Position Title: OR Registered Nurse - First Assist (Confidential Client)
Location: Happy Valley, OR | Onsite
Employment Type: Permanent

Compensation

Salary: $62.40 - $88.11/hr

Position Summary

Provides assistance to the surgical team during the intra-operative phase of surgical care for the Northwest Surgical Services region. Works in collaboration with the surgeon and health care team in the performance of surgical procedures, including assessment, planning, directing, providing and evaluating advanced nursing care. All RNFAs will participate in a regional on-call rotation to provide surgical assistance for elective, emergent and urgent surgical cases.

Primary Functions

Performs pre-operative assessment and evaluation and collaborates with the surgical team on plan of care
Provides knowledge based technical assistance to the surgeon during the operative procedure according to AORN standards, licensure, state regulation and facility/practice protocols, including: using instruments and medical devices, providing surgical exposure, handling and/or cutting tissue, providing hemostasis, clamp, cut, and ligate tissue as directed by the surgeon, and suturing as directed by the surgeon
Evaluates the patient post-operatively according to facility protocols
Communicates information so that continuity of care is maintained and communicates with patient, family and other staff in a professional and courteous manner
Obtains and demonstrates the skills and knowledge needed to provide appropriate population based and culturally sensitive care to patients and families through education, training and experience
Provides continuous reassessment through the intra operative period
Utilizes knowledge of type of procedure to plan for appropriate set up
Functions as an assistant in all surgical specialties at the direction of the attending surgeon
Performs RNFA responsibilities in accordance with the Nurse Practice Act of the State of Oregon, institutional policies and procedures, and the AORN Position Statement on RN First Assistants
Practices within limitations of preparation and experience
Demonstrates RNFA specific clinical skills and reviews and updates skills checklist on an ongoing basis
Assists with room preparation in collaboration with the Circulating Nurse and scrub person
Brings patient X-rays into room and notifies Charge Nurse or designee if films are not available
Assists in patient transport to the operating room and patient transfer to the operating room table
Provides assistance to Anesthesia during induction
Participates in pre-op briefing time out process
Assists in patient position and preparation, including prepping, catheterization, and shaving as necessary
Assists in patient draping
Sets up ESU, lights, suction for the sterile field
Monitors free counted items on the sterile field
Observes for breaks in sterile technique and takes appropriate action as necessary
Assists with instrumentation and equipment as requested
Applies dressings and secures drainage tubes
Assists with patient transfer and positioning post operatively
Assists with room tear down and turn over in collaboration with the Circulating Nurse and scrub person
May perform pre and post-operative patient education as designated
Reviews chart for pertinent data
Assists in maintaining a safe environment and promoting efficiency in surgical procedures

Must-Haves

Minimum two (2) years of peri-operative scrubbing and circulating experience in a KP OR or one (1) year experience as an RNFA in or outside of KP
Certification of Completion from AORN recognized RNFA course
Successful completion of an RNFA program that meets the AORN Recommended Education Standards for RNFA and criteria for the CB.PMN acceptance program
Registered Nurse License (Oregon)
Nurse Operating Room Certificate
Basic Life Support
Meets all qualification of an RNFA as outlined in AORN Position Statement
Must maintain CNOR and RN licensure with the required amount of Continuing Education

Preferred Qualifications

Minimum two (2) years of practice as an RNFA
CRNFA certification
Advanced Cardiac Life Support (ACLS) required upon hire/transfer

OR Register Nurse - First Assist, Clack...

Note For Candidate