Study Plan

References Cited in This Plan:

• AORN. (current edition). Guidelines for perioperative practice. AORN. (Key=AORN)
• Hornacky, A., & Phillips, N. (2024). Berry and Kohn’s operating room technique (15th ed.). Elsevier. (Key=B&K)
• Rothrock, J. C. (Ed.). (2023). Alexander’s care of the patient in surgery (17th ed.). Elsevier. (Key=Alex)
• Odom-Forren, J. (Ed.), (2024). Drain’s perianesthesia nursing: A critical approach (8th ed.). Elsevier. (Key=O-F)
• Centers for Medicare and Medicaid (CMS). (2022). State Operations Manual: Appendix L - Guidance for surveyors: Ambulatory Surgery Centers.
Available for download from: CMS (Key=CMS)
• AORN Position Statements and endorsed documents are found at: AORN Position Statement and Endorsed Documents

Disclaimer: This is a guide to assist you in preparing for the CNAMB exam. It is not intended to be all inclusive, but rather a guide to assist
you in planning your study.

Page 1 of 24 CNAMB Study Plan

 Domain 1: Perioperative Patient Assessment and Diagnosis (14%)
1. Confirm patient identity using two (2) patient identifiers
2. Verify procedure, surgical consent, operative site, anesthesia plan, and side/site marking
Key phrases Alex B&K O-F CMS AORN and Other
Universal Protocol Chapter 2 Chapter 2 AORN Guidelines
Chapter 20 Chapter 3 • Information Management
• Team Communication

AORN Position Statement:

• Preventing Wrong- Patient, Wrong-Site,
Wrong-Procedure Events

The Joint Commission. Universal Protocol.

• TJCs Universal Protocol
Informed consent(s) or waivers (e.g., Chapter 24 Chapter 3 Chapter 7
surgical, anesthesia, blood, photographs, Chapter 26
visitors)
3. Assess health status of the patient
a. Collect, analyze, and prioritize patient data (e.g., vital signs, pain assessment, allergies, lab values, other medical conditions, medical conditions
for which they would need clearance, previous relevant surgical management, chart review, NPO status, family history of anesthesia problems
b. Use age and sociocultural appropriate health assessment techniques to evaluate patient status (interview, observation, communication barriers)
c. Conduct medication reconciliation (e.g., preoperative meds, home meds, alternative/herbal meds, medical marijuana, alcohol use, recreational drug use)
d. Conduct physical assessment (e.g., skin integrity, mobility, body piercings, implants/foreign objects)
Key phrases Alex B&K O-F CMS AORN and Other
Anatomy and physiology See surgical specialty chapters:
• Alexander’s
• Berry & Kohn’s
• Drain’s
Pathophysiology Recommended text: Rogers, J. L. (latest edition).
McCance & Huether’s Pathophysiology: The biologic basis
of disease in adults and children.
Elsevier.
Pharmacology including medication Chapter 19 Chapter 23 Chapter 46 §416.48 AORN Guideline
reconciliation • Medication Safety

AORN Endorsed Document:

• Joint Position Statement on Substance Use
Page 2 of 24 CNAMB Study Plan
Diagnostic procedures and results Appendix A Chapter 21 Chapter 46 §416.49 Recommended text: Pagana K. D., & Pagana,
T. J., & Pagana, T. N. (latest edition). Mosby’s diagnostic
and laboratory test reference. Elsevier.

Health assessment techniques (e.g., vital Chapter 5 Chapter 7 Chapter 46 §416.52 AORN Position Statement:
signs, pain assessment, allergies, lab values, Chapter 10 Chapter 8 Chapter 48 • Care of the Older Adult in Perioperative
chart review, NPO status) Chapter 26 Chapter 9 Chapter 49 Settings
Chapter 27 Chapter 50
The nursing process American Society of Anesthesiologists Task Force on
Preoperative Fasting. (2017). Practice guidelines for
preoperative fasting and the use of pharmacologic
agents to reduce the risk of pulmonary aspiration:
Application to healthy patients undergoing elective
procedures: An updated report. Anesthesiology 126(3),
376-393.
• https://www.asahq.org/~/media/sites/asah
q/files/public/resources/standards-
guidelines/practice-guidelines-for-
preoperative-fasting.pdf
Conduct a physical assessment (e.g., skin Chapter 1 Chapter 8 Chapter 27
integrity, mobility, body piercings, Chapter 6 Chapter 9
implants/foreign objects)

Interview/communication techniques Chapter 16 Chapter 2 Chapter 28

Chapter 21

Antibiotic stewardship Chapter 4 Chapter 6 Chapter 5

Pain management (e.g., ERAS, multi-modal, Chapter 5 Chapter 23 Section 3

regional blocks) Chapter 24

Advance directives, DNR, and AND (Allow Chapter 2 Chapter 3 Chapter 7 AORN Position Statement:
Natural Death) processes • Perioperative Care of Patients with Do-
Not-Resuscitate Orders

Page 3 of 24 CNAMB Study Plan

 4. Assess patient appropriateness for ambulatory setting
Key phrases Alex B&K O-F CMS AORN and Other
Selection criteria (e.g., BMI, ASA, sleep Chapter 5 Chapter 7 §416.52
apnea, infectious disease, age) Chapter 21
Pre-surgery risk assessment (e.g., Chapter 5 Chapter 7 Chapter 45 §416.52
medications, previous surgeries, special Chapter 11 Chapter 46
needs, comorbidities, preop
instructions)
Discharge needs (e.g., home care, durable Chapter 5 Chapter 11 Chapter 3 §416.52
medical equipment, transportation, care Chapter 11 Chapter 38
giver, medications, rehab) Chapter 49

5. Formulate nursing diagnoses

Key phrases Alex B&K O-F CMS AORN and Other
Approved nursing diagnoses (e.g., North Chapter 1 Chapter 2 AORN Endorsed Document:
American Nursing Diagnosis Administration • ANA Position Statement on Inclusion of
[NANDA], Perioperative Nursing Data Set Recognized Terminologies within EHR and
[PNDS]) other HIT Solutions

AORN. (latest edition). Perioperative Nursing Data Set:

The perioperative nursing vocabulary. Author.
6. Document preoperative assessment
Key phrases Alex B&K O-F CMS AORN and Other
Nursing process Chapter 1 Chapter 2

Page 4 of 24 CNAMB Study Plan

 Domain 2: Preoperative Plan of Care (12%)
1. Develop a plan of care/anticipate physiological responses
Key phrases Alex B&K O-F CMS AORN and Other
Physiologic responses: Risk of infection Chapter 4 Chapter 8 Chapter 5
Chapter 5 Chapter 9

Physiologic responses: Altered tissue perfusion Chapter 1 Chapter 17

Chapter 6
Physiologic responses: Thermal regulation Chapter 1 Chapter 4 Chapter 53 AORN Guideline
Chapter 17 Chapter 8 • Patient Temperature Management
Chapter 26 Chapter 9
Chapter 16
Chapter 31
Behavioral responses Chapter 1 Chapter 7 Chapter 46 AORN
• Complementary Care

Disease processes See surgical specialty chapters:

• Alexander’s
• B&K
• Drain’s
Age-specific needs Chapter 26 Chapter 8 Chapter 49 Mower, J. (2015). Incorporating age-specific
Chapter 27 Chapter 9 Chapter 50 plans of care to achieve optimal
perioperative
outcomes. AORN Journal, 102(4), 369-388.
Transcultural nursing theory (e.g., cultural and Chapter 7 Chapter 6
ethnic influences, family patterns, spirituality and related Chapter 21 Chapter 50
practices

Patient rights and responsibilities Chapter 2 Chapter 2 Chapter 6 §416.50 Quad A. (n.d.). Patient rights and
Chapter 7 responsibilities.
• Patient Rights and
Responsibilities
Universal protocol and transmission- based precautions Chapter 4 Chapter 15 Chapter 5 §416.51 AORN Guideline
• Transmission-based Precautions

AORN Endorsed Document:

• ANA Position Statement on
Page 5 of 24 CNAMB Study Plan
 Immunizations

2. Identify and plan for expected patient outcomes/postoperative needs (e.g., responsible supervision; transportation; sleep apnea)
Key phrases Alex B&K O-F CMS AORN and Other
Patient outcomes Chapter 1 Chapter 11 Chapter 3
Chapter 10 Chapter 41 Chapter 12
Chapter 28
Chapter 46
Resources for patient/family education Chapter 28 American Society of Anesthesiologists. (n.d.).
Obesity, sleep apnea, and anesthesia.
• Obesity Sleep Apnea and
Anesthesia

American Society of Anesthesiologists. (n.d.).

Outpatient surgery and anesthesia.
Outpatient Surgery and Anesthesia
Community networking and institutional resources (e.g., §416.52
supplies, equipment, patient transfer agreements,
courier service, emergency services)
3. Adhere to Universal Protocol
Key phrases Alex B&K O-F CMS AORN and Other
Legal responsibilities and implications for patient care Chapter 2 Chapter 3 §416.47 AORN Position Statement:
• Preventing Wrong- Patient,
Wrong-Site, Wrong-Procedure
Events

The Joint Commission. Universal Protocol.

• TJCs Universal Protocol
4. Conduct site preparation (e.g., hair removal; skin antisepsis)
Key phrases Alex B&K O-F CMS AORN and Other
Preoperative patient preparation (e.g., Chapter 6 Chapter 21 Chapter 27
IV, removal of jewelry, hair removal Chapter 24

Page 6 of 24 CNAMB Study Plan

 5. Confirm availability of implant(s), supplies, and equipment
Key phrases Alex B&K O-F CMS AORN and Other
Perioperative safety Chapter 2 Chapters 2 AORN Position Statement:
Chapter 13 • Patient Safety

AORN Endorsed Document:

• Free From Harm: Accelerating
Patient Safety Improvement 15
Years After to Err is Human

Page 7 of 24 CNAMB Study Plan

 Domain 3: Intraoperative Care (20%)
1. Optimize physiological responses of the patient
Key phrases Alex B&K O-F CMS AORN and Other
Normothermia Chapter 1 Chapter 4 Chapter 53 AORN Guideline
Chapter 17 Chapter 8 • Patient Temperature Management
Chapter 26 Chapter 9
Chapter 16
Chapter 31
Infection prevention/control Chapter 4 Chapter 8 Chapter 6
Chapter 5 Chapter 9
Chapter 11
Perfusion Chapter1 Chapter 17
Chapter 6
Surgical procedure See See
specialty specialty
chapters. chapters.
Wound healing Chapter 9 Chapter 28 Chapter 18
Chapter 29
2. Monitor and maintain patient and personnel safety
12. Maintain the dignity, modesty, and privacy of the patient
22. Utilize ergonomics and proper body mechanics in performing patient care.
Key phrases Alex B&K O-F CMS AORN and Other
Chemical Chapter 9 Chapter 12
Chapter 13

Fire Chapter 2 Chapter 11

Chapter 13
Chapter 20
Hazardous materials Chapter 3 Chapter 12
Chapter 29 Chapter 13

Radiation Chapter 2 Chapter 7 §416. AORN Guideline

49 • Radiation Safety/Ambulatory
Supplement

Page 8 of 24 CNAMB Study Plan

 Smoke plume Chapter 3 Chapter 13 AORN Guideline
Chapter 8 • Surgical Smoke Safety
Energy generating devices Chapter 8 Chapter 20 AORN Guidelines
Chapter 9 • Electrosurgical Safety
• Laser Safety
Positioning Chapter 6 Chapter 25 Chapter 26 AORN Guideline
Chapter 7 Chapter 26 • Positioning the Patient

Potential complications See Chapter 29 Chapter 29

specialty Chapter 31
Chapters.
Patient/personnel safety Chapter 2 Chapter 13 Chapter 7 §482. AORN Guideline
Chapter 3 26(b) • Safe Patient Handling and Movement

Ergonomics/body mechanics Chapter 3 Chapter 12

Chapter 13
3. Optimize patient care based on behavioral responses (e.g., comfort, anxiety, pain management; sociocultural and/or ethical issues)
Key phrases Alex B&K O-F CMS AORN and Other
Pain management Chapter 10 Chapter 8 Chapter 24
Chapter 29 Chapter 25
Chapter 31
4. Prepare the surgical site
Key phrases Alex B&K O-F CMS AORN and Other
Skin prep antisepsis Chapter 4 Chapter 26 AORN Guideline
• Patient Skin Antisepsis
5. Select procedure-specific protective materials and equipment (e.g., lead aprons, laser goggles, smoke evacuators, extinguishers)
11. Test and use equipment according to manufacturer’s recommendations
Key phrases Alex B&K O-F CMS AORN and Other
Manufacturer’s instructions for use (IFU) Chapter 18 See specific guidelines.
Instruments, supplies, equipment: Lead aprons Chapter 7 Chapter 13

Instruments, supplies, equipment: Laser goggles Chapter 8 Chapter 20

Instruments, supplies, equipment: Smoke evacuator Chapter 8 Chapter 13 AORN Guideline
• Surgical Smoke Safety
Instruments, supplies, equipment: fire extinguisher Chapter 13
17. Prepare and label solutions, medications, and medication containers
Key phrases Alex B&K O-F CMS AORN and Other

Page 9 of 24 CNAMB Study Plan

 Timing, labeling, redosing Chapter 23 AORN Guideline
• Medication Safety
8. Identify and control environmental factors (e.g., humidity, noise, temperature, traffic)
Key phrases Alex B&K O-F CMS AORN and Other
HVAC Chapter 4 Chapter 15 AORN Position Statement:
• HVAC Interim Guidance Statement

AORN Endorsed Document:

• Joint Commission - OR
Relative Humidity
Noise Chapter 3 Chapter 12 AORN Position Statement:
• Managing Disruptions Distractions
and Noise During Perioperative
Patient Care
Traffic patterns Chapter 4 Chapter 15
9. Maintain a sterile field using aseptic technique
10. Ensure the sterility of surgical products and instrumentation (e.g., expiration date, package integrity)
Key phrases Alex B&K O-F CMS AORN and Other
Aseptic technique Chapter 4 Chapter 2
Expiration date, package integrity Chapter 4 Chapter 15
Wound classifications Chapter 9 Chapter 28 CDC. (2023, January). Surgical site infection
event.
• CDC Surgical Site Infection Event
13. Verify and document specimens with surgical team
14. Prepare, label, and transport specimens
Key phrases Alex B&K O-F CMS AORN and Other
Specimen management Chapter 2 Chapter 2 AORN Guideline
Chapter 15 • Specimen Management
Chapter 21
Chapter 25
15. Confirm, present, and prepare implants
16. Prepare explants for final disposition
Key phrases Alex B&K O-F CMS AORN and Other
Implants, preparation, explants Chapter 20 Chapter 28
Chapter 22
6. Monitor and evaluate the effects of pharmacological and anesthetic agents
7. Assist with anesthesia management (e.g., induction, airway protection, extubation, cricoid pressure)
Key phrases Alex B&K O-F CMS AORN and Other
Anesthesia management (e.g., airway maintenance, Chapter 5 Chapter 23 Chapter 20 Online drug formulary
Page 10 of 24 CNAMB Study Plan
 reversal agents, and antagonists Chapter 24 Chapter 21 • Epocrates
Chapter 22
Chapter 23
Chapter 46
18. Perform counts
Key phrases Alex B&K O-F CMS AORN and Other
Surgical Counts Chapter 2 Chapter 2 AORN Guideline
Chapter 25 • Retained Surgical
Chapter 31 Items/Ambulatory Supplement
Chapter 36
19. Adhere to Universal Protocol (e.g., time out, WHO checklist, National Patient Safety Goals (NPSGs)
Key phrases Alex B&K O-F CMS AORN and Other
Time Out Chapter 2 Chapter 2 The Joint Commission. Universal
Chapter 5 Chapter 3 Protocol.
Chapter 11 Chapter 4 • TJCs Universal Protocol
Chapter 15
WHO checklist Chapter 2 WHO. (n.d.). Surgical Safety Checklist.
• WHO Surgical Safety Checklist
NPSGs Chapter 2 Chapter 3 The Joint Commission. (2025). Ambulatory
Health Care 2025 National Patient Safety Goals.
• TJCs National Patient Safety Goals
(Ambulatory)

21. Manage patient hemodynamic needs (e.g., fluid replacement)

Key phrases Alex B&K O-F CMS AORN and Other
Hemodynamic needs Chapter 5 Chapter 8 Chapter 14
Chapter 26 Chapter 31

23. Prepare, label, and administer moderate and local sedation/analgesia with appropriate monitoring (e.g., capnography; pulse oximeter)
Key phrases Alex B&K O-F CMS AORN and Other
Moderate/local sedation/analgesia with appropriate Chapter 5 Chapter 23 Chapter 46 AORN Guideline
monitoring Chapter 24 • Moderate Sedation/Analgesia

Page 11 of 24 CNAMB Study Plan

 Domain 4: Communication (12%)
1. Communicate patient status and changes to interdisciplinary healthcare providers
2. Utilize effective communication for continuity of patient care (e.g., hand-off, debrief)
Key phrases Alex B&K O-F CMS AORN and Other
Methods and requirements for reporting to interdisciplinary Agency for Healthcare Research and Quality
healthcare providers (e.g., critical lab values, medical (AHRQ). (2005). Improving patient safety by
condition, medications, allergies, implants/implantable repeating (read-back) telephone reports of
devices, read back orders) critical information.
• Improving Patient Safety by
Repeating (Read Back)
Telephone Reports of Critical
Information

LabCorp. (n.d.). Critical values.

• Critical Values
Hand-offs/debriefings Chapter 15 Chapter 26

3. Provide information to the patient/family according to HIPAA guidelines

Key phrases Alex B&K O-F CMS AORN and Other
Information technology (e.g., software applications, security, Chapter 8 Chapter 2 Chapter 26 §416.50 AORN Guideline
HIPAA) Chapter 3 (g) • Information Management
Chapter 7
US Department of Health and Human
Services. (n.d.). Health Insurance Portability
and Accountability Act.
• HIPPA

4. Identify barriers to sociocultural communication and participate in implementing effective solutions

Key phrases Alex B&K O-F CMS AORN and Other
Barriers to communication (e.g., patient, family, Chapter 16 Chapter 28 AORN Guideline
team, chain of command) Chapter 19 • Team Communication
Chapter 21
CDC. (202, October 16). What is health
literacy?
• What is health literacy?
5. Provide and document perioperative education
Page 12 of 24 CNAMB Study Plan
 Key phrases Alex B&K O-F CMS AORN and Other
Perioperative patient Chapter 18 Chapter 2 Chapter 28
education/interview techniques Chapter 19 Chapter 21
6. Promote culture of safety through workplace civility and team communication
Key phrases Alex B&K O-F CMS AORN and Other
Communication techniques (e.g., patient, family, team, Chapter 1 Chapter 1 Chapter 2 AORN Guideline
chain of command) Chapter 16 Chapter 11 Chapter 26 • Team Communication

Page 13 of 24 CNAMB Study Plan

 Domain 5: Postoperative/Transfer of Care (10%)
1. Collaborate with interdisciplinary services
Key phrases Alex B&K O-F CMS AORN and Other
Interdisciplinary services for care coordination (e.g., Chapter 9 Chapter 33 §416.5
nutrition, wound care, social work, referrals, Chapter 11 2
transportation, convalescent center, physical therapy)
Community-based resources (e.g., visiting nurse; physical Chapter 46 American Society of Anesthesiologists.
therapy) (n.d.). Perioperative Surgical Home.
• Perioperative Surgical Home
2. Evaluate patient status to facilitate transfer to the next level of care (e.g., PACU, home, rehab facility, hospital, 23-hour observation)
Key phrases Alex B&K O-F CMS AORN and Other
Transfer of care (e.g., home, hospital, rehab) Chapter 10 Chapter 11 Chapter 26 §416.52 AORN Guideline
(c)(1) • Information Management
3. Document patient care
Key phrases Alex B&K O-F CMS AORN and Other
Chapter 3
4. Provide and document post-discharge follow-up communication according to regulatory guidelines
Key phrases Alex B&K O-F CMS AORN and Other
Regulatory guidelines concerning postoperative follow-up Chapter 2 Chapter 11 Chapter 3 §416.5(c)
(e.g., phone calls, appointments) Chapter 46
5. Assist with management of airway, pain, and hemodynamic monitoring
Key phrases Alex B&K O-F CMS AORN and Other
Pain management (e.g., ERAS, multi- modal, regional blocks) Chapter 5 Chapter 23 Chapter 25
Chapter 24 Chapter 24 Chapter 46
Chapter 49
Airway management Chapter 5 Chapter 23 Chapter 30
Chapter 10 Chapter 25 Chapter 46
Chapter 26 Chapter 29
Hemodynamic monitoring Chapter 8 Chapter 9 Chapter 46
Chapter 10 Chapter 26
Chapter 25 Chapter 29
6. Maintain intake and output as expected for discharge criteria
Key phrases Alex B&K O-F CMS AORN and Other
Discharge criteria, I&O Chapter 11 Chapter 3 §416.52
Chapter 46

Page 14 of 24 CNAMB Study Plan

 Domain 6: Instrument Processing and Supply Management (8%)
1. Select appropriate methods and products for processing (e.g., cleaning, disinfecting, packaging, sterilizing, transportation, storage)
Key phrases Alex B&K O-F CMS AORN and Other
Cleaning products and techniques (e.g., manual Chapter 4 Chapter 17 AORN Guideline
washing, ultrasonic) • Instrument Cleaning
Packaging techniques (e.g., crates, peel packs, wraps) Chapter 4 Chapter 18 AORN Guideline
• Packaging Systems
Transportation of equipment, instruments, and Chapter 4 Chapter 18
supplies
2. Perform and document disinfection procedures (e.g., high-level disinfection and decontamination)
Key phrases Alex B&K O-F CMS AORN and Other
Disinfecting techniques (e.g., high-level) Chapter 4 Chapter 17 AORN Guidelines
• High-level Disinfection
• Flexible Endoscopes
3. Handle and dispose of hazardous materials (e.g., chemo drugs, radioactive materials)
Key phrases Alex B&K O-F CMS AORN and Other
Hazardous materials exposure Chapter 3 Chapter 12 AORN Guideline
Chapter 29 • Radiation Safety/Ambulatory
Supplement
4. Handle and dispose of biohazard materials (e.g., blood, tissue)
Key phrases Alex B&K O-F CMS AORN and Other
Biohazardous materials (e.g., blood) Chapter 4 Chapter 13 Chapter 5
Chapter 24
5. Perform and document sterilization procedures including biological and chemical monitoring (e.g., load parameters, steam sterilization, low- temperature
sterilization)
8. Perform and document immediate use steam sterilization (IUSS)
Key phrases Alex B&K O-F CMS AORN and Other
Sterilization techniques (e.g., immediate use (IUSS), load Chapter 4 Chapter 18 AORN Guideline
parameters, steam sterilization, low-temperature • Sterilization
sterilization
Documentation requirements for instrument Chapter 4 Chapter 17
sterilization including biological and chemical Chapter 18
monitoring
6. Monitor environmental conditions of sterilization and storage areas
Key phrases Alex B&K O-F CMS AORN and Other
Quality assurance testing (e.g., washer-disinfector, Chapter 4 Chapter 18
sterilizer)
Page 15 of 24 CNAMB Study Plan
 Storage of equipment, instruments, and supplies Chapter 4 Chapter 28 Chapter 1
7. Coordinate materials and instruments provided by external sources (e.g., loaner instruments)
Key phrases Alex B&K O-F CMS AORN and Other
Regulatory requirements for tracking of equipment, Chapter 4 Chapter 18 AORN Position Statement:
instruments, and supplies provided by external sources • Role of the Health Care
Industry Representative in the
Perioperative Setting

Page 16 of 24 CNAMB Study Plan

 Domain 7: Emergency Situations (5%)
1. Perform nursing interventions based on age-specific needs
2. Coordinate members of the interdisciplinary healthcare team during internal/external emergency situations
Key phrases Alex B&K O-F CMS AORN and Other
Preparation for and management of medical emergencies: Chapter 5 Chapter 8 Chapter 1 AORN Guidelines
Malignant Hyperthermia (MH) Chapter 26 Chapter 24 Chapter 2 • Patient Temperature
Chapter 27 Chapter 3 Management
Chapter 31 Chapter 23
Chapter 29 Malignant Hyperthermia Association of
Chapter 43 the United States (MHAUS)
Chapter 53 • MHAUS

Preparation for and management of medical emergencies: Chapter 3 Chapter 13 Chapter 18

Anaphylaxis Chapter 4 Chapter 14
Chapter 5

Preparation for and management of medical emergencies: Chapter 5 Chapter 3 Chapter 4

Cardiac arrest Chapter 7 Chapter 57
Chapter 13
Chapter 24
Chapter 30
Chapter 31
Preparation for and management of medical emergencies: Chapter 10 Chapter 31 Chapter 29
Hemorrhage Chapter 21
Chapter 25
Chapter 28
3. Protect patient and resources from environmental hazards and during disasters
Key phrases Alex B&K O-F CMS AORN and Other
Roles of the interdisciplinary healthcare team during Chapter 28 Chapter 4 Ambulatory Surgery Center Association.
internal/external emergency situations (e.g., triage, FEMA, Emergency preparedness. (n.d.).
EMS, community resources) • Emergency Preparedness

Federal Emergency Management Agency

(FEMA).
• FEMA

Page 17 of 24 CNAMB Study Plan

 Preparations for and management of environmental Chapter 3 Chapter 6 Chapter 56 §416.44(c)
hazards and natural disasters (e.g., fire, toxic fumes, Chapter 4 Chapter 11
natural disasters, terrorism, power outage, active Chapter 9 Chapter 13
shooter) Chapter 28 Chapter 15

Page 18 of 24 CNAMB Study Plan

 Domain 8: Management of Personnel, Services, and Materials (9%)
1. Acquire equipment, supplies, and personnel
10. Coordinate and document preventive maintenance of equipment
12. Monitor availability and sterility of supplies
Key phrases Alex B&K O-F CMS AORN and Other
Perioperative resource management (e.g., equipment, Chapter 6 Chapter 3 AORN Position Statement
supplies, staffing) • Safe Staffing and On-Call Practices
3. Participate in product evaluation, selection, and recall
Key phrases Alex B&K O-F CMS AORN and Other
Product evaluation processes (e.g., cost benefit analysis) Chapter 6 AORN Guideline
Chapter 25 • Product Evaluation

AORN Position Statements:

• Environmental Responsibility

• Healthy Perioperative Practice

Environment
3. Supervise, educate, and mentor healthcare team members
5. Delegate perioperative tasks to appropriate personnel within their scope of practice
6. Supervise non-OR personnel (e.g., vendors, students, visitors, family)
Key phrases Alex B&K O-F CMS AORN and Other
Adjunct roles, assigned staff, and responsibilities (e.g., Chapter 4 §416.46 AORN Position Statements
medication safety, laser safety, employee health, Privacy Chapter 5 • Responsibility for Mentoring
officer, Facility officer, Risk manager, infection prevention Chapter 6
• Delegation in Perioperative
Practice Settings

• Orientation of the Registered

Nurse and Surgical
Technologist to the
Perioperative Setting
Role of non-perioperative personnel (e.g., vendor, students, Chapter 1 Chapter 49 AORN Position Statements
visitors, family; medical records, admissions) Chapter 7 Chapter 55 • Role of the Health Care
Chapter 21 Industry Representative in the
Chapter 22 Perioperative Setting

• Value of Clinical Learning Activities

in the Perioperative Setting in
Page 19 of 24 CNAMB Study Plan
 Undergraduate Nursing Curricula

Scope of practice for the interdisciplinary team per Chapter 1 Chapter 2 See individual guidelines.
regulatory agencies (e.g., Nurse Practice Act) Chapter 4
2. Monitor and assist with implementation of cost-containment measures
7. Implement environmental sustainability practices (e.g., reprocessing, recycling)
Key phrases Alex B&K O-F CMS AORN and Other
Waste management (e.g., reprocessing Chapter 4 Chapter 17
to include single-use devices, supply standardization

8. Ensure use of Personal Protective Equipment (PPE)

Key phrases Alex B&K O-F CMS AORN and Other
Personal Protective Equipment (PPE) Chapter 3 Chapter 15 Chapter 5
Chapter 4 Chapter 16
9. Oversee environmental cleaning (e.g., spills, room turnover, terminal cleaning)
Key phrases Alex B&K O-F CMS AORN and Other
Environmental management (e.g., spills, room turnover, Chapter 4 Chapter 12 §416.44(a) AORN Guideline
terminal cleaning, physical plant) • Environmental Cleaning

11. Track biological implants (e.g., order, reconstitute, storage, use/waste)

Key phrases Alex B&K O-F CMS AORN and Other
Implant management (e.g., regulatory Chapter 28 AORN Guideline
and manufacturers’ instructions for use) • Autologous Tissue Management

13. Monitor radiation safety

Key phrases Alex B&K O-F CMS AORN and Other
Radiation safety (e.g., dosimetry Chapter 3 Chapter 13 §416.49 AORN Guideline
badges, time, distance, shielding, lead protection) • Radiation Safety/Ambulatory
Supplement

Page 20 of 24 CNAMB Study Plan

 Domain 9: Professional Accountability (10%)
1. Protect patient confidentiality
2. Advocate for and protect patients’ rights
10. Report unanticipated events and good catches
Key phrases Alex B&K O-F CMS AORN and Other
Patient’s rights and advocacy Chapter 1 Chapter 2 Chapter 7 §416.50
Chapter 3 Chapter 8
Chapter 26
3. Perform functions within scope of practice
11. Comply with regulatory and accreditation guidelines (e.g., life safety)
Key phrases Alex B&K O-F CMS AORN and Other
Local, state, and federal regulatory requirements (FDA, Chapter 2 Chapter 10 Chapter 7 §416.40 Accreditation Association of Ambulatory
CDC, CMS, OSHA, DEA) Health Care (AAAHC)
• AAAHC

American Association for the Accreditation of

Ambulatory Surgery Facilities (AAAASF)
• AAAASF)

Ambulatory Surgery Center Association

(ASCA)
• ASCA

Centers for Disease Control and Prevention

(CDC)
• CDC

Centers for Medicare and Medicaid (CMS)

• CMS

United States Drug Enforcement

Administration (DEA)
• DEA

US Food and Drug Administration (FDA)

• FDA

The Joint Commission

Page 21 of 24 CNAMB Study Plan

 • TJC

Occupational Safety and Health

Administration (OSHA)
• OSHA
Principles of delegation Chapter 1 Chapter 6 National Council of State Boards of Nursing
(NCSBN)
• NCSBN
4. Demonstrate competency in perioperative nursing practice
5. Acknowledge personal bias and limitations and seek assistance as needed
9. Utilize standards and recommended practices (e.g., AORN, APIC, AAMI, IAHCSSM, ASPAN)
12. Demonstrate evidence-based practice (e.g., hand hygiene, safe injection practices, surgical attire)
Key phrases Alex B&K O-F CMS AORN and Other
Accreditation standards and organization guidelines (e.g., Chapter 1 Chapter 2 Chapter 3 American Academy of Ambulatory Care
AORN Guidelines for Perioperative Nursing, Perioperative Chapter 7 Nurses (AAACN)
Explications for the ANA Code of Ethics for Nurses, ASPAN, • AAACN
APIC, AAMI)
Association for the Advancement of Medical
Instrumentation (AAMI)
• AAMI

Association for perioperative Registered

Nurses (AORN) (current edition). Guidelines
for perioperative practice. Author.

AORN Ambulatory Surgery Center Solutions.

• AORN Ambulatory Surgery
Center Solutions

AORN. (2017). Perioperative explications for the

ANA Code of Ethics for Nurses. Author. (member
only access)
• AORNs Perioperative Explications
for the ANA Code of Ethics

Association for Professionals in Infection

Control and Epidemiology (APIC)
• APIC

Page 22 of 24 CNAMB Study Plan

 American Society of PeriAnesthesia Nurses
(ASPAN)
• ASPAN

American Society of PeriAnesthesia Nurses

(ASPAN) (2025-2026). PeriAnesthesia nursing
standards, practice recommendations and
interpretive statements. Author.
Maintaining required competencies Chapter 1 Chapter 2 Chapter 3 See individual guidelines.
Chapter 26
AORN Position Statement:
• Perioperative Nursing Certification
EBP: Hand hygiene Chapter 2 Chapter 15 Chapter 5 AORN Guideline
Chapter 4 • Hand Hygiene
Chapter 9
CDC. (2024, February 27). Hand hygiene in
healthcare settings.
• CDC Hand Hygiene
EBP: Safe injection practices Chapter 2 Chapter 22 Chapter 5
EBP: Surgical attire Chapter 4 Chapter 15 AORN Guideline
Chapter 16 • Surgical Attire
6. Identify and take appropriate action regarding behaviors that undermine a culture of safety (e.g., disruptive behavior)
Key phrases Alex B&K O-F CMS AORN and Other
Responsibilities regarding behaviors that undermine a Chapter 3 Chapter 1 Chapter 7 AORN Guideline
culture of safety Chapter 6 • Team Communication

AORN Position Statements:

• Criminalization of Human Errors in the
Perioperative Setting

• Safe Staffing and On-Call Practices

• Responsibility for Mentoring

AORN Endorsed Document

• ANA Position Statement on Incivility,
Bullying, and Workplace Violence
7. Participate in professional development activities (e.g., shared governance, staff education, committees, certifications, advanced degrees, professional
Organizations)
Key phrases Alex B&K O-F CMS AORN and Other
Professional development resources Chapter 1 Chapter 4 Chapter 3 Competency & Credentialing Institute
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 • CCI

Association of periOperative Registered

Nurses (AORN)
• AORN
8. Participate in quality improvement activities
Key phrases Alex B&K O-F CMS AORN and Other
Risk management (e.g., event reporting, good catch, Chapter 2 Chapter 3 The Joint Commission. (n.d.). Ambulatory
disclosure of unanticipated events, recalls, Safe Medical Chapter 13 health care sentinel event policy and
Device Act) procedure; Office-based surgery sentinel event
policy and procedure.
• Ambulatory Health Care Sentinel
Event Policy and Procedure AND
Office-based Surgery Sentinel
Event Policy and Procedure

FDA: Safe Medical Device Act.

• Safe Medical Device Act
Quality improvement processes (e.g., research, data Chapter 1 Chapter 2 Chapter 3 §416.43
collection, evidence- based practice, performance Chapter 2 Chapter 3 Chapter19
improvement; CMS quality measure; reimbursements)

Page 24 of 24 CNAMB Study Plan