RN First Assist - Float

OSS Health•York Township, PA

About The Position

The Float RNFA (Registered Nurse First Assist) plans, executes, directs, and evaluates direct and indirect nursing care for surgical patients. The RNFA supports continuity of care throughout the surgical experience and the philosophy and goals of OSS Orthopaedic Hospital. The role travels with OSS providers across OSS surgical locations and other credentialed facilities where OSS physicians perform cases. The RNFA supervises and directs patient care in an individual operating room, performs first-assist duties, and may perform scrub and circulating duties. Responsibilities include supporting operative procedures under surgeon supervision, maintaining safe and aseptic practices, coordinating supplies and equipment, observing and documenting patient care, and supporting an orderly progression of the surgical schedule. The position may also help train newly hired staff and perform other duties delegated by the surgeon in accordance with state and local policy. The schedule is 6:30 a.m.–5:00 p.m., four shifts per week. The schedule description states no weekends, holidays, or on-call; however, the duties section also says the RNFA will participate in an on-call rotation as required.

Requirements

  • Graduate of an accredited school of nursing.
  • Currently licensed to practice professional nursing in Pennsylvania and familiar with the Pennsylvania State Nurse Practice Act.
  • RNFA education required.
  • BLS certification required.
  • ACLS and PALS certification, or ability to obtain them within one year.
  • At least two years of experience as an RN.
  • Previous experience in the operating room required.
  • Ability to use time and resources effectively and efficiently and to plan and organize work.
  • Physically and emotionally capable of performing the position responsibilities; manual dexterity required.
  • Computer literacy required.
  • Professional and effective communication skills, including the ability to promote effective communication at all levels.

Responsibilities

  • Take on the most difficult tasks and may help train newly hired staff.
  • Supervise and direct patient care in an individual operating room, ensuring techniques and practices meet accepted standards and directing or assisting personnel as needed.
  • Perform first-assist duties, including incision and layered closure, providing exposure, achieving hemostasis, manipulating and dissecting or removing tissue, assisting with implants and devices, and applying procedure-specific dressings.
  • Perform other procedures under surgeon supervision, such as casting and allograft or implant preparation, and perform additional duties delegated by the surgeon in cooperation with state and local policy.
  • Travel to OSS surgical locations and other credentialed facilities to first assist OSS physicians.
  • Perform scrub duties as necessary, including setting up and maintaining the surgical field, passing instruments, completing surgical counts, anticipating operative-team needs, and maintaining an aseptic environment.
  • Transport and transfer patients and assist with lifting and positioning them.
  • Perform circulating duties, including preparing and positioning the patient and operative area, ensuring supplies and equipment are available, opening sterile packs using aseptic technique, and assisting the surgical team.
  • Maintain counts of sponges, needles, and instruments; observe patients for changes in condition; review surgeon preference cards; and ensure medications are administered and charted according to policy.
  • Care for specimens and cultures according to policy and procedure; support the surgical schedule and notify charge personnel of changes.
  • Accompany patients to Post-Op and report patient, procedure, and relevant events to the receiving nurse to ensure continuity of care.
  • Assist with control and maintenance of supplies and equipment.
  • Participate in on-call rotation as required.
  • Report unusual occurrences to the manager or designee and contribute to efficient and productive Operating Room operations.
  • Perform assisting duties deemed appropriate by the physician under the physician’s direct supervision.
  • Assume responsibility for personal continuing education and development.

Benefits

  • Competitive wages.
  • Medical, dental, and vision coverage available on the first day of employment.
  • Disability and life insurance within 90 days.
  • Company-paid group life insurance, short-term disability, and long-term disability.
  • Paid time off (PTO).
  • 401(k) plan and profit sharing.
  • Career advancement opportunities.
  • Professional development opportunities.
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