Registered Nurse RN - RNFA

Good Shepherd Health Care•Hermiston, OR

4d•Onsite

About The Position

Responsible for the delivery of safe, effective, and quality patient-family centered care in the OR and other areas of perioperative services for all patient populations. Functions as an RN first assistant during operative and other invasive procedures and throughout the perioperative continuum in accordance with scope of practice credentials, privileges, experience, education, and competency verification.

Requirements

Graduate from an accredited school of nursing.
BLS, ACLS, PALS, TNCC, CNOR
2 years of Surgical experience.

Nice To Haves

Bachelor’s degree in nursing.
RN First Assistant certification
2 years of RNFA experience.

Responsibilities

Assess patients at intervals in accordance with facility or health care organization policies and procedures.
Participate in preoperative assessment and planning for surgical patients specific to RNFA activities (e.g. anatomical exposure, wound closure) in collaboration with perioperative team members.
Develop an individualized perioperative patient plan of care.
Implement the plan of care by Protecting the patient from injury caused by extraneous objects and chemical, electrical, laser, mechanical, and thermal sources.
Participate in accounting procedures to protect the patient from unintended retained surgical items.
Perform interventions necessary to ensure that the patient’s procedure is performed on the correct site, side, and level.
Assist with management of the patient’s specimens as necessary.
Communicate the patient’s status to relevant parties throughout the continuum of care.
Administer medications safely and correctly.
Perform interventions to maintain the patient’s wound and tissue perfusion at or above baseline levels.
Perform interventions to maintain the status of the patient’s genitourinary, gastrointestinal, musculoskeletal, endocrine, respiratory, cardiovascular, and neurological systems and fluid, electrolyte, and acid-base balances at or above baseline levels.
Perform interventions to ensure the patient is at or returned to normothermia at the conclusion of the immediate postoperative period.
Perform interventions to protect the patient from surgical site infection.
Assess the knowledge level of the patient or designated support person.
Provide education regarding the expected psychosocial response, nutritional management, medication management, pain management, wound management, and expected responses to the operative or invasive procedure.
Involve the patient or designated support person actively in decisions affecting his or her perioperative care and the rehabilitation process.
Protect the patients’ rights, dignity, and privacy.
Provide age-specific, culturally competent, ethical care within legal standards of practice.
Provide consistent and comparable care regardless of the setting.
Function as an RN first assistant during operative and other invasive procedures by Providing exposure through correct use of instruments, retractors, suction, and sponging techniques.
Handle and dissect tissues in collaboration with the surgeon.
Clamp blood vessels, coagulate bleeding points, and ligate vessels in collaboration with the surgeon.
Place drains as directed by the surgeon.
Suture muscle, fascia, subcutaneous, and skin in collaboration with the surgeon.
Follow selected surgical patients postoperatively specific to RNFA activities (e.g. postoperative rounding, dressing changes) in collaboration with the interdisciplinary team.
Evaluate the patient’s progress toward attaining outcomes.
Transfer care as applicable.
Delegate tasks according to the state Nurse Practice Act and job descriptions.
Document nursing care accurately, completely, and legibly.
Collaborate effectively with other disciplines as applicable.
Participate in quality review and performance improvement projects.
Participate in the performance appraisal process.
Use problem-solving and conflict resolution skills to foster effective work relationships with team members.
Serve as an educator, mentor, consultant, and resource to peers, colleagues, and others in relation to RNFA activities.
Maintain regulatory, credentialing, and privileging requirements required for practice as an RNFA.
Participate in ongoing educational and competency verification activities applicable to RN and RNFA activities.
Act as a patient advocate and maintain privacy and confidentiality of individuals and health information.
The employee supports the hospital mission, vision, values, policies, and procedures.
Participates in required education for DNV programs as applicable to position (reference program education curriculum).
Performs other related duties as assigned.