of touch during remote surgery  Computer Console with 3D high definition visualization  Teleoperated Surgical Instruments

6. In Robotic Surgery

7. Voice RecognitionDepth Q Capture©Depth Q Player©

8. Software Program

9.  Criteria:  1. Human Computer Interaction(HCI)  2. Usability  3. Ergonomics

10.  Hardware, Software and Telecommunications Networks

11. Special Purpose

12.  Greater patient satisfaction and comfort  Revise patient education pre and post op  Nurses commitment to continued education (Morris,2005)

13. Advantages  Greater patient satisfaction and comfort  Nursing advancement and involvement in “cutting-edge” procedures and training Disadvantages  Robots eliminate the need for nursing personnel ?  Expensive price tag

14.  Legal liability from state to state  State Licensure  The Health Insurance Portability and Accountability Act (HIPPA)

15. Competencies required

16. EducatorConsultant System SpecialistProject Manager Informatics Nurse

17. Robotic Surgery

18. American Association of Colleges of Nursing(AACN). (2009).Nursings aging population. Retrieved April 16, 2010, from http://www.aacn.nche.eduhttp://www.aacn.nche.edu Morris, B. (2005). Robotic Surgery: Applications, Limitations, and Impact on Surgical Education. Medscape General Medicine, 7(3). Retrieved March 2,2010, from http://www.medscape.com/viewarticle/511854

19. National Instruments Developer Zone. (2008). Robotic Surgery Moves from Science Fiction to Reality. Retrieved March 26, 2010, from http://zone.nicom/devzone/cda/pub/p/id/257 http://zone.nicom/devzone/cda/pub/p/id/257 Social Science Research Network (SSRN). (2010). Legal and ethical issues in telemedicine and robotics. International Journal of Gynecology and Obstetrics. Vol.94,(pp.73-78). Retrieved April 17, 2010, from http://papersssrn.com/so13/papers.cfm?abstract- id=944833

20. Staggers, N., Gassert,C., Curran, C.(2001). Informatics competencies for nurses at four levels of practice. Journal of Nursing Education, 40(7), 303-316. Staggers, N.(2003). Human factors: Imperative concepts for information systems in critical are. AACN Clinical Issues, 14(3), 310-319.

21. Stair, R., & Reynolds, G. (2008). Principles of information systems (8 th ed.). Boston,MA: Thompson Course Technology.