Association of periOperative Registered Nurses

Oregon  Government Affairs

State Coordinator

Sarah Breckenridge
(503) 317-0371

Regional Coordinator

Valarie Oxhorn
775.626.5335

RN Circulator Laws and Language

Hospital: OREGON REVISED STATUTES TITLE 52. OCCUPATIONS AND PROFESSIONS CHAPTER 678. NURSES; NURSING HOME ADMINISTRATORS PROFESSIONAL NURSES GENERALLY 678.010. Definitions for ORS 678.010 to 678.410. -and- 678.445. Authority of nursing assistants to administer noninjectable medication; authority of nurse to report questions about continuation of medication.310:667-25-1. Department of surgery As amended by HB 2800 (2005): “As used in this section: (a) 'Circulating nurse’ means a registered nurse who is responsible for coordinating the nursing care and safety needs of the patient in the operating room and who also meets the needs of operating room team members during surgery. (b) ‘Type I ambulatory surgical center’ means a licensed health care facility for the performance of outpatient surgical procedures including, but not limited to, cholesytectomies, tonsillectomies or urological procedures, involving general anesthesia or a relative high infection control consideration. 2(a) The duties of a circulating nurse performed in an operating room of a Type I ambulatory surgical center or a hospital shall be performed by a registered nurse licensed under ORS 678.010 to 678.410. (b) In any case requiring anesthesia or conscious sedation, a circulating nurse shall be assigned to, and present in, an operating room for the duration of the surgical procedure unless it becomes necessary for the circulating nurse to leave the operating room as part of the surgical procedure. While assigned to a surgical procedure, a circulating nurse may not be assigned to any other patient procedure. (c) Nothing in this section precludes a circulating nurse from being relieved during a surgical procedure by another circulating nurse assigned to continue the surgical procedure.
ASC: OREGON REVISED STATUTES TITLE 52. OCCUPATIONS AND PROFESSIONS CHAPTER 678. NURSES; NURSING HOME ADMINISTRATORS PROFESSIONAL NURSES GENERALLY 678.010. Definitions for ORS 678.010 to 678.410. -and- 678.445. Authority of nursing assistants to administer noninjectable medication; authority of nurse to report questions about continuation of medication. As amended by HB 2800 (2005): “As used in this section: (a) ‘Circulating nurse’ means a registered nurse who is responsible for coordinating the nursing care and safety needs of the patient in the operating room and who also meets the needs of operating room team members during surgery. (b) ‘Type I ambulatory surgical center’ means a licensed health care facility for the performance of outpatient surgical procedures including, but not limited to, cholesytectomies, tonsillectomies or urological procedures, involving general anesthesia or a relative high infection control consideration. 2(a) The duties of a circulating nurse performed in an operating room of a Type I ambulatory surgical center or a hospital shall be performed by a registered nurse licensed under ORS 678.010 to 678.410. (b) In any case requiring anesthesia or conscious sedation, a circulating nurse shall be assigned to, and present in, an operating room for the duration of the surgical procedure unless it becomes necessary for the circulating nurse to leave the operating room as part of the surgical procedure. While assigned to a surgical procedure, a circulating nurse may not be assigned to any other patient procedure. (c) Nothing in this section precludes a circulating nurse from being relieved during a surgical procedure by another circulating nurse assigned to continue the surgical procedure.

Registered Nurse First Assistants (RNFAs)

Reimbursement:  HB3329 – Enacted 7/22/05 An insurer offering a health insurance policy that provides coverage for hospital, medical, or surgical expenses, other than coverage limited to expenses from accidents or specific diseases, shall provide payment or reimbursement for professional services performed by a registered nurse whose certification as a registered nurse first assistant has been recognized by the Oregon State Board of Nursing under Section 5 of this 2005 Act.
Definition:  TBD
Scope:  Oregon State Board of Nursing, Policy Statement, Adopted 1/94, Reaffirmed 2/99: Registered Nurses as First Assistants in Surgery. The Oregon State Board of Nursing acknowledges that it is within the role and the scope of practice for a registered nurse to perform the duties of first assistant in surgery. In the role of the first assistant, the registered nurse may perform such functions as handling tissue, providing exposure using instruments, suturing, providing hemostasis, applying clamps, tying knots, suturing skin and subcutaneous tissue. While in the role of first assistant, the registered nurse may not concurrently serve as a scrub or circulating nurse.

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