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What is the difference between a scrub nurse circulating nurses and RNA first Assitancts? 

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A dedicated surgical team and patient acuity potentially influence the performance of scrub nurses' non-technical skills.
Similarities included topics covered and the majority skills taught, although high acuity skills remain a difference between the levels of nurse.
Scrub nurses' performance is mostly inadequate, but is better compared with circulating nurses.
Their levels of organisation vary from country to country and whereas nurse anaesthetists are often well organised, circulation nurses are not.
These different work environments affect nurses' ability to perform and are linked to differing nurse and patient outcomes.
Interpretation of the data suggests that outpost nurses share practice domains and competencies with nurse practitioners.
Certification initiatives should reflect differences between clinical nurse specialists and acute care nurse practitioners.
These, and other impressions, may have influenced which groups of nurses were first selected to become nurse prescribers.
The results enable some comparison with first-line nurse managers whose role is very similar to the American position of head nurse.