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SURGICAL TECHNOLOGY/PERIOPERATIVE EDUCATION

The RNFA course is held in H-107, the perioperative learning lab. Five-day intensive didactic sessions are offered twice a year, in June and October. Sessions run from Wednesday through Sunday. The Sunday session ends at noon.

This is not a certification course and is not a certificate program. At the conclusion of the requirements you will receive a grade and a certificate of completion. We are accepted by CCI as required by AORN Standards for the Education of the RNFA. The new requirement for acceptance into a program as of 2020 will be bachelor's degree (entry level).

Use CRN numbers when registering for lectures and labs (see below). After your registration name and address officially appear in the roster, you will be sent the official credentialing packet via email (PDF) to confirm eligibility for course entry.

June Session Schedule

Registration for summer sessions opens in March. CRN session numbers: 40852 A1 and 40853 A2.

  • Wednesday: 8:00 a.m. - 5:30 p.m.
    Intro to RNFA program, requirements for completion, Baselines of RNFA practice
  • Thursday: 8:00 a.m. - 5:30 p.m.
    Abdominal and soft tissue surgery (servery services)
  • Friday: 8:00 a.m. - 5:30 p.m.
    Wound management and suture lab
  • Saturday: 8:00 a.m. - 5:30 p.m.
    Ortho, Neuro
  • Sunday: 8:00 a.m. - 12:00 p.m.
    Cardiovascular
October Session Schedule

Registration for summer sessions opens in April. CRN session numbers: 14275 and 14276.

  • Wednesday: 8:00 a.m. - 5:30 p.m.
    Intro to RNFA program, requirements for completion, Baselines of RNFA practice
  • Thursday: 8:00 a.m. - 5:30 p.m.
    Abdominal and soft tissue surgery (servery services)
  • Friday: 8:00 a.m. - 5:30 p.m.
    Wound management and suture lab
  • Saturday: 8:00 a.m. - 5:30 p.m.
    Ortho, Neuro
  • Sunday: 8:00 a.m. - 12:00 p.m.
    Cardiovascular
Basic suture lab presented by Patrick Burniston begins with learning basic knots and progresses into suturing tissue. Instruments, gloves and sutures are provided.
 
Textbooks

Participants are required to obtain Assisting in Surgery by Rothrock and Seifert, available through the AORN Bookstore. Additionally, a copy of the table of contents for the AORN Core Curriculum 4th Edition will be made available in class. The RNFA Core is out of print and being revised at this time. Dr. Phillips is the co-chair of the revision task force. The new book will be an e-book and should be available later this year. Please look over the table of contents before arrival. These resources are not available in the college bookstore.

Those participants planning to take the CNOR exam and Advanced Practice Nurses not experienced in the OR should consider obtaining Berry and Kohn's Operating Room Technique 12th edition (available in the college and AORN bookstores) for detailed nuts and bolts of perioperative nursing. There is also a chapter on first assisting in the book. Berry and Kohn's 12/e is available in the college bookstore and is recommended for those nurses who have less experience in perioperative nursing practice.

Internship

Part of eligibility is establishing an independent internship at your home facility. RNs must be CNOR certified or eligible to sit for the CNOR exam. Canadian Perioperative Nurse Certification is accepted. Advanced practice nurses with advanced practice certification are exempt from the CNOR requirement, but must provide advanced certification documentation with the credentialing packet. Visit the CCI website for more information.

Planning your independent RNFA Internship

Lakeland Community College does not establish clinical agreements with remote facilities where periodic supervision visits are not feasible. RNFA Interns are participating in a self-paced, self-designed independent internship not a clinical rotation

Clinical agreements are only practical when faculty from the Perioperative Education division can monitor, supervise, and evaluate participant progress. Lakeland Community College and its faculty cannot assume liability for participant activities outside its range of supervision and control.

A sample form is available that can be used by the RNFA intern to set up the internship permission with the facility via the medical staaff office. This form is an MS Word document and can be modified to suit the needs of the intern and the facility. It is a sample only. Lakeland does not retain copies of internship agreements.

Clinical rotations are established under Clinical Agreements between Lakeland Community College and the facility. Clinical Rotations involve direct supervision of students by Lakeland Community College faculty and take place during succinct time parameters associated with semester grading periods. Students in Clinical Rotations have no specific credentials or licensure requirements and are not independent of clinical supervision. Faculty and students have specific liability coverage during college hours of operation. RNFA internships are not considered clinical rotations.

Independent internships differ from clinical rotations because Independent Internships are arranged by a qualified registered nurse participant in agreement with his or her home facility under the mentorship of a surgeon without the intervention of Lakeland Community College. The qualified registered nurse participant is licensed in his or her state or province of practice, is certified in CPR (ACLS preferred), is certified in perioperative nursing or advanced practice (or certification eligible), and is required to carry individual professional liability insurance during the entire internship process.

The RNFA intern establishes a series of three learning contracts with a mentor-surgeon, who helps establish learning objectives and evaluates attainment of knowledge and skill. The surgeon signs the agreement before the RNFA intern submits the document for the record. This two-part document is distributed during the RNFA didactic component.

This is how the learning agreement works:

  1. Before each 40-hour segment begins, learning objectives are established between a surgeon and the intern.
  2. Each RNFA intern will write two detailed case studies during the internship period. The case studies are detailed and expected to be worthy of a high score.
  3. The attainment of the learning objectives is measured at the completion of each 40-hour segment by the surgeon and the intern on the first page. The surgeon evaluates the intern on a scale of 1 to 5 on the second page and signs the form.
  4. Three learning contracts are completed by the intern and surgeon over a period of 120-hours in 40-hour increments. One learning contract and case log are submitted to the Perioperative Education Department after each 40-hour increment is completed. Please do not send all 120-hour materials at once. This causes a delay and backlog for departmental review.
  5. Documentation of the internship learning contract and log is retained by the participant and a copy sent to the Perioperative Education Department at Lakeland Community College. Please do not send the originals. Document retention of logs and case studies is two years. All materials are sent in hard copy by postal mail. Do not send electronic copies. Credentialing materials are retained indefinitely in the director's office.
  6. A certificate of completion is awarded by the Perioperative Education Department at Lakeland Community College upon fulfillment of all requirements, including passage of CNOR and internship hours.
Exit Requirements

Completion of the RNFA Course Requirements includes the following steps (please do not send any documentation electronically via email):

  1. Completed Credentialing Packet including nursing licensure information, certification, and proof of liability insurance
  2. CNOR or Canadian Perioperative Certification documentation
  3. Advanced Practice Nurses are exempt from CNOR, but must produce Advanced Practice Certification Documentation
  4. Three sets of 40-Hour RNFA logs with three completed Learning Contracts and Surgeon Mentor Evaluations. It is permissible to scrub with surgeons other than primary mentor. Surgeon must sign logs and contracts. Send each 40-hour log separately to facilitate the review process. Sending 120-hrs all at once will cause a delay. Very time intensive.
  5. Two detailed case studies. Do not email or fax these materials.

All completed RNFA materials are sent by postal mail to the Perioperative Education Director's Office.

Sending required materials to other areas in the college or faxing will cause significant delays in getting the Certificate of Completion and Posting of the Final Grade online. At the completion of the didactic component, the grade is reflected as "I" (incomplete) until all requirements are met.

Documentation of attendance is often needed for tax purposes and Tuition Reimbursement. A letter of didactic completion is provided in the folder during the lecture component. The Certificate of Completion is issued only after all requirements from course exit are met.

The Perioperative Departmental staff are not on campus July 1 - September 1; and December 1 - February 1 for college breaks. Log reviews and certificate production are slower at that time.

 

Staging Enabled