British Columbia Institute of

Important Notice: COVID-19 Institute response


NSPO 7540 - LPN Perioperative Clinical 2: Implementing the Circulating Nurse Role

Nursing Specialty Perioperative Part-time Studies Course

School of Health Sciences

BCIT is planning for a substantial return to on-campus activity for the fall 2021 term as informed by BC Public Health Officer guidelines. Refer to each course listing for details.

Course Details

In this 150-hour clinical course, learners will implement theory from NSPO 7100, 7250/7251, and 7450/7451 in the practice setting and develop novice competency in the circulating nurse role. Licensed Practical Nurse learners will provide care for stable patients with predictable outcomes undergoing anesthesia and surgery in collaboration with Registered Nurses. By engaging in nursing practices, learners will develop the skills to prepare stable and non-complex patients for anesthesia and surgery and support them during the procedures. The course will emphasize the circulating nurse's collaborative role with patients, colleagues, instructors, and multidisciplinary team members. Learners will have the opportunity to perform circulating nurse activities through a team nursing approach in the perioperative setting. Learners will create opportunities to humanize the perioperative environment for patients and team members using collaborative strategies and gain further insight into the concept of caring as they work in partnership with patients and families during surgery and anesthesia. Learners will apply key concepts of safety, surgical conscience, and aseptic technique in the circulating role to promote a safe and supportive environment for patients and perioperative team members. Learners will work in partnership with the Registered Nurses to employ leadership strategies during clinical practice. By course completion, learners will implement a framework for practice and develop skills to function collaboratively as a novice circulating nurse.


NSPO 7100, NSPO 7250/7251, NSPO 7350 and NSPO 7450/7451



This course isn't currently offered through BCIT Part-time Studies. Please check back next term or subscribe to receive email updates.

Learning Outcomes

As licensed health care practitioners, learners will practice in accordance with professional standards of practice throughout the course. In this course, learners will have opportunities to use the processes of critical thinking, systematic inquiry, communication, collaboration, leadership, professionalism and clinical decision making.

Upon successful completion of this course, learners should be able to:

  • Apply the BCCNM LPN Scope of Practice to care for perioperative patients with stable and predictable states of health in collaboration with a registered nurse.
  • Implement current ORNAC Standards of Care and relevant theory in the circulating role.
  • Organize and prioritize core entry-level activities in the circulating role for stable and non-complex patients undergoing non-complex surgery.
  • Use a practice framework to gather information in an organized and systematic manner through patient assessment, conversational interview, and the preoperative checklist.
  • Collect various sources of information to identify potential and actual patient and procedure problems and consult with team members to determine when patient's acuity level is beyond LPN's Scope of Practice
  • Recognize when to communicate assessment findings in a timely, comprehensive, and systematic manner to team members.
  • Use appropriate and effective communication techniques with patients, families, and team members.
  • Correctly complete perioperative documentation.
  • Practice surgical conscience to patient care in the circulating role.
  • Ensure safe, competent and ethical care with patients and families.
  • Advocate for patients in the circulating role.
  • Protect self, patient and team members from risks and hazards encountered in the perioperative environment.
  • Independently implement a plan for individualized patient-centered care in the circulating role using a clinical decision-making framework.
  • Demonstrate collaboration with a Registered Nurse when plan of care is beyond LPN Scope of Practice.
  • Make sound clinical decisions related to patient assessment and admission, anesthesia induction and emergence, surgical intervention and the sterile environment, both independently and collaboratively when necessary.
  • Implement reflective practice through self-assessments and journal reflections.

Effective as of Fall 2021

Related Programs

NSPO 7540 is offered as a part of the following programs:

School of Health Sciences

  1. Perioperative Nursing Specialty
    Part-time/Distance & Online Learning   Advanced Certificate
  2. Specialty Nursing (Perioperative)
    Part-time/Distance & Online Learning   Bachelor of Science in Nursing


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