About The Position

The HOI RN First Assistant is a Clinical Nurse who assists orthopedic and/or spine surgeons in performing safe operations with optimal results. Intra-operative RNFA practice is directed by the surgeon and must be based on documented knowledge and skills acquired through specialized preparation, formal instruction, and supervised practice. While serving as RN First Assistant, the nurse assists with positioning, prepping, draping, instrumentation, knot tying, retraction, hemostats, and closure of layers during procedures. RNFAs may inject local anesthetics, narcotics, and anti-inflammatory agents under the supervision of a licensed Hoag Orthopedic Institute Medical Staff Member. The RNFA also serves in a Clinical Nurse capacity for the Orthopedic Institute, providing direct patient care in accordance with the Nurse Practice Act and collaborating with other members of the orthopedic health care team to provide safe, timely, and appropriate quality care. The position uses the nursing process and evidence-based best practices to meet patient needs, evaluates and adjusts care as necessary, consults as needed, and confers with appropriate resource personnel when addressing 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 AORN recommended educational standards for an RNFA program.
  • Current California Registered Nurse licensure.
  • BLS certification.
  • CNOR certification.

Responsibilities

  • Assist orthopedic and/or spine surgeons in performing safe operations with optimal results under the surgeon's direction.
  • Assist with patient 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 the orthopedic health care team.
  • Provide physical assessments, nursing interventions, pain management, medication administration, specimen collection, support for nutritional needs, and patient teaching and discharge care.
  • Use the nursing process and evidence-based best practices to meet patient care needs; evaluate and adjust nursing care as necessary.
  • Consult as needed and confer with appropriate resource personnel when making ethical, legal, or medical dilemma decisions.
  • Maintain working knowledge of HOI and hospital standards, policies, and procedures.
  • Perform other duties as assigned.
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