Periop 303

Course Overview:

Maintaining core body temperature is a tightly regulated process. However, a patient’s perioperative journey alters the normal thermoregulatory system because of multiple factors inherent to the perioperative environment.

All perioperative patients are at risk for developing unplanned hypothermia, which may contribute to adverse outcomes. For these reasons, perioperative RNs should be aware of the risks for unplanned hypothermia in all patients, as well as evidence-based practices to prevent or treat hypothermia in all phases of perioperative care.

Periop 303: Hypothermia Prevention provides scenario-based activities with 20 questions. Each scenario includes tips and reflection on practice to promote mastery. The goal is to assess a learner’s ability to apply knowledge in practical situations.

Course Outcomes:

90% of learners will recall the responsibilities for hypothermia prevention in the perioperative setting, as evidenced by achieving a score of at least 80% on the test questions.

Course Objectives:

At the completion of this course, learners will be able to:

• Identify the physiologic implications related to the development of hypothermia in the perioperative environment.
• Identify perioperative nursing considerations regarding the selection of temperature monitoring sites and methods.
• Differentiate between passive insulation and active warming methods.
• Identify evidence-based recommendations related to implementation of various warming interventions.

Contact Hours & Certificate:

0.5 CH

Certificate of Mastery for Periop 303: Hypothermia Prevention

Contact hours earned after completion of the course, post-test, and course evaluation. Certificate awarded to learner upon successful completion of this activity and evaluation.

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Course Overview:

Local-only anesthesia involves local medication infiltration or topical medication application with the patient wide awake while undergoing a surgical procedure. Patient care is overseen by the perioperative team, often without an anesthesia professional present. Perioperative care for patients receiving local-only anesthesia should be individualized during each phase of perioperative care. 

Although local anesthesia is considered safe and effective, patients may rarely experience adverse reactions to local anesthetics with the potential for severe and fatal consequences. Complications include systemic, allergic, or other adverse reactions.

Periop 303: Local-Only Anesthesia provides scenario-based activities with 25 questions. Each scenario includes tips and reflection on practice to promote mastery. The goal is to assess a learner’s ability to apply knowledge in practical situations.

Course Outcomes:

90% of learners will recall the responsibilities for the use of local-only anesthesia in the perioperative setting, as evidenced by achieving a score of at least 80% on the test questions.

Course Objectives:

At the completion of this course, learners will be able to:

• Describe the perioperative patient assessment, monitoring, and care for the patient undergoing local-only anesthesia.
• Determine the needs for communication among team members when local-only anesthesia is planned.
• Recognize adverse reactions that may occur from the use of local-only anesthesia.
• Identify treatment measures for patients experiencing adverse reactions from the administration of local-only anesthesia.

Contact Hours & Certificate:

0.5 CH

Certificate of Mastery for Periop 303: Local-Only Anesthesia

Contact hours earned after completion of the course, post-test, and course evaluation. Certificate awarded to learner upon successful completion of this activity and evaluation.

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Course Overview:

Malignant hyperthermia (MH) is a rare genetic syndrome characterized by a severe hypermetabolic state and rigidity of the skeletal muscles. It can occur when susceptible individuals are exposed to triggering agents, such as volatile anesthetic gases or the depolarizing muscle relaxant succinylcholine.

Because MH is a life-threatening condition, immediate recognition and treatment are critical. Perioperative RNs should be knowledgeable of the risks for MH, the signs and symptoms of MH, recommended treatment strategies, and perioperative team members’ roles in managing an MH episode.

Periop 303: Malignant Hyperthermia provides scenario-based activities with 34 questions. Each scenario includes tips and reflection on practice to promote mastery. The goal is to assess a learner’s ability to apply knowledge in practical situations.

Course Outcomes:

90% of learners will recall the responsibilities for the prevention and treatment of malignant hyperthermia in the perioperative setting, as evidenced by achieving a score of at least 80% on the test questions.

Course Objectives:

At the completion of this course, learners will be able to:

• Identify demographic factors that may indicate MH susceptibility.   
• Discuss the pathophysiology of MH.
• Identify the key signs and symptoms of MH.
• Identify steps facilities should take to prepare for an MH crisis.
• Differentiate between the formulations of dantrolene sodium.
• Identify methods of treating a patient during an acute MH crisis.
• Describe patient care interventions in the post-acute phase of an MH crisis.

Contact Hours & Certificate:

0.75 CH

Certificate of Mastery for Periop 303: Malignant Hyperthermia

Contact hours earned after completion of the course, post-test, and course evaluation. Certificate awarded to learner upon successful completion of this activity and evaluation.

Comments:

The leading authority on MH is the Malignant Hyperthermia Association of the United States (MHAUS). The information used to develop this course was accessed through the MHAUS website.

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Course Overview:

Perioperative RNs may be responsible for administering moderate sedation/analgesia. Adherence to evidence-based guidance is critical for maintaining safety in the following areas: patient selection and preprocedural assessment, physiological monitoring, medication administration, emergency preparedness, and post-procedure care and discharge.

Periop 303: Moderate Sedation provides scenario-based activities with 20 questions. Each scenario includes tips and reflection on practice to promote mastery. The goal is to assess a learner’s ability to apply knowledge in practical situations.

Course Outcomes:

90% of learners will recall the responsibilities for administering moderate sedation/analgesia in the perioperative setting, as evidenced by achieving a score of at least 80% on the test questions.

Course Objectives:

At the completion of this course, learners will be able to:

• Define the role of the procedural RN responsible for caring for a patient receiving moderate sedation.
• Describe key considerations for moderate sedation when performing the preprocedural assessment.
• Describe the procedural RN’s role in the procedure room related to monitoring and medication administration.
• Identify the postprocedural assessment and discharge criteria.

Contact Hours & Certificate:

0.5 CH

Certificate of Mastery for Periop 303: Moderate Sedation

Contact hours earned after completion of the course, post-test, and course evaluation. Certificate awarded to learner upon successful completion of this activity and evaluation.

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Course Overview:

Pediatric patients undergoing surgery or other invasive procedures face potential risks during surgery such as anesthesia complications, hypothermia, and pressure injury. This module equips perioperative registered nurses with practical strategies and resources to ensure safe and effective care of pediatric patients.

Periop 303: Pediatrics provides scenario-based activities with 45 questions. Each scenario includes tips and reflection on practice to promote mastery. The goal is to assess a learner’s ability to apply knowledge in practical situations.

Course Outcomes:

90% of learners will recall the responsibilities for caring for pediatric patients undergoing surgery or other invasive procedures, as evidenced by achieving a score of at least 80% on the test questions.

Course Objectives:

At the completion of this course, learners will be able to:

• Discuss the details of rapid sequence, intubation, and parent-present induction.
• Describe the essential components of the pediatric perioperative assessment.
• Describe appropriate use of pediatric-specific equipment.
• Identify evidence-based practices that can minimize the risk of inadvertent perioperative hypothermia.
• Discuss the importance of developmental stages in the care of the pediatric patient, including those patients with special needs.

Contact Hours & Certificate:

0.75 CH

Certificate of Mastery for Periop 303: Pediatrics

Contact hours earned after completion of the course, post-test, and course evaluation. Certificate awarded to learner upon successful completion of this activity and evaluation.

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Course Overview:

This course provides guidance to the perioperative RN in providing safe, effective care for the older adult patient throughout all phases of perioperative care. Topics include communication, psychosocial and legal issues surrounding aging, measures to promote physical safety and optimal outcomes, and physiological conditions associated with aging.

Periop 303: Perioperative Care of the Older Adult provides scenario-based activities with 30 questions. Each scenario includes tips and reflection on practice to promote mastery. The goal is to assess a learner’s ability to apply knowledge in practical situations.

Course Outcomes:

90% of learners will recall the responsibilities for caring for an older adult patient in the perioperative setting, as evidenced by achieving a score of at least 80% on the test questions.

Course Objectives:

At the completion of this course, learners will be able to:

• Identify psychosocial issues common in older adult patients.
• Identify legal aspects regarding patient consent for surgery.
• Identify measures to promote an optimal outcome for the older adult perioperative patient.
• Identify physiological conditions common in the older adult.

Contact Hours & Certificate:

0.5 CH

Certificate of Mastery for Periop 303: Perioperative Care of the Older Adult

Contact hours earned after completion of the course, post-test, and course evaluation. Certificate awarded to learner upon successful completion of this activity and evaluation.

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Course Overview:

Venous thromboembolism (VTE) prevention is a critical component of perioperative patient safety. Adherence to evidence-based prevention strategies helps reduce patient harm and support optimal surgical outcomes.

Periop 303: Venous Thromboembolism provides scenario-based activities with 25 questions. Each scenario includes tips and reflection on practice to promote mastery. The goal is to assess a learner’s ability to apply knowledge in practical situations.

Course Outcomes:

90% of learners will recall evidence-based practices related to VTE prevention in the perioperative environment, as evidenced by achieving a score of at least 80% on the test questions.

Course Objectives:

At the completion of this course, learners will be able to:

• Identify perioperative VTE risk factors and apply evidence-based strategies to prevent patient harm.
• Provide patient and family education that promotes adherence to VTE prophylaxis and early recognition of complications.

Contact Hours & Certificate:

0.5 CH

Certificate of Mastery for Periop 303: Venous Thromboembolism

Contact hours earned after completion of the course, post-test, and course evaluation. Certificate awarded to learner upon successful completion of this activity and evaluation.

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Course Overview:

Hand hygiene practices are foundational components of perioperative infection prevention. Even brief lapses can introduce microorganisms into vulnerable surgical environments. Adherence to evidence-based practices helps maintain a safe environment for both patients and perioperative team members.

Periop 303: Hand Hygiene provides scenario-based activities with 23 questions. Each scenario includes tips and reflection on practice to promote mastery. The goal is to assess a learner’s ability to apply knowledge in practical situations.

Course Outcomes:

90% of learners will recall evidence-based practices related to hand hygiene in the perioperative environment, as evidenced by achieving a score of at least 80% on the test questions.

Course Objectives:

At the completion of this course, learners will be able to:

• Identify practices that reduce the risk of microorganism transmission and promote skin integrity.
• Determine when hand hygiene is required.
• Recall the correct sequence for performing a surgical hand scrub.
• Select the most appropriate hand hygiene method based on the clinical context.

Contact Hours & Certificate:

0.5 CH

Certificate of Mastery for Periop 303: Hand Hygiene

Contact hours earned after completion of the course, post-test, and course evaluation. Certificate awarded to learner upon successful completion of this activity and evaluation.

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Course Overview:

Preventing surgical site infections (SSIs) for patients undergoing operative or other invasive procedures is a primary responsibility of perioperative RNs. A key measure for meeting this responsibility is providing a clean environment, since environmental surfaces and equipment in an operating or procedure room can become contaminated with pathogens that cause SSIs, especially if cleaning is suboptimal.

It is also important to develop a workplace environment in which perioperative and environmental services personnel are encouraged to work collaboratively to accomplish cleanliness in a culture of safety and mutual support.

Periop 303: Environmental Hygiene provides scenario-based activities with 40 questions. Each scenario includes tips and reflection on practice to promote mastery. The goal is to assess a learner’s ability to apply knowledge in practical situations.

Course Outcomes:

90% of learners will recall the responsibilities for implementing environmental hygiene best practices in the perioperative setting, as evidenced by achieving a score of at least 80% on the test questions.

Course Objectives:

At the completion of this course, learners will be able to:

• Identify best practices related to product selection and use.
• Describe the appropriate use of whole room decontamination systems in the perioperative setting.
• Identify cleaning and disinfection practices in the operating room (OR), procedure room, and preoperative and postoperative areas.
• Describe enhanced environmental cleaning procedures following the care of patients colonized with multidrug-resistant organisms.

Contact Hours & Certificate:

0.75 CH

Certificate of Mastery for Periop 303: Environmental Hygiene

Contact hours earned after completion of the course, post-test, and course evaluation. Certificate awarded to learner upon successful completion of this activity and evaluation.

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Course Overview:

High-level disinfection is a critical safeguard in preventing health care–associated infections related to reusable medical devices. Breakdowns in processing, monitoring, transporting, storing, handling, or documenting can compromise device safety and place patients at risk. Consistent adherence to manufacturer instructions, evidence-based guidelines, and quality assurance practices is essential to ensure devices are safe for patient use across the perioperative setting.

Periop 303: High-Level Disinfection provides scenario-based activities with 29 questions. Each scenario includes tips and reflection on practice to promote mastery. The goal is to assess a learner’s ability to apply knowledge in practical situations.

Course Outcomes:

90% of learners will recall the responsibilities for high-level disinfection in the perioperative setting, as evidenced by achieving a score of at least 80% on the test questions.

Course Objectives:

At the completion of this course, learners will be able to:

• Evaluate high-level disinfection solution management practices to verify potency, usability, and compliance with manufacturer instructions.
• Apply high-level disinfection handling and processing practices to reduce contamination risk and ensure devices are safe and ready for patient use.
• Apply high-level disinfection principles to determine appropriate processing methods for semi-critical devices.
• Identify health and environmental hazards associated with high-level disinfectant exposure.

Contact Hours & Certificate:

0.5 CH

Certificate of Mastery for Periop 303: High-Level Disinfection

Contact hours earned after completion of the course, post-test, and course evaluation. Certificate awarded to learner upon successful completion of this activity and evaluation.

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Course Overview:

Perioperative RNs play a critical role in effective preoperative patient skin antisepsis. A goal for all operative or other invasive procedures is to prevent postoperative surgical site infection. One measure for achieving this goal is performing preoperative patient skin antisepsis, which removes soil and transient microorganisms at the surgical site to decrease the risk for contamination of the surgical incision site.

Periop 303: Patient Skin Antisepsis provides scenario-based activities with 28 questions. Each scenario includes tips and reflection on practice to promote mastery. The goal is to assess a learner’s ability to apply knowledge in practical situations.

Course Outcomes:

90% of learners will recall the responsibilities for preoperative patient skin antisepsis in the perioperative setting, as evidenced by achieving a score of at least 80% on the test questions.

Course Objectives:

At the completion of this course, learners will be able to:

• Identify current protocols for preoperative patient bathing.
• Identify the clinical considerations related to preoperative hair management.
• Identify key factors for the appropriate selection of skin antiseptics.
• Identify proper application procedures for various skin antiseptics.
• Identify safe handling guidelines for skin antiseptic agents.

Contact Hours & Certificate:

0.5 CH

Certificate of Mastery for Periop 303: Patient Skin Antisepsis

Contact hours earned after completion of the course, post-test, and course evaluation. Certificate awarded to learner upon successful completion of this activity and evaluation.

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Course Overview:

Sterilization is a critical safeguard in preventing health care–associated infections related to reusable medical devices. Breakdowns in processing, monitoring, transporting, storing, handling, or documenting can compromise device safety and place patients at risk. Consistent adherence to manufacturer instructions, evidence-based guidelines, and quality assurance practices is essential to ensure devices are safe for patient use across the perioperative setting.

Periop 303: Sterilization provides scenario-based activities with 25 questions. Each scenario includes tips and reflection on practice to promote mastery. The goal is to assess a learner’s ability to apply knowledge in practical situations.

Course Outcomes:

90% of learners will recall the responsibilities for sterilization in the perioperative setting, as evidenced by achieving a score of at least 80% on the test questions.

Course Objectives:

At the completion of this course, learners will be able to:

• Evaluate sterilization practices to ensure reusable devices are processed, transported, stored, and handled in a manner that maintains sterility.
• Determine appropriate sterilization monitoring indicators to verify sterilization effectiveness and guide corrective actions.
• Recognize appropriate indications, processes, and safeguards for immediate use steam sterilization.

Contact Hours & Certificate:

0.5 CH

Certificate of Mastery for Periop 303: Sterilization

Contact hours earned after completion of the course, post-test, and course evaluation. Certificate awarded to learner upon successful completion of this activity and evaluation.

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Course Overview:

One of the perioperative RN’s greatest responsibilities is reducing the risk for surgical site infections (SSIs) by ensuring that the principles and processes of sterile technique are implemented.

Sterile technique is the use of specific actions and activities to maintain sterility and prevent contamination of the sterile field and sterile items during operative and other invasive procedures. It is a foundation of perioperative nursing practice and an important strategy in reducing every patient’s risk for SSI.

Periop 303: Sterile Technique provides scenario-based activities with 31 questions. Each scenario includes tips and reflection on practice to promote mastery. The goal is to assess a learner’s ability to apply knowledge in practical situations.

Course Outcomes:

90% of learners will recall the principles and processes of sterile technique in the perioperative setting, as evidenced by achieving a score of at least 80% on the test questions.

Course Objectives:

At the completion of this course, learners will be able to:

• Identify practices to prevent contamination of the sterile field before it is prepared.
• Determine clinical considerations for putting on sterile gowns and gloves.
• Recognize interventions for proper preparation and draping of the sterile field.
• Determine intraoperative activities for maintaining the sterile field.
• Identify how to determine wound classification.

Contact Hours & Certificate:

0.75 CH

Certificate of Mastery for Periop 303: Sterile Technique

Contact hours earned after completion of the course, post-test, and course evaluation. Certificate awarded to learner upon successful completion of this activity and evaluation.

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Course Overview:

Surgical attire practices are foundational components of perioperative infection prevention. Even brief lapses can introduce microorganisms into vulnerable surgical environments. Adherence to evidence-based practices helps maintain a safe environment for both patients and perioperative team members.

Periop 303: Surgical Attire provides scenario-based activities with 23 questions. Each scenario includes tips and reflection on practice to promote mastery. The goal is to assess a learner’s ability to apply knowledge in practical situations.

Course Outcomes:

90% of learners will recall evidence-based practices related to surgical attire in the perioperative environment, as evidenced by achieving a score of at least 80% on the test questions.

Course Objectives:

At the completion of this course, learners will be able to:

• Identify improper surgical attire laundering and handling practices that can compromise safety.
• Recognize environmental and behavioral factors that contribute to microbial transmission in perioperative settings.

Contact Hours & Certificate:

0.5 CH

Certificate of Mastery for Periop 303: Surgical Attire

Contact hours earned after completion of the course, post-test, and course evaluation. Certificate awarded to learner upon successful completion of this activity and evaluation.

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Course Overview:

Transmission-based precautions are a foundational component of perioperative infection prevention. Adherence to evidence-based practices helps maintain a safe environment for both patients and perioperative team members.

Periop 303: Transmission-Based Precautions provides scenario-based activities with 26 questions. Each scenario includes tips and reflection on practice to promote mastery. The goal is to assess a learner’s ability to apply knowledge in practical situations.

Course Outcomes:

90% of learners will recall evidence-based practices related to transmission-based precautions in the perioperative environment, as evidenced by achieving a score of at least 80% on the test questions.

Course Objectives:

At the completion of this course, learners will be able to:

• Identify appropriate personal protective equipment (PPE) and protective measures for standard, contact, droplet, and airborne precautions to protect patients and perioperative personnel.

Contact Hours & Certificate:

0.5 CH

Certificate of Mastery for Periop 303: Transmission-Based Precautions

Contact hours earned after completion of the course, post-test, and course evaluation. Certificate awarded to learner upon successful completion of this activity and evaluation.

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Course Overview:

Medication safety practices are foundational components of perioperative patient care. Even brief lapses in medication handling, preparation, labeling, or administration can result in serious patient harm. Adherence to evidence-based practices helps maintain a safe environment for both patients and perioperative team members.  

Periop 303: Medication Safety provides scenario-based activities with 28 questions. Each scenario includes tips and reflection on practice to promote mastery. The goal is to assess a learner’s ability to apply knowledge in practical situations.

Course Outcomes:

90% of learners will recall the responsibilities for safely managing medications in the perioperative setting, as evidenced by achieving a score of at least 80% on the test questions.

Course Objectives:

At the completion of this course, learners will be able to:

• Identify strategies that enhance team communication related to medication safety.
• Apply safe medication retrieval, preparation, and handling practices.
• Apply safe medication administration practices.
• Identify actions that prevent medication contamination, misidentification, and labeling errors.
• Identify appropriate safety measures to reduce occupational exposure when handling hazardous medications.

Contact Hours & Certificate:

0.5 CH

Certificate of Mastery for Periop 303: Medication Safety

Contact hours earned after completion of the course, post-test, and course evaluation. Certificate awarded to learner upon successful completion of this activity and evaluation.

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Course Overview:

Pneumatic tourniquets are used to occlude blood flow, obtain a near-bloodless field for extremity surgery, and confine a bolus of anesthetic in an extremity for intravenous regional anesthesia. Serious patient injuries related to the use of pneumatic tourniquets are uncommon, but the risk is present. Complications may include pain, temperature changes, swelling, and cardiovascular, respiratory, cerebral, circulatory, and hematological effects.

Periop 303: Pneumatic Tourniquet provides scenario-based activities with 25 questions. Learners will review how to avoid serious patient injury and complications. Each scenario includes tips and reflection on practice to promote mastery. The goal is to assess a learner’s ability to apply knowledge in practical situations.

Course Outcomes:

90% of learners will recall the responsibilities for safely using pneumatic tourniquets in the perioperative setting, as evidenced by achieving a score of at least 80% on the test questions.

Course Objectives:

At the completion of this course, learners will be able to:

• Describe the components of a pre-procedural assessment when pneumatic tourniquet use is indicated. 
• Explain the importance of measuring the limb occlusion pressure (LOP). 
• Identify the important safety measures to take while monitoring the inflated pneumatic tourniquet. 
• Describe the three tourniquet deflation methods.
• Explain the key elements of the pneumatic tourniquet postprocedural assessment. 
• Describe the importance of monitoring and reporting measures as part of a quality assurance program related to pneumatic tourniquet use.

Contact Hours & Certificate:

0.5 CH

Certificate of Mastery for Periop 303: Pneumatic Tourniquet

Contact hours earned after completion of the course, post-test, and course evaluation. Certificate awarded to learner upon successful completion of this activity and evaluation.

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Course Overview:

Radiological procedures are valuable diagnostic and treatment tools; however, the use of radiation in the perioperative setting introduces a variety of safety concerns for both patients and staff. All types of radiation can cause tissue damage and may lead to long-term adverse effects. Because of these factors, it is important that perioperative RNs remain aware of these risks and understand how to minimize the risk of radiation exposure to staff and patients.

Periop 303: Radiation Safety provides scenario-based activities with 26 questions. Each scenario includes tips and reflection on practice to promote mastery. The goal is to assess a learner’s ability to apply knowledge in practical situations.

Course Outcomes:

90% of learners will recall the responsibilities for radiation safety in the perioperative setting, as evidenced by achieving a score of at least 80% on the test questions.

Course Objectives:

At the completion of this course, learners will be able to:

• Identify the clinical implications of radiation use in the perioperative setting.
• Identify measures to minimize the patient’s exposure to radiation.
• Identify measures to minimize occupational exposure to radiation.

Contact Hours & Certificate:

0.5 CH

Certificate of Mastery for Periop 303: Radiation Safety

Contact hours earned after completion of the course, post-test, and course evaluation. Certificate awarded to learner upon successful completion of this activity and evaluation.

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Course Overview:

An unintentionally retained surgical item (RSI) is a rare but serious preventable error that may result in patient harm. Counts of items used on the surgical field are performed to reduce the risk of patient injury from an RSI.

Because of the potential for count inaccuracies, perioperative team members should understand risk reduction strategies unique to each setting and implement appropriate processes. A reliable system to account for all surgical items includes complete, standardized, and accurate counting, both manually and with the use of adjunct technology.

Periop 303: Retained Surgical Items provides scenario-based activities with 38 questions. Each scenario includes tips and reflection on practice to promote mastery. The goal is to assess a learner’s ability to apply knowledge in practical situations.

Course Outcomes:

90% of learners will recall the responsibilities for preventing unintentionally retained surgical items in the perioperative setting, as evidenced by achieving a score of at least 80% on the test questions.

Course Objectives:

At the completion of this course, learners will be able to:

• Identify reliable practices implemented by all perioperative team members to reduce the risk of unintentionally retained surgical items (RSIs).
• Identify reconciliation methods to reduce count discrepancies throughout the surgical procedure.

Contact Hours & Certificate:

0.75 CH

Certificate of Mastery for Periop 303: Retained Surgical Items

Contact hours earned after completion of the course, post-test, and course evaluation. Certificate awarded to learner upon successful completion of this activity and evaluation.

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Course Overview:

Perioperative RNs are responsible for providing a safe environment of care for patients and personnel. Adherence to evidence-based guidance is critical for maintaining safety in the following areas:

• Clinical and alert alarm management
• Prevention of occupational injuries, including slips, trips, and falls
• Fire safety
• Safe use of electrical equipment
• Proper operation of blanket and fluid warming cabinets
• Handling and storage of medical gas cylinders
• Maintenance of a latex-safe environment
• Management of hazardous chemicals
• Appropriate waste management practices

Periop 303: Safe Environment of Care provides scenario-based activities with 40 questions. Each scenario includes tips and reflection on practice to promote mastery. The goal is to assess a learner’s ability to apply knowledge in practical situations.

Course Outcomes:

90% of learners will recall the responsibilities for providing a safe environment of care in the perioperative setting, as evidenced by achieving a score of at least 80% on the test questions.

Course Objectives:

At the completion of this course, learners will be able to:

• Identify evidence-based practices to reduce the risk for injury to patients and personnel in the perioperative setting.
• Describe hazards that impact safety in the perioperative setting.  
• Identify applicable regulations for maintaining a safe perioperative environment of care.

Contact Hours & Certificate:

0.75 CH

Certificate of Mastery for Periop 303: Safe Environment of Care

Contact hours earned after completion of the course, post-test, and course evaluation. Certificate awarded to learner upon successful completion of this activity and evaluation.

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Course Overview:

Developing, implementing, and sustaining a safe patient handling and mobility (SPHM) program helps decrease the incidence and severity of injuries among patients and health care workers. Because the perioperative environment involves procedure‑related, high‑risk ergonomic tasks, increasing perioperative team members’ awareness is essential to reducing injury. Perioperative RNs should understand ergonomic design principles to ensure a safe care environment for both patients and staff.

Periop 303: Safe Patient Handling & Movement provides scenario-based activities with 25 questions. Each scenario includes tips and reflection on practice to promote mastery. The goal is to assess a learner’s ability to apply knowledge in practical situations.

Course Outcomes:

90% of learners will recall the responsibilities related to safe patient handling and movement in the perioperative setting, as evidenced by achieving a score of at least 80% on the test questions.

Course Objectives:

At the completion of this course, learners will be able to:

• Describe how an SPHM program reduces the injury risk for patients and health care workers.
• Identify procedure-related, high-risk ergonomic tasks in the perioperative environment.
• Describe the components of a fall risk and mobility assessment.

Contact Hours & Certificate:

0.5 CH

Certificate of Mastery for Periop 303: Safe Patient Handling & Movement

Contact hours earned after completion of the course, post-test, and course evaluation. Certificate awarded to learner upon successful completion of this activity and evaluation.

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Course Overview:

Sharps safety practices are foundational components of perioperative occupational safety. Even momentary lapses in technique, handling, or disposal can result in percutaneous injuries and potential exposure to bloodborne pathogens. Adherence to evidence-based engineering controls, work practice controls, and regulatory requirements helps protect perioperative team members while supporting safe patient care.

Periop 303: Sharps Safety provides scenario-based activities with 25 questions. Each scenario includes tips and reflection on practice to promote mastery. The goal is to assess a learner’s ability to apply knowledge in practical situations.

Course Outcomes:

90% of learners will recall evidence-based practices related to sharps safety in the perioperative environment, as evidenced by achieving a score of at least 80% on the test questions.

Course Objectives:

At the completion of this course, learners will be able to:

• Describe safer sharps handling practices to reduce the risk of percutaneous injuries in the perioperative setting.
• Identify safe sharps disposal practices to reduce the risk of percutaneous injuries.
• Describe the requirements for evaluating and selecting devices with engineered sharps injury prevention features.
• Identify the administrative and regulatory requirements that support sharps injury prevention.

Contact Hours & Certificate:

0.5 CH

Certificate of Mastery for Periop 303: Sharps Safety

Contact hours earned after completion of the course, post-test, and course evaluation. Certificate awarded to learner upon successful completion of this activity and evaluation.

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Course Overview:

Surgical specimen management is a foundational component of perioperative patient safety. Even brief lapses in handling, identification, verification, or documentation can result in misdiagnosis, delayed treatment, or other serious patient harm. Adherence to evidence-based practices helps maintain a safe environment for patients and perioperative team members.

Periop 303: Surgical Specimen Management provides scenario-based activities with 28 questions. Each scenario includes tips and reflection on practice to promote mastery. The goal is to assess a learner’s ability to apply knowledge in practical situations.

Course Outcomes:

90% of learners will recall evidence-based practices related to specimen management in the perioperative environment, as evidenced by achieving a score of at least 80% on the test questions.

Course Objectives:

At the completion of this course, learners will be able to:

• Demonstrate effective interdisciplinary communication techniques to reduce specimen management errors.
• Apply evidence-based techniques for specimen handling, transfer, and containment to prevent compromise, contamination, or loss.
• Demonstrate accurate specimen identification, labeling, and requisition verification practices to prevent misidentification and documentation errors.
• Apply safe handling, verification, and documentation practices when managing radioactive specimens.
• Apply required tracking, reporting, documentation, and disposition processes when managing explanted medical devices.

Contact Hours & Certificate:

0.5 CH

Certificate of Mastery for Periop 303: Surgical Specimen Management

Contact hours earned after completion of the course, post-test, and course evaluation. Certificate awarded to learner upon successful completion of this activity

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Course Overview:

Preserving and replanting autologous tissue may enhance long-term patient outcomes. Cranial bone flaps or parathyroid glands may be stored when clinical factors such as infection, swelling, or abnormal hormone levels prevent immediate reimplantation during the procedure. Autologous tissue may be preferred over allografts or synthetic implants in certain situations—adhering to evidence-based guidance for autologous tissue management is essential.

Periop 303: Autologous Tissue Management provides scenario-based activities with 20 questions. Learners will review evidence-based procedures for autologous tissue management according to AORN Guidelines. Each scenario includes tips and reflection on practice to promote mastery. The goal is to assess a learner’s ability to apply knowledge in practical situations.

Course Outcomes:

90% of learners will recall the responsibilities for autologous tissue management in the perioperative setting, as evidenced by achieving a score of at least 80% on the test questions.

Course Objectives:

At the completion of this course, learners will be able to:

• Describe the recommendations for autologous cranial bone flap management for delayed cranioplasty.
• Explain the recommendations for cryopreserving and autotransplanting parathyroid tissue.
• Identify the important safety measures to take while handling autologous tissue.
• Describe autologous tissue packaging and labeling recommendations.

Contact Hours & Certificate:

0.5 CH

Certificate of Mastery for Periop 303: Autologous Tissue Management

Contact hours earned after completion of the course, post-test, and course evaluation. Certificate awarded to learner upon successful completion of this activity and evaluation.

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Course Overview:

Patients undergoing surgery or other invasive procedures face potential risks of positioning-related injuries including perioperative pressure injury. This module equips perioperative registered nurses with practical strategies and resources to ensure safe and effective patient positioning and perioperative pressure injury prevention.

Periop 303: Positioning & Pressure Injury provides scenario-based activities with 40 questions. Each scenario includes tips and reflection on practice to promote mastery. The goal is to assess a learner’s ability to apply knowledge in practical situations.

Course Outcomes:

90% of learners will recall the responsibilities for safely positioning patients and methods to prevent pressure injury in the perioperative setting, as evidenced by achieving a score of at least 80% on the test questions.

Course Objectives:

At the completion of this course, learners will be able to:

• Describe the components of the positioning and pressure injury prevention preprocedural assessment.
• Identify evidence-based practices that can minimize the risk of injury during positioning.
• Describe the safety considerations when positioning a patient who is pregnant.
• Explain the postprocedural assessment.

Contact Hours & Certificate:

0.75 CH

Certificate of Mastery for Periop 303: Positioning & Pressure Injury

Contact hours earned after completion of the course, post-test, and course evaluation. Certificate awarded to learner upon successful completion of this activity and evaluation.

Ready to Order?

Facility/System Orders   Purchase for Individual Learner

Course Overview:

The perioperative environment is a high-risk environment that relies heavily on optimal perioperative team communication. Perioperative RNs are at the center of communication facilitation among the team. With effective communication, perioperative teams build trust, reduce misunderstandings, strengthen collaboration, and support positive patient outcomes.

Periop 303: Team Communication provides scenario-based activities with 18 questions. Each scenario includes tips and reflection on practice to promote mastery. The goal is to assess a learner’s ability to apply knowledge in practical situations.

Course Outcomes:

90% of learners will recall the responsibilities for facilitating effective team communication in the perioperative setting, as evidenced by achieving a score of at least 80% on the test questions.

Course Objectives:

At the completion of this course, learners will be able to:

• Recognize the benefits of a culture of safety.
• Identify hand-off processes as they relate to perioperative patient care.
• Outline the surgical site marking and time-out components for safe patient care.
• Determine the safety aspects of the surgical safety checklist.
• Identify components that should be incorporated into the briefing and debriefing process.

Contact Hours & Certificate:

0.5 CH

Certificate of Mastery for Periop 303: Team Communication

Contact hours earned after completion of the course, post-test, and course evaluation. Certificate awarded to learner upon successful completion of this activity and evaluation.

Ready to Order?

Facility/System Orders   Purchase for Individual Learner