Setting the Stage for Surgical Success: Enhancing the Perioperative Orientation Program

Perioperative nursing presents unique challenges for novice nurses due to the highly technical environment, limited prelicensure exposure, and complex OR workflows. In response, AORN recommends structured, specialty-specific orientation programs to support knowledge acquisition, skill development, and professional socialization. Variability in onboarding experiences and extended orientation timelines have prompted enhancements to the existing perioperative orientation pathway. The revised program incorporated defined pathways, hands-on skills training, enhanced preceptor support, structured communication, and intentional socialization. Program effectiveness was evaluated using quantitative measures, including orientation length and retention, and qualitative feedback from orientees and preceptors collected through surveys and routine check-ins, including monthly "Preceptor Bubble" meetings. Outcomes demonstrated improved retention, reduced orientation duration, enhanced staff engagement, and improved safety practices. These findings support investing in structured perioperative orientation programs to strengthen workforce stability, support safe clinical practice, and facilitate nurses' transition into perioperative roles.