Registered Nurse First Assist (RNFA) - Operating Room - Per Diem - Shift

Kern Medical•Bakersfield, CA

2d•$70 - $86•Onsite

About The Position

Kern Medical is an acute care teaching center with 222 beds, offering the only advanced trauma care between Fresno and Los Angeles. Kern Medical offers a range of primary, specialty, and multi-specialty services. Per Diem employees supplement department staffing needs, with no guarantee of minimum hours. Must be willing and available to work four (4) shifts per six (6) week scheduling period. The RNFA is a registered nurse with a high degree of experience and training specific to perioperative patient care. The RNFA practices under the direct supervision of the surgeon during the intraoperative phase of the perioperative experience. The role of the RNFA to the surgeon requires the performance of a combination of nursing and medical function tasks.

Requirements

Graduation from an accredited school of nursing
Current unrestricted registered nurse licensure in the State of California
Successful completion of didactics of structured course in first assisting
Completion of 120 hours of proctored instruction in the OR with a qualified surgeon at hire if certified RNFA or successful completion of hours within 60 days of hire.
Certificated Operating Room RN (CNOR) required.
Basic Life Support (BLS) certification
Advanced Cardiac Life Support (ACLS) certification
Strong organizational and interpersonal skills
Ability to determine appropriate course of action in more complex situations
Ability to communicate effectively, both orally and in writing
Ability to handle difficult situations involving patients, physicians, or other in a professional manner
Ability to demonstrate a calm demeanor under stress
Ability to demonstrate flexibility with operating room and surgical procedure assignments
Ability to work cohesively as part of the perioperative team
Ability to function independently as a RN in the operating room as needed

Nice To Haves

Masters or Bachelor’s degree in Nursing or Healthcare Administration preferred.
Certified RNFA preferred (CRNFA)
Pediatric Advanced Life Support (PALS) certification beneficial

Responsibilities

Creates and sustains an environment that supports compassionate caring through authentic presence with the patient and family, building trusting relationships, creates connections that embrace mind, body, spirit modalities to mobilize the patient’s strengths and abilities toward healing.
Assists with the positioning, prepping and draping of the patient or perform these tasks independently, if so directed by the surgeon.
Communicates with the patient’s physician (operating surgeon) immediately, when the patient’s condition changes or deteriorates, or abnormal lab or diagnostic testing results are available.
Provides homeostasis by applying electrocautery tip to clamps or vessels in a safe and knowledgeable manner as directed by the surgeon; sponges and utilizes pressure as necessary; utilizes suction techniques; applies clamps on superficial vessels and the tying or electrocoagulation of them as directed by the surgeon.
Handles tissues as directed by the surgeon.
Assists the surgeon directly by controlling bleeding, suturing and other surgical needs.
Provides exposure through appropriate use of instruments, retractors, suctioning, and sponging techniques. Manages all instruments in the operative field to prevent obstruction of the surgeon’s view. Retains manually controlled retractors in the position set by the surgeon with regard to surrounding tissue. Anticipates retraction needs with knowledge of the surgeon’s preferences and anatomical structures.
Assists surgeon with wound closure of layers; sutures the peritoneum, fascia, subcutaneous tissue and skin.
Assists surgeon at the completion of the surgical procedure by providing knot tying, affixes and stabilizes all drains, cleaning the wound and applying the dressings.
Provides other advanced assistance, such as mobilization of tissue, patient positioning and directing other surgical team members with specific individual tasks.
In extreme emergencies, assists on procedures that present an unusual hazard to life.
Assists with applying casts or splints as needed.
Collects and documents data for assigned patients according to prescribed methods.
Assists with the perioperative patient assessment, teaching, management and planning for the perioperative experience.
Provide patient care by circulating or scrubbing surgical procedures or cleaning operatories as needed when First Assist duties are not assigned.
Uses education, experience and interpretation of assessment data to prioritize appropriate nursing actions.
Establishes nursing diagnoses, uses appropriate resources to formulate a written plan of care; evaluates the effectiveness of nursing interventions and revises patient care plans, as necessary.
Anticipates and effectively manages rapidly changing situations by rapid grasp of changes in patient status and problem situations. Prioritizing and responds quickly and appropriately to identify the need for and activation of emergency protocols and assistance.
Performs and documents the nursing process consistent with scientific principle and hospital policy as required by patient assignment using critical thinking and nursing judgment.
Contributes to team building through participation in unit programs and meetings; contributes to positive morale, using constructive and effective conflict resolution skills.
Adheres to hospital-approved policies and procedures.
Completes all competencies, mandatory classes and educational coursework as required by the Department of Nursing
Demonstrates clinical knowledge and skill in the care of populations served by Kern Medical facilities.
Performs other job-related duties, as required