RN First Assist – Spine/Ortho: Hoag Orthopedic Institute Operating Room
About The Position
The RN First Assistant (RNFA) is a clinical nurse who assists orthopedic and/or spine surgeons in performing safe operations with optimal results. Intra-operative RNFA practice is under the direction of the surgeon and must be based on knowledge and skills gained through specialized preparation, formal instruction, and supervised practice. The RNFA assists with positioning, prepping, draping, instrumentation, knot tying, retraction, hemostats, and closure of layers during procedures. Under the supervision of a licensed Hoag Orthopedic Institute Medical Staff Member, RNFAs may inject local anesthetics, narcotics, and anti-inflammatory agents. The RNFA also serves as a Clinical Nurse for the Orthopedic Institute, providing direct patient care in accordance with the Nurse Practice Act and collaborating with the orthopedic healthcare team to deliver safe, timely, and appropriate quality care. The role uses the nursing process and evidence-based best practices to address patient care needs, evaluates and adjusts care as necessary, and consults appropriate resource personnel on ethical, legal, or medical dilemmas. The nurse maintains working knowledge of HOI and hospital standards, policies, and procedures, and performs other duties as assigned.
Requirements
- Three years of perioperative nursing experience.
- Documented successful completion of an RNFA course and internship meeting the criteria established in the AORN recommended educational standards for an RNFA program.
- Current licensure as a Registered Nurse in the state of California.
- BLS certification.
- CNOR certification.
Responsibilities
- Assist orthopedic and/or spine surgeons during operations under the surgeon’s direction.
- Assist with positioning, prepping, draping, instrumentation, knot tying, retraction, hemostats, and closure of layers during procedures.
- Inject local anesthetics, narcotics, and anti-inflammatory agents under the supervision of a licensed Hoag Orthopedic Institute Medical Staff Member.
- Provide direct patient care in accordance with the Nurse Practice Act and collaborate with other disciplines on the orthopedic healthcare team.
- Provide physical assessments, nursing interventions, pain management, medication administration, specimen collection, nutritional support, patient teaching, and discharge care.
- Use evidence-based best practices and the nursing process to meet patient care needs; evaluate and adjust nursing care as needed.
- Consult appropriate resource personnel when making decisions involving ethical, legal, or medical dilemmas.
- Maintain working knowledge of HOI and hospital standards, policies, and procedures.
- Perform other duties as assigned.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
