Certified Registered Nurse First Assistant - Labor & Delivery

TriHealth • Cincinnati, OH

1d • Onsite

About The Position

As a Certified Registered Nurse First Assistant in the Labor and Delivery unit at Good Samaritan Hospital, this role utilizes the nursing process to provide comprehensive, holistic care to patients and their families across the perinatal continuum. The CRNFA collaborates in a respectful, collegial manner with attending physicians, surgeons, and other members of the interdisciplinary health care team to ensure safe, high-quality patient-centered care. Within the scope of nursing practice, the CRNFA may delegate appropriate aspects of care to team members under their direct supervision. Under the direction of an attending surgeon, the CRNFA performs duties related to pre-operative, intraoperative, and post-operative care, supporting surgical procedures while promoting optimal maternal and neonatal outcomes.

Requirements

• Bachelor's Degree in Nursing
• Certified Nurse Operating Room, and Certified Registered Nurse First Assistant (CRNFA) or eligible to sit for exam once criteria have been met
• Basic Life Support for Healthcare Providers (BLS)
• Registered Nurse, State of Ohio
• Knowledge, judgment, & skills derived from Biological, Physical, Behavioral, Social, & Nursing sciences
• Diversified periop experience/scrubbing & circulating, Experience in surgical/procedures
• Broad A&P knowledge
• Excellent hand-eye coordination
• Must work in a variety of situations and adhere to TriHealth policies in accordance with safety requirements, including standard and transmission based infection precautions.
• Must function appropriately in fire, disaster, and other emergency situations.
• Must deal appropriately with aggressive personalities through the use of effective communication and as needed use the chain of command.
• Must be able to perform a variety of tasks under stressful conditions with frequent interruptions.
• Has the ability to concentrate, set priorities, and make decisions while responding to changes in the work environment in a timely manner.
• Demonstrates emotional stability when dealing with difficult situations.
• Demonstrates the ability to function proficiently in the circulating role, scrub role, and first/second assistant role as assigned.

Nice To Haves

• Preferred membership in professional organization
• 5-7 years experience
• 3 years as perioperative RN (Both in circulating and scrub role) and RNFA graduate of program that meets AORN criteria and is accepted by CCI
• 2-3 years experience specialty area

Responsibilities

• Provides expert first assistance on specialty surgical cases, including handling tissue, providing exposure, using instruments, suturing, and providing homeostasis.
• Assists in performing surgical procedures under the direct supervision of the surgeon; anticipating surgeon's needs, and able to address positioning, prepping and draping patients, and independently functions in surgery and on-call with regards to harvesting of grafts (e.g., vein, artery, tendon, bone, etc.), plastic closure on plastic cases, first assisting on robotic minimally invasive procedures and expert assisting on all other major surgical procedures.
• Plans care for patient and family based on assessment, standards of care, and optimal specific outcomes.
• Initiates and individualizes appropriate patient care guidelines/plan of care or clinical pathways.
• Updates current plan of care as needed based on patient/family input and healthcare needs.
• Develops both short and long term goals with patient/family and healthcare team including discharge planning.
• Communicates plan of care to others.
• Provides first assistance in surgery including handling tissue, providing exposure, using instruments, suturing, and providing homeostasis.
• Provides expert first assistance on specialty surgical cases.
• In-depth knowledge of procedures.
• Effectively anticipates surgeon needs.
• Provides a safe, therapeutic environment, maintains patient’s autonomy, dignity, and rights, and is sensitive to patient diversity.
• Seeks resources to help formulate ethical decisions.
• Balances priorities of the patient's needs and those of the unit/facility.
• Recognizes emergency situations and takes appropriate action.
• Completes patient assignment including documentation within scheduled timeframe.
• Bases interventions on clinical data and desired outcomes and documents accordingly.
• Trains/educates other staff and acts an expert resource in specialty area through abilities in existing and newer knowledge and skills.
• Effectively communicates information relative to surgical cases.
• Evaluates and implements the plan of care for patient based on ethical principles as outlined in the TriHealth Code of Ethical Business and Professional Behavior, and optimal specific patient outcomes.
• Documents the patient/family response to care including teaching, and collaborates with the patient/family and members of the health care team, including physicians, to revise plan of care as needed.
• Supervises the care of patient delegated to other team members.
• Provides expert second assistance as needed.
• Arrives promptly to communicate plan of care to team members.
• Performs technical skills according to policy and procedure and accepted standards within their area of practice.
• Safely administers medications/treatments and monitors their effects.
• Operates equipment in a safe, appropriate manner.
• Independently operates equipment effectively relative to service area (e.g., robot, microscope, instrumentation, positioning equipment).
• Promotes teamwork through participation in set-up, clean-up, and room turnover activities.
• Performs supply and equipment related activities in addition to routing cleaning/stocking activities.
• Assumes organizational and educational responsibilities.
• Identifies areas for professional and self-improvement through self-assessment and peer review, as well as the continuing education of team members continuing education, formal education, professional organization membership, and/or certification.
• Shares knowledge and skills with colleagues and others.
• Provides peers with constructive feedback regarding skills and knowledge.
• Maintains awareness of ongoing continuous improvement changes and supports changes through active participation.

Benefits

• The TriHealth Nursing Vision, Mission, and Philosophy speaks to professional development, collaboration, and our nursing culture.
• To achieve excellence in nursing care, TriHealth encourages: pursuit of improved knowledge through continuing education classes, formal education leading to advanced degrees, and the attainment of specialty certification; nurse membership in local, regional, and national nursing organizations related to the appropriate nurse specialty; involvement in activities that better the health of our community; nursing research activities and use of evidence-based practice, and all nurses to foster, support, and personally model collaborative relationships amongst nurses, physicians, and other caregivers for the betterment of patient care.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior