Overview

You walked into the operating room on your first day and realized nothing in nursing school prepared you for this. The surgeon is already at the table. The anesthesia provider is asking you questions you cannot answer. Instruments you have never seen are laid out on a back table you do not know how to set up. The scrub nurse is waiting for you to verify the count, and you are not sure what to count or how to document it. You want to provide safe, competent care for the patient lying unconscious in front of you, but the gap between what you learned in school and what this environment demands feels enormous. You are not alone. Thousands of perioperative nurses face this exact crisis every year. They search for a textbook that actually teaches them what they need to know, and they find two extremes: massive, 1,200-page encyclopedias that no one reads cover to cover, or thin orientation manuals that barely scratch the surface. The encyclopedias sit on shelves collecting dust. The manuals leave critical knowledge gaps that put patients at risk. Meanwhile, anesthesia pharmacology, airway management, and the science behind what the anesthesia provider is doing at the head of the table remain a mystery, because no perioperative nursing textbook integrates that content at a depth that actually matters. The result is a generation of OR nurses who feel competent with instruments and counts but dangerously underprepared when a patient desaturates, when the anesthesia provider calls for cricoid pressure, or when the surgeon asks a question about the coagulation status and everyone looks at each other in silence. Inside this textbook, you will find: Complete coverage of every phase of the perioperative continuum, from preoperative assessment through intraoperative management to postanesthesia recovery and discharge A dedicated section on anesthesia principles written specifically for perioperative nurses, covering pharmacology of anesthetic agents, airway management, regional anesthesia, intraoperative monitoring, fluid resuscitation, and anesthetic emergencies In-depth guidance on the circulating and scrub nurse roles, surgical instrumentation, aseptic technique, positioning, hemostasis, wound management, and minimally invasive and robotic-assisted surgery Specialty-specific perioperative nursing across general surgery, orthopedics, cardiovascular, neurosurgery, urology, gynecology, ENT, ophthalmic, and plastic surgery Operating room management, leadership, evidence-based practice, quality improvement, and professional development content that no competitor provides More than 100 clinical procedure videos demonstrating essential perioperative skills and techniques Board-style review questions with detailed explanations aligned with the CNOR certification exam blueprint Clinical pearls, case vignettes, comparison tables, and key point summaries embedded throughout for rapid learning and point-of-care reference Current content reflecting the latest AORN guidelines, evidence-based protocols, enhanced recovery pathways, and emerging surgical technologies including robotic surgery and artificial intelligence applications Whether you are a nursing student entering your first perioperative rotation, a new OR nurse surviving orientation, an experienced practitioner preparing for CNOR certification, or a perioperative educator building a training program, this is the one textbook that takes you from where you are to where you need to be. Stop studying from outdated, incomplete resources. Start learning from the textbook that was written for the way perioperative nursing is actually practiced today.

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