Date of Graduation

Summer 8-17-2018

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)


School of Nursing and Health Professions

First Advisor

Dr. Cathy Coleman

Second Advisor

Dr. Jo Loomis



Innovations in the treatment of abdominal aortic aneurysms have resulted in the reduction of open surgical procedures and the increased use of minimally invasive procedures known as endovascular aortic artery repairs (EVAR) and thoracic endovascular artery repairs (EVAR). These hybrid procedures integrate the technical skills and resources used in surgical procedures with the technology used for radiological interventions. (Odle, 2011). These procedures are performed in a Hybrid Operating Room (HOR) within the Catheterization Laboratory (Cath Lab) microsystem. A HOR is a surgical operating room that is equipped with interventional radiology imaging and equipment (Taylor, 2017). These high-risk procedures demand specialized Vascular Cath Lab staff and specialized operating room (OR) Vascular staff. The integration of these specialties contributed to the development of an HOR Cross-training Program to meet the needs of surgical patients in the HOR. A Clinical Nurse Leader (CNL) led the development and evaluation of this program to ensure Cath Lab Vascular nurses and Radiology Technologists (RT) learned the principles of aseptic technique and surgical techniques. Cath Lab nurses learned the role of a circulating surgical nurse and RTs learned the role of surgical scrub in a period of three months or less. Prior to this program, the staffing ratios for a HOR included 11.9 full-time equivalents (FTE) per day. After the program, the staffing ratios were reduced to 7.3 FTE. The desired outcome for the sustainability of this program is to ensure that all aortic aneurysm surgical patients receive the same safe standard delivery of care in a HOR that is equivalent to a normal operating room.

Keywords: hybrid operating room, cross-training, surgical technique, staffing ratios, abdominal aortic aneurysm