RN, First Assistant RNFA, Full-time, Evening Shift

Adventist Health

1d•Onsite

About The Position

Adventist Health Sonora has been one of the area's leading healthcare providers since 1900. We are comprised of a 72-bed hospital, 30 medical offices, comprehensive cancer care and a vast scope of award-winning services located throughout Tuolumne and Calaveras counties and the surrounding areas. Sonora is known for its friendly hometown charm, vast outdoor experiences and lively downtown. The allure of Sonora's close-knit community is complimented by its proximity to Yosemite National Park, as well as just a quick drive to Lake Tahoe. Our general surgeons and experts in general orthopedics, sports medicine, joint replacement, and specialized treatments for hand conditions have vast knowledge and training in all aspects of the body and a wide range of surgical techniques. They understand how various parts of the body interact with each other, which provides versatility when performing an operation. As such, they are skilled at performing a variety of procedures, including: Abscess drainage Appendectomy Breast biopsy and other biopsies Gastric bypass, colectomy, and other G.I. tract surgeries Hernia repair, abdominal, and groin Mastectomy Skin cancer excision Skin and soft tissue surgery Splenectomy Tracheostomy Arthroscopic surgery for knees and shoulders Complex hand surgery Joint injections Pediatric orthopedics Procedures for carpal tunnel and other hand conditions Robotic assisted surgery Sports medicine and rehabilitation Total joint replacement and revision surgeries General OR Information: 6 surgical suites Orthopedics, Spine, GYN, ENT, Urology, Vascular Robotic surgeries utilizing; da Vinci Xi Robotic Surgical System ROSA Surgical Assistant Adventist Health Sonora Accreditations/Awards: Acute Stroke Ready Hospital Certification from The Joint Commission “A” Hospital Safety Grade from The Leapfrog Group (Spring 2025, Fall 2024) Antimicrobial Stewardship Honor Roll from the California Department of Public Health Healthcare-Associated Infections Program Blue Zones Project Approved™ Worksite Top 100 Rural and Community Hospital from The Chartis Center for Rural Health (2023) Job Summary: Organizes and facilitates the patient while in the Operating Room (OR). Coordinates the overall care of patient between surgeon, anesthesiologist and room staff. Functions as a first assistant during surgical incision, excision, and repair of pathology throughout the perioperative period on procedures for which privileges have been granted. Participates in preoperative assessment and planning for selected surgical patients in collaboration with the healthcare team members in the preoperative location. Regularly demonstrates subject matter expertise regarding medication, treatment and patient care standards.

Requirements

Registered Nurse (RN) licensure in the state of practice: Required
Registered Nurse First Assistant (RNFA) certification in the state of practice: Required
Cardiopulmonary Resuscitation (CPR) or Basic Life Support (BLS OR HS-BLS OR RQIBLS) certification: Required
Certified Nurse Operating Room (CNOR) certification: Required

Nice To Haves

Bachelor's Degree in Nursing (BSN): Preferred
Two years' perioperative nursing experience: Preferred
Certified Registered Nurse First Assistant (CRNFA) certification in the state of practice: Preferred
Pediatric Emergency Assessment, Recognition and Status (PEARS)/Pediatric Advanced Life Support (PALS OR HS-PALS OR RQIPALS) certification: Preferred
Association of perioperative Registered Nurses (AORN) membership: Preferred

Responsibilities

Performs circulating and scrubbing duties.
Verbally confirms surgical site/side before induction of anesthesia.
Accurately performs all sponge, needle, sharp and instrument counts at appropriate time and according to department policy.
Handles and dissects tissues in collaboration with the surgeon.
Clamps blood vessels, coagulates bleeding points, ligates vessels, and performs other procedures in collaboration with the surgeon.
Sutures muscle, fascia, subcutaneous, and skin tissue in collaboration with the surgeon.
Places drains as surgically indicated.
Assists with cannulation and decannulation procedures, if indicated.
Assists with transferring the patient to and from the operating room, positioning, prepping and draping.
Provides patient with safe and aseptic environment by applying the principles of aseptic technique.
Takes corrective action to rectify breaks in aseptic technique.
Inspects sterile items before opening and maintains sterility of items during delivery to sterile field.
Obtains and interprets patient data to determine appropriate diagnostic and therapeutic procedures, as needed.
Develops and implements action plan for practice changes to enhance patient outcomes.
Maintains appropriate traffic patterns and personnel around the sterile field.
Applies appropriate methods and parameters of sterilization/disinfection.
Observes for general cleanliness of the Operating Room and takes appropriate action to amend, as necessary.
Prepares instruments according to physician preference and scheduled procedure.
Utilizes specific knowledge and skills in a surgical environment to assist the surgeon.
Works under minimal supervision.
Documents relevant data, including but not limited to nursing diagnoses, patient's plan of care, intervention and response, and discharge plan.
Mentors, develops, inspires, educates and leads staff members in patient care setting.
Enhances efficiency and cost effectiveness by identifying opportunities to decrease costs, as applicable to the job.
Performs other job-related duties as assigned.