Registered Nurse (RN) First Assist (RNFA) - CVOR/Surgical Services - Anderson Hospital

Mercy Health•Cincinnati, OH

2d•Onsite

About The Position

The Registered Nurse First Assistant (RNFA) is responsible for delivering patient care using the nursing process, including data collection, assessment, identifying and prioritizing patient needs, and evaluating care outcomes. The RNFA collaborates with the surgeon during invasive or operative procedures to ensure patient safety and optimal outcomes. This role requires possessing and applying knowledge of the procedure and the patient's intraoperative experience throughout their continuum of care, addressing physiological, psychological, sociocultural, and spiritual needs in relation to age and ability to respond. The RNFA functions as a first and second assistant, can act as the primary scrub person, and maintains a safe and aseptic environment in the Operating Room. This position services neonate, infant, child, adolescent, adult, and geriatric populations.

Requirements

Graduate from accredited school of nursing
Current RN license in State of South Carolina or awaiting reciprocity
BLS required
Graduate of an RNFA program
Must be non-expired/active unless otherwise stated
Maintains aseptic and safe environment in the Operating Room.
Assists in the intra-operative care of the patient by performing technical duties as assigned.
This position services the following populations: neonate, infant, child, adolescent, adult and geriatric.
Graduate of an accredited school of nursing.
Licensed in the State of South Carolina or awaiting reciprocity.
Current CPR certification.
Graduate of an RNFA program.

Nice To Haves

CRNFA

Responsibilities

Collects health data systematically and continuously through clinical interaction, records, assessment, and consultation with healthcare team members, considering growth and developmental needs.
Formulates nursing diagnoses based on health status data and establishes patient care goals.
Develops a plan of care prescribing nursing actions to achieve patient goals.
Implements nursing actions in transferring the patient according to the prescribed plan.
Demonstrates knowledge of patient and family educational needs through clinical interaction.
Demonstrates anatomy and physiology particular to surgical procedures.
Creates and maintains a sterile field.
Performs sponge, sharps, and instrument counts.
Administers drugs and solutions as prescribed.
Monitors and controls the environment.
Performs decontamination functions.
Provides equipment and supplies based on patient needs and physician preferences.
Physiologically monitors patients during surgery.
Evaluates patient outcomes and measures the effectiveness of nursing care.
Continuously reassesses all components of patient care based on new data.
Performs nursing and first assisting actions demonstrating accountability, including performance improvement.
Enhances growth and development through in-service education, educational processes, and learning opportunities for pediatric, adolescent, adult, and geriatric patients.
Under direct supervision of the surgeon, responsibilities may include handling tissue, providing exposure, using surgical instrumentation, suturing, providing hemostasis, and closing tissue and skin.
Prohibitions for the RNFA include transplanting organs or performing a surgical task/procedure that is the primary purpose of surgery.
Performs functions under the direct supervision of the physician and/or resident in the operating room.
Retracts during operating procedures.
May clamp, cut, and tie bleeders.
May utilize cautery as directed by the physician.
Demonstrates competency and skill when suturing fascia, subcutaneous tissue, and skin.
Suction surgical wounds.
May instill irrigation solution under the direction of the physician.