Who should certify OR nurses?

Who should certify OR nurses?

National League for Nursing meeting of Nov 16, 1973. A word of caution on BA program Instifutional Licensure. Statements had appeared in articles on...

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National League for Nursing meeting of Nov 16, 1973.

A word of caution on BA program

Instifutional Licensure. Statements had appeared in articles on institutional licensure in nursing periodicals that indicated that the AHA supports institutional licensure. The fact i s that the AHA, in its Sfafemenf on Licensure of Health Care Personnel, has not endorsed the concept of institutional licensure, but rather has given support to experimentation and study of institutional licensure to see whether i t has any merit.

In the June 1973 Journal there was an article describing a program at Windham College, Vt for RNs wishing to earn a BA degree.

The charge that the AHA endorses institutional licensure stems from a statement in the Report of a Special Committee on the Provision of Health Services. In that report, the committee members suggested the following: To alleviate personnel shortages, minimize educational costs by creating upward mobility for health personnel, and to maximize individual potential, health care corporations require flexibility in the use of health manpower and control over the development of personnel. As Ameriplan phases in, with health care corporations covering all geographic areas of each state, the present system of licensure of health personnel should be phased out and the health care corporations made responsible for the competence of all their employees.

This portion of the report was not adopted when the AHA board of trustees approved the Policy Sfafement on Provision of Health Services. Instead, the board of trustees reaffirmed the position found in the Stafemenf on Licensure of Health Care Personnel. Unfortunately, the HEW Report on Licensure and Related Health Personnel Credentialing cited the excerpt from the committee report as the basis for AHA policy, thus causing the difficulty in answering the criticism coming from various nursing journals.

I feel that it i s essential that your magazine, for the benefit of its readers, point out that such courses which do not offer an upper division major in nursing are not acceptable or equivalent to a degree in nursing, and should not be thought of as such. I refer you to the statement of concern of the National League for Nursing, October, 1971. Programs such as the one described often do a great disservice to nurses by not advising them that such a degree i s not acceptable preparation for graduate study in nursing, nor for a "teaching" position, nor for a position in nursing administration. These programs also, in most hospitals, do not entitle the RN to any differential paid to nurses with a BSN degree. Nurses anxious to continue their education should seek consultation from either a college of nursing in their area or from the National League for Nursing.

Robert

E Lyons, RN, MA Chicago, 111

Who should cerfify OR nurses? As a member of AORN, I'm writing in regards to my opinion on certification of operating room nurses. According to an editorial in the August Journal, my impression (as well as the majority of our chapter members) was ANA was more or less carrying the ball in setting up criteria for certification. As operating room nurses, we were categorized with medical-surgical nurses; while other specialty areas were recognized (pediatrics, public health, etc). 1

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AORN Journal, March 1974, Vol 19, No 3

As a professional practitioner in the operating room and as a member of a professional organization representing operating room nurses, I feel that AORN should and must set up the criteria for certification in our specialty area. We are a professional organization in a specific field of nursing and who would be better qualified to set up standards for the certified operating room nurse?

this area are certainly more qualified to evaluate and determine the qualifications for testing of our speciality. With our own professional organization, why should ANA be determining criteria for our testing program? To me, that would be comparable to AORN establishing the criteria for the testing of nurses in pediatrics or critical care.

Mrs Carol Tyler, RN Evanston, 111

I have no objection to meeting the preliminary standards as suggested by ANA; but regarding a testing program, AORN should set the standards and guidelines. As an operating room nurse, I feel my peers in

Editor’s note: See the education column in

this Journal for a discussion of certification for OR nurses.

Airbag cufs injuries Fracture dislocations of the spine and hip are among injuries which can be reduced by the automobile airbag, according to Victor H Frankel, MD, professor of orthopedic surgery and bioengineering, Case Western Reserve University School of Medicine, Cleveland, Ohio. In his address to the annual meeting of the American Academy of Orthopedic Surgeons, Dr Frankel reported that as of Nov 1,1972, 1,871 fleet cars were equipped with airbags of several different manufacturers. In total driving of 43.9 million miles, 397 accidents occurred; 14 were of sufficient speed to inflate the airbag. There was one case of inadvertent deployment. One fatality in the series was recorded when a six-week-old child who was lying on the front seat was thrown forward and suffered fatal head injuries. All other injuries were minor.

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Dr Frankel reported that the airbag may save 15,000 lives a year. The device senses a crash within 20 milliseconds and inflates in another 20 milliseconds.

The physician reported his personal experiences in monitoring crash barrier experiments. He said in one test a car with two occupants struck a barrier at 25 miles per hour. The passenger suffered an ankle bruise and a light bruising of the skin over the upper portion of the hip bone from the lap belt. A repeat of the test recorded no injuries, change in electrocardiograph or change in the body’s chemical profile. Dr Frankel reminded his audience that the need for a passive system such as an airbag i s evident since studies show that 5% to 20% of drivers and passengers wear lap belts and 1% to 2% use shoulder belts.

AORN Journal, March 1974, Vol 19, N o 3