The ORNAC Journal is the official peer-reviewed publication of the Operating Room Nurses Association of Canada (ORNAC). Published quarterly by Clockwork Communications, the ORNAC Journal promotes professional perioperative nursing practice and provides its membership with relevant, practice-based information to apply in today's OR environment. All article submissions are reviewed by an independent rotating review panel.

Current Issue: June 2016

June 2016 Journal Cover


All ORNAC Members and Associates receive a complimentary subscription to the Journal.  Subscriptions will begin from the time your membership dues are received for the current year, so make sure to renew early to receive every issue!  

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For more information about the journal, or to order a back issue in print format, please Contact Deborah McNamara, Journal Editor.

June 2016 Featured Articles

Knowledge and Skills Enhancement Through Perioperative Nursing Simulation Lab Training


  • Trish Whelan, RN, BScN, MHS, ENC(C), Practice Education Consultant. Health Professions Strategy and Practice, Alberta Health Services, Edmonton, AB.
  • Xinzhe Shi, BSc, MMSc, MPH, Research Consultant in the Centre of Advancement of Minimally Invasive Surgery (CAMIS) at Royal Alexandra Hospital, Alberta Health Services, Edmonton, AB.
  • Sue Yorke, RN, BScN, CBN, Bariatric OR Clinical Nurse Educator in the Centre of Advancement of Minimally Invasive Surgery (CAMIS) at Royal Alexandra Hospital, Alberta Health Services, Edmonton, AB.
  • Keith Andony, BEd, Cert. LAT, Cert. PMP, Cert. LAM, Manager in the Centre of Advancement of Minimally Invasive Surgery (CAMIS) at Royal Alexandra Hospital, Alberta Health Services, Edmonton, AB.
  • Mary Lou McKenzie, Executive Director of CAMIS, Adult Operative Services, Medical Device Reprocessing & Endoscopy in the Edmonton Zone, Alberta Health Services, Edmonton, AB.


In Edmonton Zone, the attrition rate among new perioperative nursing staff is an issue of concern and many ORs are facing noticeable staffing challenges. In the Edmonton area there are approximately 79 surgical suites. A series of simulation labs were established in 2015 to provide perioperative nurses in order to increase their comfort on the job and to help build confidence levels. The expectations for this simulation are an overall improvement in perioperative nurses’ competency, a reduction in OR orientation and training time, and a decrease in the attrition rates among OR nurses.

Traditional canister-based open waste management system versus closed system: hazardous exposure prevention and operating theatre staff satisfaction


  • M Horn, RN, CNS Kareena Private Hospital, Caringbah, New South Wales (NSW), Australia (Martlie Horn was employed at Prince of Wales Hospital, Randwick, NSW at the time the study was performed).
  • N Patel, BEng DIS, KM&T Asia and Pacific
  • M MacLellan, MBA, KM&T Asia and Pacific
  • N Millard, BBioMed (Hons), MMedSci, Stryker Australia


Introduction: Exposure to blood and body fluids is a major concern to health care professionals working in operating rooms (ORs). Thus, it is essential that hospitals use fluid waste management systems that minimise risk to staff, while maximising efficiency.

Method: The current study compared the utility of a ‘closed’ system with a traditional canister-based ‘open’ system in the OR in a private hospital setting.

Results: A total of 30 arthroscopy, urology, and orthopaedic cases were observed. The closed system was used in five, four, and six cases, respectively and the open system was used in nine, two, and four cases, respectively. The average number of opportunities for staff to be exposed to hazardous fluids were fewer for the closed system when compared to the open during arthroscopy and urology procedures. The open system required nearly 3.5 times as much staff time for set-up, maintenance during procedures, and post-procedure disposal of waste. Theatre staff expressed greater satisfaction with the closed system than with the open.

Conclusion: In conclusion, compared with the open system, the closed system offers a less hazardous and more efficient method of disposing of fluid waste generated in the OR.

ORNAC Journal Vision

The ORNAC Journal is Canada’s leading publication which engages, empowers and supports Perioperative Practitioners.

ORNAC Journal Mission

The ORNAC Journal is the best source of information and news relevant to Perioperative Practitioners dedicated to:

  1. Connecting Perioperative Practitioners
  2. Enhancing professional growth
  3. Promoting perioperative professional practice.

ORNAC Journal connects Canada’s Perioperative Practitioners and is the best source of information and news that is relevant to their practice.

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