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RN first assistants expand their perioperative role
C Hlozek1, W M Zacharias, K A Mizener
1Cleveland Clinic Foundation, USA.
AORN Journal
|June 20, 1998
Summary
The RN first assistant (RNFA) now performs radial artery (RA) harvesting for coronary artery bypass surgery. This expanded role includes preoperative assessment, intraoperative harvesting, and postoperative patient care collaboration.
Area of Science:
- Cardiovascular Surgery
- Nursing Practice
Background:
- The role of the Registered Nurse First Assistant (RNFA) is evolving in cardiac surgery.
- Radial artery (RA) harvesting is a critical component of coronary artery bypass (CAB) surgery.
Purpose of the Study:
- To outline the expanded responsibilities of the RNFA in performing radial artery harvesting for CAB surgery.
- To detail the preoperative, intraoperative, and postoperative nursing interventions involved.
Main Methods:
- Preoperative assessment of the radial artery using Allen's test and perfusion index.
- Intraoperative techniques for radial artery removal, pedicle dissection, hemostasis, and wound closure.
- Postoperative collaboration with intensive care unit (ICU) clinicians for patient management.
Main Results:
- The RNFA effectively integrates into the surgical team for radial artery harvesting.
- Comprehensive RNFA involvement ensures continuity of care throughout the patient's surgical journey.
Conclusions:
- The expanded RNFA role in radial artery harvesting enhances surgical team efficiency.
- This expanded scope of practice optimizes patient care and outcomes in coronary artery bypass surgery.