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Jeanee Ring
jring@stfranciscare.org
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Carmen Sierra
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» RN Circulator Laws and Language

Hospital

GENERAL STATUTES OF CONNECTICUT TITLE 19a, PUBLIC HEALTH AND WELL BEING, CHAPTER 368ll,SECTION 19a-903a. Circulating Nurses in Hospitals and Outpatient Surgical Facilities. (b) Any hospital or outpatient surgical facility shall ensure that a circulating nurse is assigned to, and present for the duration of, each surgical procedure performed in an operating room of such hospital or outpatient surgical facility. While assigned to a surgical procedure, no hospital or outpatient surgical facility shall assign a circulating nurse to another procedure that is scheduled to occur concurrently or that may overlap in time with the originally assigned surgical procedure. A circulating nurse assigned to a surgical procedure shall be present for the duration of the procedure unless it becomes necessary for the nurse to leave the operating room as part of the procedure or the nurse is relieved by another circulating nurse.

ASC

GENERAL STATUTES OF CONNECTICUT TITLE 19a, PUBLIC HEALTH AND WELL BEING, CHAPTER 368ll,SECTION 19a-903a. Circulating Nurses in Hospitals and Outpatient Surgical Facilities. (b) Any hospital or outpatient surgical facility shall ensure that a circulating nurse is assigned to, and present for the duration of, each surgical procedure performed in an operating room of such hospital or outpatient surgical facility. While assigned to a surgical procedure, no hospital or outpatient surgical facility shall assign a circulating nurse to another procedure that is scheduled to occur concurrently or that may overlap in time with the originally assigned surgical procedure. A circulating nurse assigned to a surgical procedure shall be present for the duration of the procedure unless it becomes necessary for the nurse to leave the operating room as part of the procedure or the nurse is relieved by another circulating nurse.

» Registered Nurse First Assistants (RNFAs)

Reimbursement: None

Definition: None

Scope: Department of Health Services, State of Connecticut, Bureau of Health System Regulation, Division of Medical Quality Assurance, Declaratory Ruling adopted on November 7, 1988. 1. The registered nurse in Connecticut who acts as a first assistant in the operating room does function within the scope of nursing as defined in Connecticut General Statutes Section 20-87a if; 2. The nurse is competent to practice as a RNFA as measured by education, training and experience and if; 3. The surgeon provides supervision appropriate to the complexity of the surgery and appropriate to the education, training and experience of the RNFA. “…The Department adopts the standards espoused by the Association of Operating Room Nurses. AORN Journal, December 1980, Vol. 32, No. 6; September 1984, Vol. 40. No 3; and May 1987, Vol. 45. No. 5 (Exhibit No. 11). Should the standards as espoused by the association of operating room nurses be modified by that association, this declaratory ruling should be read to incorporate the standards as so modified by that association. Therefore, the following is adopted as the standard in Connecticut.” Scope of Practice Under the direct and constant supervision of the operating physician: 1. Tissue handling, 2. Providing exposure, 3. Using instruments, 4. Suturing, 5. Providing hemostasis

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