RN, Surgery, First Assistant, Full Time, Day Shift

About the role

Located in Kailua, Adventist Health Castle has been a leading healthcare provider since 1963. The hospital is part of a larger network offering a range of services including a 160-bed hospital, medical offices, home care services, urgent cares, and more.

Responsibilities

• Organizes and facilitates the patient while in the Operating Room (OR).
• Captures and interprets patient data to determine appropriate diagnostic and therapeutic procedures, as needed.
• Mentors, develops, inspires, educates and leads staff members in patient care setting.
• Participates in preoperative assessment and planning for selected surgical patients in collaboration with the healthcare team members in the preoperative location.
• Functions as a first assistant during surgical incision, excision, and repair of pathology throughout the perioperative period on procedures for which privileges have been granted.
• Handles and dissects tissues in collaboration with the surgeon.
• Sutures muscle, fascia, subcutaneous, and skin tissue in collaboration with the surgeon.
• Places drains as surgically indicated.
• Assists with cannulation and decannulation procedures, if indicated.
• Assists with transferring the patient to and from the operating room, positioning, prepping and draping.
• Provides patient with safe and aseptic environment by applying the principles of aseptic technique.
• Takes corrective action to rectify breaks in aseptic technique.
• Inspects sterile items before opening and maintains sterility of items during delivery to sterile field.
• Obtains and interprets patient data to determine appropriate diagnostic and therapeutic procedures, as needed.
• Develops and implements action plan for practice changes to enhance patient outcomes.
• Maintains appropriate traffic patterns and personnel around the sterile field.
• Applies appropriate methods and parameters of sterilization/disinfection.
• Prepares instruments according to physician preference and scheduled procedure.
• Utilizes specific knowledge and skills in a surgical environment to assist the surgeon.
• Works under minimal supervision.
• Documents relevant data, including but not limited to nursing diagnoses, patient's plan of care, intervention and response, and discharge plan.
• Works regularly shifts including evenings, nights, weekends, and holidays.

Requirements

• Completion of an RNFA program that meets AORN standards.
• Two years' perioperative nursing experience.
• Registered Nurse (RN) licensure in the state of practice.
• Certified Registered Nurse First Assistant (CRNFA) certification in the state of practice.
• Basic Life Support (BLS) certification from approved vendor per AH policy.
• Pediatric Emergency Assessment, Recognition and Status (PEARS)/Pediatric Advanced Life Support (PALS) certification from approved vendor per AH policy.
• Association of perioperative Registered Nurses (AORN) membership.
• Facility Specific License/Certifications: Basic Life Support (BLS) certification from approved vendor per AH policy.

Qualifications

• Completion of an RNFA program that meets AORN standards.
• Two years' perioperative nursing experience.
• Registered Nurse (RN) licensure in the state of practice.
• Certified Registered Nurse First Assistant (CRNFA) certification in the state of practice.
• Basic Life Support (BLS) certification from approved vendor per AH policy.
• Pediatric Emergency Assessment, Recognition and Status (PEARS)/Pediatric Advanced Life Support (PALS) certification from approved vendor per AH policy.
• Association of perioperative Registered Nurses (AORN) membership.
• Facility Specific License/Certifications: Basic Life Support (BLS) certification from approved vendor per AH policy.

Skills

• Subject matter expertise regarding medication, treatment and patient care standards.
• Knowledge and skills in a surgical environment.

Benefits

• Evening Shift Differential: $2/hour
• Night Shift Differential: $6/hour
• Weekend Shift Differential: $1/hour
• No Parking Fees

Pay

The estimated base pay for this position is $65.75 to $90.19. Additional individual compensation may be available for this role through differentials, extra shift incentives, bonuses, etc. Base pay is only a portion of the total rewards package, and a comprehensive benefits program is available for qualifying positions. Please contact our Talent Acquisition team for more information.

Schedule

Regularly shifts including evenings, nights, weekends, and holidays.