RN - Registered Nurse -First Assistant Operating Room * Shift Varies - Resource

Shift: Varies

About the Role

The RN First Assistant is responsible for assisting the surgeon by applying demonstrated knowledge of safe perioperative nursing and ensuring optimal outcomes for the patient. Throughout the entire surgical process, the surgeon remains responsible for the patient.

Qualifications

• Bachelor of Science in Nursing preferred.
• Michigan Registered Professional Nurse Licensure required.
• Certified in Operating Room Nursing (CNOR).
• Current Basic Life Support (ACLS/BLS/CPR) provider required.
• Successful completion of RNFA program based on the AORN core curriculum for the RNFA as its foundation.
• Completion of RNAS-C or CRNFA at first offering (preferred).
• Maintain current professional liability insurance to function as an RNFA.
• Previous surgical experience preferred.

Skills & Abilities

• Competence in basic cardiac dysrhythmia interpretation required (will train).
• Proficient in perioperative nursing practice as both scrub and circulator nurse for a minimum of five years.
• Demonstrate knowledge and skill in applying principles of asepsis and infection control.

Responsibilities

• Functions as a role model in specialty, demonstrating competency in clinical judgment and technical skill.
• Implements nursing plan of care and physician’s orders; directs staff in the application of the nursing process.
• Assesses the patient’s condition and physical, psychosocial, emotional, and physiological needs.
• Develops a written plan of care utilizing nursing diagnosis and setting patient outcome goals.
• Develops appropriate profiles for all surgical procedures specific to each surgeon prior to the case being performed.
• Implements nursing plan of care according to patient needs and physician profile according to pre-planned requests.
• Evaluates the patient’s response to nursing and surgical interventions.
• Evaluates profiles after every procedure and is responsible for corrections.
• Performs nursing procedures, assists physicians, and uses equipment following established guidelines.
• Demonstrates awareness of and adherence to safety and legal requirements established by the Hospital and Department of Nursing.
• Serves on the Quality Improvement Committee.
• Provides patient and significant others education based on cognitive needs and defined by patient outcome goals.
• Documentation is concise, accurate, and timely on patient records and other department documents.
• Demonstrates knowledge of and respect for patient’s legal rights and significant others' rights, including confidentiality.
• Performs efficiently in emergency patient situations following established standards, remaining calm, informing appropriate persons, and documenting events.
• Maintains a current knowledge base and utilizes standards of care in professional practice.
• Assumes responsibility for own practice, including appearance, attendance, punctuality, and flexibility in scheduling.
• Pursues self-directed learning experiences, continuing education, and seeks direction when necessary.
• Utilizes delegation skills and therapeutic use of self to coordinate and organize patient care delivery.
• Sets priorities in work utilizing effective time management and support personnel to complete assigned work.
• Practices effective problem identification and resolution skills as a method of sound decision-making.
• Utilizes written and verbal communication through designated channels to attain desired patient outcomes as well as unit and hospital goals.
• Demonstrates professionalism in interpersonal relationships using the Hospitality House Rules.
• Remains flexible in staffing patterns and resolution of staffing conflicts; acts as a role model in flexibility.
• Performs other duties as assigned, including maintaining a current knowledge base of department processes, protocols, and procedures, pursuing self-directed learning and continuing education opportunities, and participating on committees, task forces, and work groups as determined by management.