Nurse, First Assistant (40h Day)
Company: Kaiser
Location: Hillsboro
Posted on: May 3, 2024
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Job Description:
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 RNFA's will participate in a regional on-call
rotation to provide surgical assistance for elective, emergent and
urgent surgical cases.
Essential Functions:--- Representative Functions or Duties:
Practice standards of performance: Pre-operative. Performs
preoperative assessment and evaluation. Collaborates with the
surgical team on plan of care. Intra-operative: 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 hemostatis, clamp, cut, and ligate tissue
as directed by the surgeon. Suturing as directed by the surgeon.
Post-Operative. Evaluates the patient post-operatively according to
facility protocols.--- Assessment Standard of Performance &
Planning: Communicates information so that continuity of care is
maintained. 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.--- Practice
standards of performance: Function 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 of
Kaiser Permanente and the AORN Position Statement on RN First
Assistants. Practice within limitations of preparation and
experience. Demonstrate RNFA specific clinical skills. Review and
update skills checklist on an ongoing basis as specified by
policies of Kaiser Permanente. Intra operative nursing behaviors
include: handling tissue, providing exposure, using instruments,
clamp, cut, and legate as directed by the surgeon, providing
homeostasis, suturing as directed by the surgeon. Assists with room
preparation in collaboration with the Circulating Nurse and scrub
person. Brings patient X-rays into room NOTE: 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. Assists in patient preparation, i.e.,
prepping, catheterization, 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. Review chart for
pertinent data. Assist in maintaining a safe environment and
promoting efficiency in surgical. Procedures. Basic
Qualifications:
Experience
- Minimum two (2) years of peri-operative scrubbing and circulating
experience in a KP OR or one (1) year of experience as an RNFA in
or outside of KP.
Education
- 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.
License, Certification, Registration
- Current Oregon RN license required upon hire/transfer.
- Basic Life Support (BLS) for Health Care Providers required upon
hire/transfer.
- Current CNOR Certification.
Additional Requirements:
- 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 preferred.
- Advanced Cardiac Life Support (ACLS) required upon hire/transfer
preferred.PrimaryLocation : Oregon,Hillsboro,Westside
HospitalHoursPerWeek : 40Shift : DayWorkdays : Mon, Tue, Wed, Thu,
FriWorkingHoursStart : 06:45 AMWorkingHoursEnd : 05:15 PMJob
Schedule : Full-timeJob Type : StandardEmployee Status :
RegularEmployee Group/Union Affiliation : W01 AFT Local 5017Job
Level : Individual ContributorJob Category : Nursing Licensed &
Nurse PractitionersDepartment : Westside Medical Cntr - Operating
Room-1 - 1001Travel : NoKaiser Permanente is an equal opportunity
employer committed to a diverse and inclusive workforce. Applicants
will receive consideration for employment without regard to race,
color, religion, sex (including pregnancy), age, sexual
orientation, national origin, marital status, parental status,
ancestry, disability, gender identity, veteran status, genetic
information, other distinguishing characteristics of diversity and
inclusion, or any other protected status.
Keywords: Kaiser, Hillsboro , Nurse, First Assistant (40h Day), Healthcare , Hillsboro, Oregon
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