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  • Nursing
  • Advanced Practice Nursing
Hours: 15 Contact Hours (7.9 Pharm Hours)
Author(s): Angela Kramer, MBA, RN, CNOR, CASC, CPPS
Peer Reviewer(s): Linnea Stewart, RN, BSN
Item#: N1738
Contents: 1 Course Book (226 pages)
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Ambulatory Surgery: Nursing Essentials

Price $45.95
Item # N1738
When available, the Online Course format is included with the hard copy, eBook, or audio book formats!

Release Date: November 17, 2016

Expiration Date: November 30, 2019

Note: This course is an extract of, and should not be taken in conjunction with N1719 Ambulatory Surgical Care, 3rd Edition or N1739 Ambulatory Surgery: Anesthetic Management for Nurses.

Ambulatory surgery offers an evidence-based approach to perioperative care while maximizing convenience and safety. The ambulatory surgery nurse is a valuable member of the patient care team, managing preadmission findings, preoperative assessments, intraoperative patient care, and postoperative education needs. The nurse works as an advocate for the patient by reviewing relevant findings and creating a customized plan of care for each patient.

Due to the evolution of care and the varied procedures performed in the ambulatory setting, even the most experienced nurse needs to keep pace with the many changes in healthcare delivery based on updated evidence-based guidelines and criteria. Federal and state regulations prompt ambulatory surgery teams to consistently focus on quality assurance, performance improvement, and risk management in an effort to ensure reliable patient safety. As the demand for qualified professional nurses increases with the expansion of ambulatory surgical care services across the country, nurses must constantly adapt and integrate new knowledge into practice.

The purpose of this course is to share essential, evidence-based information about the care that professional nurses provide to patients in the ambulatory surgery environment. Although the same-day, short-stay timeframe is a clear benefit to patients undergoing surgery in the ambulatory setting, it places increased challenges on care providers, especially nurses. Nurses working in this environment must have up-to-date key knowledge and possess astute screening and assessment skills, knowledge of safety and regulatory requirements, emergency response skills, and the ability and compassion to educate patients and families to facilitate a safe and successful discharge from the unit.


Kentucky APRNs - Fulfills pharmacology requirement.

Course Objectives

  • Discuss the emergence, advantages, and challenges of ambulatory surgical care.
  • Describe the process implemented to assess patients before admission to ensure appropriateness for the ambulatory surgery setting.
  • Identify preoperative patient assessment requirements performed by physicians, anesthesia providers, and nurses.
  • Recognize the various anesthetic agents and techniques used in the ambulatory setting, and explain how to ensure proper intraoperative patient care related to patient safety and advocacy, including widely accepted infection prevention techniques and safety protocols.
  • Discuss common interventions used during postprocedure care to promote patient comfort and safety.
  • Identify the various aspects of nursing care needed for the safe transition of the patient from the immediate postoperative recovery phase to discharge from the facility.
  • Recognize serious complications and emergencies that may occur during ambulatory surgery and anesthesia.
  • Identify unique considerations relative to pediatric, geriatric, and special needs populations in the ambulatory surgical setting.


Angela Kramer, MBA, RN, CNOR, CASC, CPPS, is the director of ambulatory surgery for BayCare Health System in the Tampa Bay area of Florida. She earned three board certifications through the Competency and Credentialing Institute, the Board of Ambulatory Surgery Certification, and the Certification Board for Professionals in Patient Safety. She is a certified nurse in the operating room, a certified surgery center administrator, and a certified professional in patient safety. Mrs. Kramer holds a Master of Business Administration degree with a concentration in healthcare management. She is a member of the Florida Society of Ambulatory Surgery Centers and sits on the association’s committee for education. She is also a member of the National Patient Safety Foundation and the Ambulatory Surgery Center Association.


Linnea Stewart, RN, BSN, has been working as a registered nurse in the operating room (OR) for 15 years. She started in a hospital OR as most circulators do but found her passion in nursing was in ambulatory surgery. Ms. Stewart has performed every clinical role in the perioperative setting. For the past 6 years, she has served as the perioperative nurse manager for two different ambulatory surgery centers (ASCs). Before that position, she was a quality coordinator and a charge nurse. Ms. Stewart recently relocated to Tennessee from Florida with her family and is enjoying being a wife, mother, and PRN OR nurse at a local ASC in her spare time.

  • Courses must be completed on or before the expiration date noted in the course description above.
  • You must score 75% or higher on the final exam and complete the course evaluation to pass this course and receive a certificate of completion.
  • Through our review processes, Western Schools ensures that this course content is presented in a balanced, unbiased manner and is free from commercial influence. It is Western Schools’ policy not to accept commercial support.
  • All persons involved in the planning and development of this course have disclosed no relevant financial relationships or other conflicts of interest related to the course content.