Zarnitz Patricia, Malone Ellen
Philadelphia Veterans Affairs Medical Center, Department of Surgical Services, PA 19104, USA.
Mil Med. 2006 Sep;171(9):875-8. doi: 10.7205/milmed.171.9.875.
Advanced practice nurses (APN) who practice in the surgical subspecialty areas may have the opportunity to expand their scope of practice to include first assistant at surgery. Surgical APNs who practice as registered nurse first assistants (RNFA) should seek credentialing and apply for institutional privileges to assure the consumer of competent providers. Credentialing as an RNFA documents the educational learning process and skills acquired, and recognizes this area of expertise. The role of the APN as an RNFA at surgery is practiced within the specialty area of perioperative nursing which includes preoperative, intraoperative, and postoperative care. In this study, the nurse practitioners describe the role of the RNFA, its historical evolution over wartime, the required educational training, and the benefits of the role for patient care. The surgical nurse practitioner who undertakes training and education as a surgical RNFA is in an excellent position to provide patient care across the surgical continuum.
在外科亚专业领域执业的高级实践护士（APN）可能有机会扩大其执业范围，将手术第一助手纳入其中。作为注册护士第一助手（RNFA）执业的外科APN应寻求认证并申请机构特权，以确保消费者能获得合格的提供者。作为RNFA的认证记录了所获得的教育学习过程和技能，并认可这一专业领域。APN作为手术RNFA的角色是在围手术期护理的专业领域内履行的，该领域包括术前、术中和术后护理。在本研究中，执业护士描述了RNFA的角色、其在战时的历史演变、所需的教育培训以及该角色对患者护理的益处。接受培训并作为手术RNFA接受教育的外科执业护士处于极佳的位置，能够在整个手术连续过程中提供患者护理。
