cnor certification: pathway to excellence
TRANSCRIPT
+
Pathway to Excellence
CNOR
Certification
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+YOUR HOSTS FOR TONIGHT’S
PRESENTATION Julie Mower, MSN, RN, CNS, CNS-CP, CNOR
and
Dawn Whiteside, MSN, RN, CNOR, RNFANurse Managers,Credentialing and Education Development
Moderator: Kristen EdmundsMarketing Coordinator
+OBJECTIVES
1. Review eligibility requirements for CNOR certification.
2. Examine elements of the CNOR exam.
3. Discuss successful study strategies using recommended test prep materials.
4. Explore strategies for answering multiple-choice questions.
5. Describe the application process.
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+CNOR CERTIFICATION
CNOR Certification is defined as:
The documented validation of the professional achievement
of identified standards of practice by an individual registered
nurse providing care for patients before, during and after surgery.
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+CNOR ELIGIBILITY CRITERIA
Licensed as a RN in the country where currently practicing perioperative nursing.
Completed a minimum of two years and 2,400 hours of perioperative nursing practice in an administrative, teaching, research, or general staff capacity.
At least 50%, or 1,200 hours, must be in the intraoperative setting.
Must be currently working either full- or part-time in a perioperative nursing role.
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+CNOR EXAM
200 multiple choice questions
3 hours and 45 minutes to complete the test
Updated annually to reflect current perioperative guidelines
Administered by an independent testing company, Prometric
May be taken Monday through Saturday, excluding holidays, at test centers nationwide
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+
RESOURCES
+CNOR EXAM CONTENT
(information is subject to change)
Subject Area % of
Questions
1. Preoperative Patient Assessment
and Diagnosis
12%
2. Develop Individualized Plan of Care 10%
3. Intraoperative Activities 27%
4. Communications 10%
5. Transfer of Care 6%
6. Cleaning, Disinfecting, Packaging
and Sterilization9%
7. Emergency Situations 11%
8. Management of Personnel Services
and Materials6%
9. Professional Accountability 9%
Total 100%
+EXAM PREPARATION TEXT
BOOKS Current edition of AORN’s Guidelines for
Perioperative Practice
Perioperative reference books
Rothrock, J.C. (Ed.). (2015). Alexander’s care of the patient in surgery (15th ed.). St. Louis, MO: Elsevier.
or
Phillips, N. (Ed.). (2017). Berry and Kohn’s operating room technique (13th ed.). St. Louis, MO: Elsevier.
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+OPTIONAL REFERENCES Pathophysiology textbook
Medical dictionary
Lab/ diagnostic test reference manual
Drug reference-check hospital formulary or Epocrates at www.epocrates.com
AORN Journal
AAMI standards
Websites
The Joint Commission at www.jointcomission.org
CDC at www.cdc.gov
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+CCI’s FREE CNOR RESOURCEShttp://www.cc-institute.org/cnor/prepare
CNOR Candidate Handbook
CNOR Study Plan
Readiness to test survey
Sample CNOR exam questions
CCI Staff
Webinars
+CCI EXAM PREP MATERIALS
• The Official CNOR Exam
Prep
• CNOR Flashcards
• CNOR Practice Exam
• CNOR Ultimate Study
Kit
• CNOR Instructor’s Kit
https://store.cc-institute.org
There is no requirement to purchase CCI test preparation products to take the CNOR certification examination.
The purchase of CCI products cannot guarantee a better result on the CNOR certification examination.
+
TEST-TAKING
STRATEGIES
+TIME-SAVING TIPS
Do a self-assessment; build on what you already know, rather than starting from the beginning.
Use the subject areas to organize your study plan.
Start with the subject areas with the
highest % of questions or
areas that are least familiar.
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+STUDY TIPS
Recommended study time prior to exam: 3 months.
Turn off text messages, TV, and e-mail while you study.
Break content and time into bite-size chunks.
Review, review, review.
Be able to apply broad concepts versus memorizing facts and figures.
Practice by taking multiple choice-style exams.
Adapted from: Shellenbarger, Sue. Toughest Exam Question: What is the Best Way to Study? Wall Street Journal, 26 OCT 2011, pp. D1, D2.
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+
ANALYZING
MULTIPLE-
CHOICE
QUESTIONS
+COMPONENTS OF A MULTIPLE
CHOICE QUESTION
Stem
Will provide all the information needed to answer the question.
Question may be either:
open-ended (fill in the blank)
or
close-ended (ends with a question mark)
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+ADDITIONAL GUIDELINES
Four options with only ONE correct answer.
Other three options are distractors, which are possible but not correct.
No true/false, multiple-multiple choice, calculations requiring a calculator.
Pay attention to words such as “first”, “best”, or “most”
+COMMON TEST-TAKING
ERRORS
“Reading into” the stem.
“Overthinking”-using experience beyond 2 years
Taking too much time/question.
Missing the quantifier.
Changing answers to multiple questions.
Expecting the same questions on the exam that were on the practice tests/flash cards.
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+COMMON ERRORS CONT.
Answering questions based on past experience or facility’s present practice that is not evidence-based.
Using “tricks” (e.g., choose B, longest option, shortest option, etc.)
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+SAMPLE QUESTION 1
The patient population which accounts for the greatest number of eye muscle procedures is:
A. Pediatric
B. Adolescent
C. Adult
D. Geriatric
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+ANALYSIS OF TEST QUESTION
What did you need to know to answer this question?
If you were unfamiliar with the content of this question, where could you go to find out more information ?
Why were the other options incorrect?
Type your answers in the chat window!
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+ANSWER QUESTION 1
Correct answer is: A. Pediatric
Rationale: Strabismus correction requires early recognition and is the third most common performed pediatric procedure between the ages of 6 months and 6 years.
Reference: Phillips, Nancy. (2017). Berry and Kohn’s Operating room technique, p. 142. St. Louis: Elsevier.
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+SAMPLE QUESTION 2
The most effective way to evaluate a patient’s comprehension of her upcoming surgery is to:
A. have the patient describe the procedure in her own words.
B. witness her signing her consent form.
C. ask yes/no questions.
D. document that the patient has received a patient education brochure.
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+ANALYSIS OF TEST QUESTION
How did you choose which answer you thought was correct?
Why were other options incorrect?
Type response in chat window.
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+ANSWER QUESTION 2
Correct answer is: A. have the patient describe her procedure in her own words.
Rationale: To evaluate understanding, have the patient repeat in her own words what has been explained.
Reference: Phillips, N. (2017). Berry and Kohn’s operating room technique, p. 371. St. Louis: Mosby.
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+SAMPLE QUESTION 3
The perioperative nurse discovers that a sponge is missing during the closing count for a left lung lobectomy. The nurse’s first action would be to:
A. repeat the count.
B. notify the surgeon.
C. document the count as incorrect.
D. notify the supervisor.
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+ANALYSIS OF THE TEST
QUESTION
Prioritization: All of the options could have been correct-how did you choose your answer?
Why were the other options incorrect?
Type response in chat window.
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+ANSWER QUESTION 3
Correct answer is: B. notify the surgeon.
Rationale: The RN circulator should inform and receive verbal acknowledgement from the surgeon and surgical team as soon as a discrepancy in a surgical count is identified.
Reference: AORN. (2016). Prevention of retained surgical items. In Guidelines for perioperative practice, p. 396. Denver, CO: Author.
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+
APPLICATION
PROCESS
+http://www.cc-institute.org/cnor/how-
to-apply-cnor
+ INFORMATION YOU WILL NEED
Personal contact information: address,
email, home and work phone numbers
Birth year
Last four digits of your Social Security
number
RN license information: issue date,
state(s) licensed to practice
Highest degree earned Supervisor contact information: name,
address, email, phone number
Perioperative work history: last two years,
date began working in the OR, current
position, and current practice area
AORN membership information (if
applicable): member ID, username, and
password
Employer contact information: facility
name, address, and phone number Payment
+2017 CNOR APPLICATION
FEES
$395 Regular
$335 AORN member
Please check our website for additional information. Fees are subject to change without notice.
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+DEADLINES FOR TESTING
Apply and pay one month prior to the three month testing window (e.g., if you apply in January then you can test in February, March, or April).
Once your paid application is approved, you can schedule a date, time, and location that are convenient for you.
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+TAKE TWO
The fee for an individual to purchase two opportunities to take the CNOR exam in a 12-month period is $445.
Facilities may register multiple nurses at a reduced rate. The fee for facilities who register a minimum of five (5) CNOR-eligible nurses is $395 per participant.
Check with your facility to see which option is best for you.
Learn more at www.cc-institute.org/CNOR/Take2
+IMPORTANT RECERTIFICATION
INFORMATION
At the end of your 5-year cycle, you must apply for recertification by one of the following methods:
Contact hours (125)
Points (300)
Exam
+ACCRUAL PERIOD FOR
CONTACT HOURS/POINTS
CNOR
Credential
Valid
Accrual Period
for
Recertification
Activities
Discounted
Application Fee
Final Date to
Recertify
2017 – 2022 1/1/17 – 12/31/21 7/1/22 12/31/2022
2018-2023 1/118-12/31/22 7/1/23 12/31/2023
+RECORDINGS
Recorded sessions will be available via our YouTube Channel at https://www.youtube.com/channel/UC8qq9R2GcQls7-KAytxqtJA (link at the top right hand side of our website) and on our website at http://bit.ly/CCIWebinars
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+UPCOMING CCI WEBINARS:
2017
All webinars are held live at 1700 Mountain Time. Register on our website at http://www.cc-institute.org/more/webinar
March 2: CSSM Certification: The Next Step for Surgical Services Managers
March 8: CNOR Certification: Pathway to Excellence
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+
Please know that CCI staff is here to
help you achieve your goal of
CNOR certification.
Julie Mower
Dawn Whiteside
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