Registered Nurse First Assistant (RNFA)

MemorialCare•Fountain Valley, CA

2d•Onsite

About The Position

The Operating Room Registered Nurse First Assistant (RNFA) is a member of the surgical team. The RNFA practices in collaboration with, and under the direction of the surgeon during the intra-operative phase. The RNFA utilizes the nursing process and AORN nursing practice standards. The RNFA functions as an Operating Room Circulator or RN scrub when not assigned the RNFA role. Responsibilities include directing unlicensed employee activity, synthesizing patient information, assessment of patients, planning of care/intervention, teaching patients/family, implementation of treatment plan/MD orders, and evaluation of care rendered. The RNFA must use effective oral communication and document data relevant to the care of the patients. The RNFA utilizes knowledge of patient age, cultural diversity, and psychosocial or spiritual needs into the patient’s plan of care. The RNFA contributes to the promotion of quality nursing care through performance improvement processes that demonstrates positive outcomes in patient care. In addition, the RNFA collaborates with other professional disciplines to ensure safe and effective patient care delivery and achievement of desired patient outcomes.

Requirements

Current California RN license required.
Bachelor’s degree in nursing required.
Computer, internet, order entry and word processing experience preferred
Ability to fulfill the on-call requirement of the department
Current BLS & ACLS from AHA required
Current Nurse Operating Room Certification required.
Current RNFA certification required.

Nice To Haves

One year of RNFA experience preferred; In lieu of this experience, consideration will be made for an employee with evidence of completion of an RNFA training program with preceptorship.

Responsibilities

Utilizes the nursing process and AORN standards as a framework for the management of patient care.
Demonstrates leadership and serves as a link between the surgical suite and the rest of the hospital to provide continuity of care during the intra-operative phase of surgery.
Delegates to licensed and unlicensed personnel
Demonstrates the ability to utilize effective critical thinking skills.
Prioritizes essential functions to focus on the needs of the surgical patient.
Demonstrates knowledge of the clinical information system and applies principles to patient documentation.
Contributes to an effective and safe working environment.
Advocates for the sedated or anesthetized surgical patient.
Serves as a role model and mentors new staff members.
Demonstrates knowledge and understanding of patient privacy rights. Maintains confidentiality of all medical, financial and other sensitive material in printed, electronic or verbal form, which may jeopardize the privacy of patients and or employees
Demonstrates the ability to use good customer service skills by managing and acknowledging patientfamily-significant other expectations.
Demonstrates tact, sensitivity and discretion.
Demonstrates the ability to integrate knowledge of job specific competencies.
Demonstrates knowledge of surgical anatomy, physiology and Operating Room technique
Provides exposure through appropriate use of surgical instrumentation, suctioning and sponging techniques
Handles, and dissects tissues in collaboration with surgeon
Assists surgeon with coagulation
Sutures muscles, fascia, subcutaneous and skin tissue in collaboration with surgeon
Demonstrates the ability to function in the role of the Operating Room Circulator or Scrub when not assigned to the RNFA role.
Ability to follow company policies, procedures and directives
Ability to interact in a positive and constructive manner
Ability to prioritize and multitask