+

Pathway to Excellence

CNOR

Certification

+We are conducting a sound test. Please type

in the chat box if you CANNOT hear the

speaker.

+HOUSEKEEPING DETAILS

Submit questions via the Chat feature found at the lower right hand corner of your screen.

Questions will be answered after the webinar.

If you need additional information or support, please call us at 888-257-2667. Our office is open 8-4, MST

+YOUR HOSTS FOR TONIGHT’S

PRESENTATION

Jim Stobinski, PhD, RN, CNOR, CSSMDirector, Credentialing and Education

Julie Mower, MSN, RN, CNS, CNS-CP, CNORand

Dawn Whiteside, MSN, RN, CNOR, RNFANurse Managers,Credentialing and Education Development

+OBJECTIVES

1. Review eligibility requirements for CNOR certification.

2. Examine elements of the CNOR exam.

3. Discuss successful study strategies using recommended test prep materials.

4. Explore strategies for answering multiple-choice questions.

5. Describe the application process.

5

+CNOR CERTIFICATION

CNOR Certification is defined as:

The documented validation of the professional achievement

of identified standards of practice by an individual registered

nurse providing care for patients before, during and after surgery.

6

+CNOR ELIGIBILITY CRITERIA

Licensed as a RN in the country where currently practicing perioperative nursing.

Completed a minimum of two years and 2,400 hours of perioperative nursing practice in an administrative, teaching, research, or general staff capacity.

At least 50%, or 1,200 hours, must be in the intraoperative setting.

Must be currently working either full- or part-time in a perioperative nursing role.

7

+CNOR EXAM

200 multiple choice questions

3 hours and 45 minutes to complete the test

Updated annually to reflect current perioperative guidelines

Administered by an independent testing company, Prometric

May be taken Monday through Saturday, excluding holidays, at test centers nationwide

8

+

RESOURCES

+CNOR EXAM CONTENT

(information is subject to change)

Subject Area % of

Questions

1. Preoperative Patient Assessment

and Diagnosis

12%

2. Develop Individualized Plan of Care 10%

3. Intraoperative Activities 27%

4. Communications 10%

5. Transfer of Care 6%

6. Cleaning, Disinfecting, Packaging

and Sterilization9%

7. Emergency Situations 11%

8. Management of Personnel Services

and Materials6%

9. Professional Accountability 9%

Total 100%

+EXAM PREPARATION TEXT

BOOKS Current edition of AORN’s Guidelines for

Perioperative Practice

Perioperative reference books

Rothrock, J.C. (Ed.). (2015). Alexander’s care of the patient in surgery (15th ed.). St. Louis, MO: Elsevier.

or

Phillips, N. (Ed.). (2017). Berry and Kohn’s operating room technique (13th ed.). St. Louis, MO: Elsevier.

11

+OPTIONAL REFERENCES Pathophysiology textbook

Medical dictionary

Lab/ diagnostic test reference manual

Drug reference-check hospital formulary or Epocrates at www.epocrates.com

AORN Journal

AAMI standards

Websites

The Joint Commission at www.jointcomission.org

CDC at www.cdc.gov

12

+CCI’s FREE CNOR RESOURCEShttp://www.cc-institute.org/cnor/prepare

CNOR Candidate Handbook

CNOR Study Plan

Readiness to test survey

Sample CNOR exam questions

CCI Staff

Webinars

+CCI EXAM PREP MATERIALS

• The Official CNOR Exam

Prep

• CNOR Flashcards

• CNOR Practice Exam

• CNOR Ultimate Study

Kit

• CNOR Instructor’s Kit

https://store.cc-institute.org

There is no requirement to purchase CCI test preparation products to take the CNOR certification examination.

The purchase of CCI products cannot guarantee a better result on the CNOR certification examination.

+

TEST-TAKING

STRATEGIES

+TIME-SAVING TIPS

Do a self-assessment; build on what you already know, rather than starting from the beginning.

Use the subject areas to organize your study plan.

Start with the subject areas with the

highest % of questions or

areas that are least familiar.

16

+STUDY TIPS

Recommended study time prior to exam: 3 months.

Turn off text messages, TV, and e-mail while you study.

Break content and time into bite-size chunks.

Review, review, review.

Be able to apply broad concepts versus memorizing facts and figures.

Practice by taking multiple choice-style exams.

Adapted from: Shellenbarger, Sue. Toughest Exam Question: What is the Best Way to Study? Wall Street Journal, 26 OCT 2011, pp. D1, D2.

17

+

ANALYZING

MULTIPLE-

CHOICE

QUESTIONS

+COMPONENTS OF A MULTIPLE

CHOICE QUESTION

Stem

Will provide all the information needed to answer the question.

Question may be either:

open-ended (fill in the blank)

or

close-ended (ends with a question mark)

19

+ADDITIONAL GUIDELINES

Four options with only ONE correct answer.

Other three options are distractors, which are possible but not correct.

No true/false, multiple-multiple choice, calculations requiring a calculator.

Pay attention to words such as “first”, “best”, or “most”

+COMMON TEST-TAKING

ERRORS

“Reading into” the stem.

“Overthinking”-using experience beyond 2 years

Taking too much time/question.

Missing the quantifier.

Changing answers to multiple questions.

Expecting the same questions on the exam that were on the practice tests/flash cards.

21

+COMMON ERRORS CONT.

Answering questions based on past experience or facility’s present practice that is not evidence-based.

Using “tricks” (e.g., choose B, longest option, shortest option, etc.)

22

+SAMPLE QUESTION 1

The patient population which accounts for the greatest number of eye muscle procedures is:

A. Pediatric

B. Adolescent

C. Adult

D. Geriatric

23

+ANALYSIS OF TEST QUESTION

What did you need to know to answer this question?

If you were unfamiliar with the content of this question, where could you go to find out more information ?

Why were the other options incorrect?

Type your answers in the chat window!

24

+ANSWER QUESTION 1

Correct answer is: A. Pediatric

Rationale: Strabismus correction requires early recognition and is the third most common performed pediatric procedure between the ages of 6 months and 6 years.

Reference: Phillips, Nancy. (2017). Berry and Kohn’s Operating room technique, p. 142. St. Louis: Elsevier.

25

+SAMPLE QUESTION 2

The most effective way to evaluate a patient’s comprehension of her upcoming surgery is to:

A. have the patient describe the procedure in her own words.

B. witness her signing her consent form.

C. ask yes/no questions.

D. document that the patient has received a patient education brochure.

26

+ANALYSIS OF TEST QUESTION

How did you choose which answer you thought was correct?

Why were other options incorrect?

Type response in chat window.

27

+ANSWER QUESTION 2

Correct answer is: A. have the patient describe her procedure in her own words.

Rationale: To evaluate understanding, have the patient repeat in her own words what has been explained.

Reference: Phillips, N. (2017). Berry and Kohn’s operating room technique, p. 371. St. Louis: Mosby.

28

+SAMPLE QUESTION 3

The perioperative nurse discovers that a sponge is missing during the closing count for a left lung lobectomy. The nurse’s first action would be to:

A. repeat the count.

B. notify the surgeon.

C. document the count as incorrect.

D. notify the supervisor.

29

+ANALYSIS OF THE TEST

QUESTION

Prioritization: All of the options could have been correct-how did you choose your answer?

Why were the other options incorrect?

Type response in chat window.

30

+ANSWER QUESTION 3

Correct answer is: B. notify the surgeon.

Rationale: The RN circulator should inform and receive verbal acknowledgement from the surgeon and surgical team as soon as a discrepancy in a surgical count is identified.

Reference: AORN. (2016). Prevention of retained surgical items. In Guidelines for perioperative practice, p. 396. Denver, CO: Author.

31

+

APPLICATION

PROCESS

+http://www.cc-institute.org/cnor/how-

to-apply-cnor

+ INFORMATION YOU WILL NEED

Personal contact information: address,

email, home and work phone numbers

Birth year

Last four digits of your Social Security

number

RN license information: issue date,

state(s) licensed to practice

Highest degree earned Supervisor contact information: name,

address, email, phone number

Perioperative work history: last two years,

date began working in the OR, current

position, and current practice area

AORN membership information (if

applicable): member ID, username, and

password

Employer contact information: facility

name, address, and phone number Payment

+2017 CNOR APPLICATION

FEES

$395 Regular

$335 AORN member

Please check our website for additional information. Fees are subject to change without notice.

35

+DEADLINES FOR TESTING

Apply and pay one month prior to the three month testing window (e.g., if you apply in January then you can test in February, March, or April).

Once your paid application is approved, you can schedule a date, time, and location that are convenient for you.

36

+TAKE TWO

The fee for an individual to purchase two opportunities to take the CNOR exam in a 12-month period is $445.

Facilities may register multiple nurses at a reduced rate. The fee for facilities who register a minimum of five (5) CNOR-eligible nurses is $395 per participant.

Check with your facility to see which option is best for you.

Learn more at www.cc-institute.org/CNOR/Take2

+IMPORTANT RECERTIFICATION

INFORMATION

At the end of your 5-year cycle, you must apply for recertification by one of the following methods:

Contact hours (125)

Points (300)

Exam

+ACCRUAL PERIOD FOR

CONTACT HOURS/POINTS

CNOR

Credential

Valid

Accrual Period

for

Recertification

Activities

Discounted

Application Fee

Final Date to

Recertify

2017 – 2022 1/1/17 – 12/31/21 7/1/22 12/31/2022

2018-2023 1/118-12/31/22 7/1/23 12/31/2023

+RECORDINGS

Recorded sessions will be available via our YouTube Channel at https://www.youtube.com/channel/UC8qq9R2GcQls7-KAytxqtJA (link at the top right hand side of our website) and on our website at http://bit.ly/CCIWebinars

40

+UPCOMING CCI WEBINARS:

2017

All webinars are held live at 1700 Mountain Time. Register on our website at http://www.cc-institute.org/more/webinar

Jan. 19: CNOR Recertification: Maintaining Your Credential

Feb. 2: CSSM Certification: The Next Step for Surgical Services Managers

Feb. 8: CNOR Certification: Pathway to Excellence

41

+

Please know that CCI staff is here to

help you achieve your goal of

CNOR certification.

Jim Stobinski

jstobinski@cc-institute.org

Julie Mower

jmower@cc-institute.org

Dawn Whiteside

dwhiteside@cc-institute.org

42