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The Certified Perioperative Nurse (CNOR) credential is the only accredited certification for perioperative registered nurses. Earning the CNOR is a mark of distinction and demonstrates a commitment to upholding the highest standards in patient safety.

CNOR certification assesses the knowledge and skills of a perioperative nurse with a minimum of two years of clinical practice. More than 40,000 nurses internationally hold the CNOR credential and consider the designation a personal and professional accomplishment.



"Age-specific, anatomy & physiology, exam, diagnostic studies, documentation, laboratory results, nursing diagnosis, nursing process, NANDA, Perioperative Nursing Data Set (PNDS), pathophysiology, physical exam, preoperative fasting, vital signs"

"Allergies, complementary/alternative

medicine (CAM), herbs, illegal/illicit drugs, medication reconciliation, pharmacology, recreational drugs side effects"
"Preoperative verification, site

marking, surgical safety checklist, The Joint Commission, time out, wrong site, wrong procedure, wrong person"
"Alternatives, autonomy, benefits, complications, informed consent, patient rights, privacy, respect, risk"
Advance directive, allow natural death (AND), CPR directive, DNR, living will, medical durable power of attorney, Patient Self- Determination Act (PSDA)

"Allergies, analgesia, narcotics, NSAIDS, nonpharmacological interventions, opioids, pain block, pain intensity scales, PCA, pharmacology, regional anesthesia, self-report, signs, symptoms, The Joint Commission"

"Nursing diagnoses, preoperative nursing interventions, patient needs"

"Age-specific, anxiety, behavioral responses, collaboration, comfort, cultural /ethnic diversity,"

"legal/ethical standards, pain management, physiological responses, patient-centered, resources, SCIP protocol, spiritual needs"

"Chemical, radiation, fire, laser, positioning"

"Hand hygiene, PPE, contact, droplet, airborne"

"Hyperthermia, hypothermia, infection control, infection prevention, patient temperature"

"control, perfusion, surgical procedure, wound classification, wound healing"

"Comfort, anxiety, medication, pain management, cultural, ethical, and spiritual needs"

"Body mechanics, chemical, counts, deep vein thrombosis, documentation, ergonomics, equipment, manufacturers instructions for use (IFU), fire, hazardous materials, lead aprons, National Patient Safety Goals, smoke plume, laser, laser goggles, positioning, radiation, tourniquet, Universal Protocol, WHO checklist"

"Patient dignity, modesty, privacy, positioning, skin prep antisepsis"

"Anesthesia agents, labeling, medications, pain management"

"Aseptic technique, expiration date, instruments, package integrity, sterile, surgical products"

"Air exchanges, humidity, noise, room temperature, traffic"

"Documentation, explant, implant, verification"

Autotransfusion, blood products, Continuity of care, hand-off/hand over, interdisciplinary, PACU, transfer of care criteria
"Discharge, regulatory guidelines, wound care"

"Bioburden, biofilm, cleaning, critical item, decontamination, decontamination area, disinfection, documentation, enzymatic cleaner, FDA, germicide, high-level disinfection, loaner instrumentation, low-level disinfection, non-critical item, PPE, semi-critical item, Spaulding classification, ultrasonic cleaner"

Dynamic air removal, gravity displacement, hydrogen peroxide gas plasma sterilization, immediate use sterilization, implants, load, packaging, prevacuum, steam, sterilization

"Biological indicator, Bowie-Dick, chemical indicator, documentation, emulating indicators, load parameters, physical monitor, pressure, temperature, regulations, tracking"

"Controlled conditions, event related, regulatory requirements, shelf life, storage, time related, tracking, transportation, vendors"

"Blood, bloodborne pathogen, chemotherapy drugs, CJD, ETO, glutaraldehyde, radioactive materials"

"Bioburden, biofilm, cleaning, critical item, decontamination, decontamination area, disinfection, documentation, enzymatic cleaner, FDA, germicide, high-level disinfection, loaner instrumentation, low-level disinfection, non-critical item, PPE, semi-critical item, Spaulding classification, ultrasonic cleaner"

Dynamic air removal, gravity displacement, hydrogen peroxide gas plasma sterilization, immediate use sterilization, implants, load, packaging, prevacuum, steam, sterilization

"Biological indicator, Bowie-Dick, chemical indicator, documentation, emulating indicators, load parameters, physical monitor, pressure, temperature, regulations, tracking"

"Controlled conditions, event related, regulatory requirements, shelf life, storage, time related, tracking, transportation, vendors"

"Blood, bloodborne pathogen, chemotherapy drugs, CJD, ETO, glutaraldehyde, radioactive materials"

"Allergy, anaphylactic shock, anaphylaxis, latex free, latex safe, sensitivity, transfusion reaction"

"Advanced cardiac life support, basic life support, cardio- pulmonary resuscitation, ischemia, myocardial infarction"

"Acidosis, calcium, Dantrium, dantrolene sodium, dysrhythmia, hypercarbia, hyperkalemia, hypermetabolic, hyperthermia, tachycardia, trigger"

"Airway obstruction, anoxia, arterial blood gas, aspiration, atelectasis, bronchospasm, difficult airway, hypoxia, laryngospasm, pneumothorax, pulmonary edema, pulmonary embolism"

ARDS, autotransfusion, blunt trauma, DIC, diagnostic tests, DNR, end of life care, MAST, mechanism of injury, multisystem, organ donor, rapid sequence intubation, shock, trauma, traumatic brain injury, triage

Burn, explosion, flammable, fuel, ignition source, oxygen, RACE, PASS, thermal injury
"Allied health care providers, competency, delegation, mentor, management, patient acuity, scope of practice, staff education, supervision, support personnel, UAP"

"Cost containment, environmental consciousness (go green), fiscal responsibility, product evaluation, product selection, recycling, reprocess, resource management, single-use device, supply management"

"Accountability, ethics, family, health care industry representative, loaner instrumentation, patient rights, patient privacy, student, vendor, visitor"

"Biologic implants, PPE, preventive maintenance, room turnover, spills, terminal cleaning"

"Accrediting agency, advocacy, best practice, board of nursing, community standard, evidence- based practice, guidelines, nurse practice act, patient rights, position statement, recommended practices, regulation, regulatory standards,"

"scope of practice, standard, statute"

"Best practice, certification, competency, continuing education, life-long learning, professional organization, self- exam, staff education"

"Audit, best practice, change, evidence-based practice, information literacy, measures, performance improvement, Plan- Do-Study-Act, quality assurance, quality improvement, research, risk management, shared governance"

"Chain of command, collegiality, confidentiality, culture of safety, delegation, ethics, healthy work environment, horizontal violence, just culture, lateral violence, patient advocate, professional growth, professional standards"

Nursing CNOR guide