AFSC 46S4, Staff
AFSC 46S3, Qualified
AFSC 46S1, Entry
OPERATING ROOM NURSE
(Changed 31 Jan 09)
1. Specialty Summary. Provides professional nursing care within scope of practice, established standards of care and federal andstate laws. Assesses, plans, implements, and evaluates perioperative nursing care. Plans, directs, and coordinates activities of the Operating Room Department. Coordinates with and makes recommendations to staff agencies concerning applicable policies, plans and programs. Participates in cross-functional collaboration to improve patient care delivery. Supports research activities. Related DoD Occupational Group: 260503.
2. Duties and Responsibilities:
2.1. Provides professional perioperative nursing care to patients undergoing surgery. Prepares and maintains operating room (OR) for surgical procedures. Ensures OR physical plan and equipment conform to national standards for patient and staff safety. Prepares operating suite with the type and quantity of material and special equipment needed for daily procedures and potential emergencies. Circulates and scrubs for surgical procedures. Responds to surgical emergencies such as cardiac, pulmonary, or respiratory failure and hemorrhage.
2.2. Maintains open intra- and inter-department communication to improve patient care delivery. Conducts preoperative and postoperative visits. Discusses operative procedures with patients. Consults with the operating surgeon and establishes priorities of care for each patient entering the operating suite. Coordinates with recovery room, intensive care, obstetrics, and nursing units, as needed for postoperative care of the patient.
2.3. Manages OR activities. Directs personnel in preparing, sterilizing, and maintaining operating room equipment and supplies. Supervises central sterile supply activities. Prepares concise and complete records and reports. Coordinates ongoing, in-service education program for OR nursing personnel.
3. Specialty Qualifications:
3.1. Knowledge. Knowledge of the perioperative process to include OR techniques and management is mandatory.
3.2. Education. For entry into this specialty, meet entry level education requirements as defined in AFI 36-2005, Appointment in Commissioned Grades and Designation and Assignment in Professional Categories, para 6.3.1.2.
3.3. Training. Completion of an OR Nursing Course , training program or fellowship.
3.4. Experience. For award of 46S3, a minimum of 6 months in OR nursing and completion of Readiness Skills Verification Program requirements as defined in AFI 41-106, Unit Level Management of Medical Readiness Programs is mandatory. Time spent in OR Nursing Course and civilian OR nursing experience is creditable.
3.5. Other. Meet requirements for professional licensure as defined in AFI 44-119, Medical Quality Operations, para 4.1.1.
AFSC 46Y4*, Staff
AFSC 46Y3*, Qualified
AFSC 46Y1*, Entry
(Changed 31 Oct 09)
1. Specialty Summary. Includes nurse midwives, nurse anesthetists, and nurse practitioners. Provides professional nursing care within scope of practice, established standards of care and federal/state laws. Acts as patient advocate and advances desired health outcomes through patient/family education. Coordinates with and makes recommendations to staff agencies concerning applicable policies, plans and programs. Participates in cross-functional collaboration to improve patient care delivery. Supports research activities. Related DoD Occupational Group: 260505/260502
2. Duties and Responsibilities:
2.1. Privileged Advanced Practice Nurse. Expert clinician with advanced academic degree in selected nursing specialties. Privileged health care provider who uses critical judgment to render direct patient care, including comprehensive health assessing, differential diagnosing, planning, and prescribing pharmacologic and non-pharmacologic treatment in management of acute and chronic illness and disease of health problems, health promotion, and preventive care within the specialized area of practice. Sub-roles include patient and staff education, research, and consultation to promote wellness and prevent illness and injury. Practice with a high degree of autonomy and professional respect.
2.2. Provides comprehensive and specialty nursing care. Assesses health and health care needs of individuals and populations. Involves the patient, family, and community in setting realistic goals to achieve desired outcomes. Plans comprehensive care to attain expected outcomes. Implements and evaluates nursing interventions. Conducts group and individual health teaching for patients, families, and community. Monitors and records patient and population health status. Uses ongoing assessment data to evaluate progress toward expected outcomes and revise plan of care as needed. Documents nursing actions and activities.
2.3. Clinical expert may serve as consultant or instructor. Collaborates with other disciplines and health care team members to improve patient care delivery. Formulates training programs and instructs both medical and non-medical personnel in a variety of health-related topics. Evaluates professional practice parameters through peer review.
3. Specialty Qualifications:
3.1. Knowledge. Knowledge of principles and practices within scope of advanced practice is Mandatory.
3.2. Education. The following formal education is mandatory as indicated:
3.2.1. For award of AFSC 46Y1A/B/C/G/H/M/P, full time enrollment in an graduate level accredited program approved by the AF/SG.
3.3. Training. Not used.
3.4. Experience. For award of AFSC 46Y3A/B/C/G/H/M/P, both a master’s degree in the specialty from an accredited program approved by the AF/SG and board certification by a certifying agency approved by the AF/SG. Exception: Individuals certified before master’s degree requirement established.
3.5. Other. Meet requirements for professional licensure as defined in AFI 44-119, Medical Quality Operations, para 4.1.1
4. *Specialty Shredouts:
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