This professional development assessment presents a practicing operating room nurse's self-evaluation across key performance domains. The paper covers clinical contributions such as cost-saving surgical interventions and ECMO protocol improvements, patient and family advocacy during the perioperative process, collaboration with physicians and surgical staff to maintain a therapeutic environment, and leadership through staff mentoring and manual development. The nurse also reflects on active participation in professional committees, AORN membership, and plans to pursue CNOR certification. Together, these reflections demonstrate a commitment to evidence-based practice, quality improvement, and ongoing professional growth.
As part of my principal duties as a nurse, I have strived to go above and beyond my job description by alerting physicians to ways to cut waste. One of my interventions saved the hospital between $1,000 and $5,000 while still producing the same successful surgical outcomes, simply by changing the way valve sutures were allocated and utilized. I consistently work to identify, facilitate, and evaluate outcomes of nursing care for individual patients and patient groups.
I also reformulated the nursing policy and procedure manual and custom-built a travel cart to enable more rapid ECMO (extracorporeal membrane oxygenation) patient care. In collaboration with a surgeon, I fostered general quality improvements in ECMO at our facility, resulting in more expedient care and reduced patient mortality rates.
In addition to working with professional colleagues, I believe the nurse must educate the patient's family about its role in post-surgical care. It is not enough to merely state instructions; families must be actively encouraged to verbalize their understanding to ensure genuine comprehension.
I see myself as an advocate for the family's needs. In many cases, this means allowing the family to remain with the patient until the patient is relaxed and has acclimated to his or her surroundings. I strive to alleviate the patient's and family's fears before the patient enters surgery as much as possible. Maintaining a therapeutic environment for patients, families, surgeons, and staff is a central part of this commitment.
I strive to collaborate with physicians to create a cordial, professional, and compassionate environment that facilitates optimal patient care. The surgical suite must be as free of stress and distractions as possible. Music selection, conversation, and a level-headed demeanor are among the ways — both small and large — in which I help create the best possible working environment for patients and staff alike. This approach aligns with AORN guidelines for perioperative best practices.
Teaching and orienting new permanent, senior, and temporary staff members is one of my greatest joys. It is always gratifying to see a new recruit gradually become a trusted associate over time, and to feel proud of the role I played in mentoring his or her career. In my teaching capacity, I also developed the nursing manuals for staff performing minimally invasive procedures.
I act as the primary resource nurse in the following areas: the robotics program, ventricular assist devices, ECMO, the TAVI program, and video-assisted thoracoscopic surgery (VATS). These roles require me to stay current with rapidly evolving technologies and to translate that knowledge effectively for colleagues at varying levels of experience.
"AORN membership and governance committee participation"
"Pursuing CNOR certification and continuing education"
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