“A standard is a desired and achievable level of performance against which we can measure actual performance. Self regulating professions are characterized by standards of practice, based on the values of the profession.” – Canadian Nurses Association

National Standards for Perioperative Registered Nursing Practice

ORNAC holds the following beliefs regarding standards:

• The implementation of standards contributes to the continued improvement of safe patient care and perioperative registered nursing practice in Canada.
• Standards assist the perioperative Registered Nurse in attaining and maintaining competence in the performance of quality patient care.
• Standards define safety measures for patients and the health care team.
• Standards provide a baseline and tool for measurement when evaluating perioperative registered nursing practice.
• Standards are an integral part of a facility's quality assurance and improvement program.
• Standards provide a consistent reference base for programs such as orientation, in-service, continuing education, research, and formal perioperative post basic education programs.
• Standards are the benchmark from which the perioperative Registered Nurse Manager and Educator provide the structure, resources, and environment for the health care team.

Conceptual Model for Perioperative Registered Nursing Practice

The conceptual model provides direction for perioperative Registered Nursing practice. The surgical patient is the focus of perioperative Registered Nursing practice, which has as its' foundation professional and clinical standards, and competencies. The professional standards provide guidelines for the perioperative Registered Nurse on which to base decisions in such areas as ethics, legal aspects, and professional conduct. The competency statements reaffirm that perioperative Registered Nurses are responsible and accountable for the nursing care of the surgical patient during the perioperative phase.

In order to implement the standards and develop competence, the perioperative registered nurse shall be cognizant of the qualities necessary to become a Registered Nurse. Competence integrates the characteristics of knowledge, clinical and ethical decision-making, communication skills, psychomotor skills, safety, accountability, responsibility, team organization, continuing education, and leadership skills.

The perioperative Registered Nurse is guided in the clinical area by these characteristics in order to function both independently and in collaboration with other members of the health care team. The clinical standards provide a basis for consistent, uniform, and acceptable outcomes of nursing practice. The perioperative Registered Nurse is systematically guided through the perioperative phase. The clinical standards are the benchmarks for quality improvement. The standards are implemented during the immediate preoperative, intraoperative, and immediate postoperative phases of the surgical patient's experience. Administration and management provide support, direction, leadership, resources, and commitment to the practice of these standards.

15^th Edition Now Available

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                                     ORNAC Standard, 15th Edition - PDF and Paper 

1. "NEW" E-Subscription ORNAC Standards [Standalone] or Bundled [ORNAC Standards + 9MDR Standards] -Organizations, Health Authorities, Educational Institutions

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3. ORNAC Member Discount: ORNAC members will receive a ten percent (10%) discount which may be applied to the individual sale of the Standards through the use of a discount code located on the landing page when you log into Your Member Profile (Not applicable to multi-user licenses or bulk purchases).
4. ORNAC Approved Educator Discount: provides ORNAC Approved Perioperative Programs Educators will receive a ten (10%) discount which may be applied to the individual sale of the standard by utilizing the applicable discount code. Please contact info@ornac.ca for access to the discount code. (Not applicable to multi-user or bulk purchases, and not accepted in tandem with any other discount code)

Scope

The primary objective of the Operating Room Nurses Association of Canada is to "...promote high standards of operating room nursing practice in order to promote quality nursing care in Canada " (Article 2.03. (i) Bylaws). The present document, which presents recommended standards for perioperative nursing, represents the Association's response to this objective and reflects ORNAC's motto - "Promoting Excellence." The document details three sets of recommendations; those relating to Professional Standards, to Competencies, and to Clinical Practice Statements.

Overview
ORNAC endorses initiatives for “Safer Healthcare Now” as well as CSA Standards on multiple subjects such as perioperative safety, sterilization and health care facilities.This semi-annual compendium was developed and reviewed by perioperative registered nurses across Canada and reflects current practice, research, and review of medical/surgical/nursing literature. ORNAC Standards, Guidelines, and Position Statements for Registered Nurses, 15th edition – 2021 serves as a guide and reference for perioperative Registered Nurses, health care facilities providing care to surgical patients, and other professional associations. The volunteer members of the ORNAC Standards Committee review/revise modules on a continuous basis within a two year timeframe. The Standards are available in both English and French. 

Thank you to the committee members who worked diligently on the 15th edition of the Standards.

• Sylvie Beauregard RN, BScN - PQ(Co Chair)
• Toni Carriero RN, BScN, MN,  - QC (Co Chair)
• Heather Martin RN, BScN, CPN (C) - BC
• Kat Yemenidijian RN, BScN- QC
• Jaswant Birk RN, BScN, CPN(C) - BC
• Erin Robertson RN, BScN, MN, CPN(C) - ON 
• Vanja Ryan RN, BScN, MN - BC
• Julie Maranda RN, BScN, MN-QC
• Joanne Clark RN, BScN, CPN(C) - BC
• John Gregory, ORNAC Standards Coordinator

Accomplishments

• Fully reviewed all sections
• Reviewed, revised and expanded Section 2
• Reviewed, revised and expanded Section 5
• New content added:
  • Epidemic and Pandemic Planning
• Updates to Section 0, New Mission, Vision and Core Values, Decision making Hierarchy, Position Statement
• Expert reviewers
• • Infection Control Practitioners (ICP)-CJD, Routine & Transmission Based Precautions, Cleaning
• Levels of Evidence (LOE) included for all references
• American Psychological Association (APA) 7th edition referencing

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Historical Development

Association des infirmières et infirmiers de salles d’opération du Canada (AIISOC)