Hi there shyviolet...this is the website for AORN (association of operating room nurses) http://www.aorn.org/
You can find tons of information about OR nursing here.
As for perioperative nursing....the term actually consists of three parts: Preoperative, Intraoperative, and Postoperative. Since I'm a circulating RN, you could say I'm an Intraoperative nurse. In the OR, there are usually two roles that the RN can perform...circulating or scrubbing. At my facility, RNs circulate only and surgical techs scrub in for the case. This is done for cost reasons.
In the next 6-12 months, they'll probly have to revert back to using RNs to scrub because they are very short on techs...can't even get enough from agency.
Our OR has 9 rooms and the specialties consist of Ortho, Neuro, Cardovascular, General, GYN, ENT, Cysto, Eyes, and a little Dental. We do not have block scheduling, so as a nurse at this facility, we have to be prepared to handle any specialty. My day could consist of all General cases in my room -or- Ortho, Neuro, GYN, and General all in one day! Keeps you on your toes.
My role as a circulator is to get the room ready with the scrub person (equipment & supplies), get report from the pre-op RN, take the patient to the OR, assist anesthesia personnel, position the pt. and prep the surgical site, assist the scrub person, document the procedure (who, what, where, when, etc.), help anesthesia when waking up the patient, and give report to the PACU nurse in recovery. Oh yeah...we have to play receptionist sometimes too when the Docs get pages or phone calls-I hate that part!
They always get a call/page when you're busy doing something else.
All of the above you are expected to accomplish in a TIMELY manner. Sometimes we resemble headless chickens!
Mike, I know what you mean about problems with having the patient ready....so frustrating sometimes. The pre-op nurses don't seem to know the pressure that we're under to get the patient to the OR....ON TIME!
Not to mention ready.
I've brought patients back to the OR for an Inguinal hernia and the ABDOMEN has been shaved. OMG...I'd think they would know where to shave....could save a lot of time.
Anyway, shyviolet....check out that AORN site...they've got tons of info.