RN, First Assistant, Per Diem, Day Shift

Adventist Health • Portland, OR

7d

About The Position

Adventist Health Portland is hiring a per diem, day-shift RN, First Assistant. The role organizes and facilitates patient care in the Operating Room (OR), coordinating care among the surgeon, anesthesiologist, and room staff. The RN First Assistant functions as a first assistant during surgical incision, excision, and repair of pathology throughout the perioperative period for procedures for which privileges have been granted. The position also participates in preoperative assessment and planning for selected surgical patients with the healthcare team and regularly demonstrates subject matter expertise regarding medication, treatment, and patient care standards.

The role performs circulating and scrubbing duties and provides surgical assistance in collaboration with the surgeon. It supports safe, aseptic patient care; assists with patient transfer, positioning, preparation, and draping; prepares instruments; documents relevant care; and contributes to staff development, patient outcomes, and efficient, cost-effective care. The position works under minimal supervision.

Adventist Health requires associates to receive required vaccinations as a condition of employment and annually thereafter, where applicable; medical and religious exemptions may apply. Adventist Health participates in E-Verify.

Requirements

• Completion of an RNFA program that meets AORN standards.
• Registered Nurse (RN) licensure in the state of practice.
• CPR or Basic Life Support (BLS) certification from an approved vendor per Adventist Health policy.
• Certified Nurse Operating Room (CNOR) certification.
• Facility-specific BLS certification from an approved vendor per Adventist Health policy.

Nice To Haves

• Two years of perioperative nursing experience.
• Certified Registered Nurse First Assistant (CRNFA) certification in the state of practice.
• Pediatric Emergency Assessment, Recognition and Status (PEARS) or Pediatric Advanced Life Support (PALS) certification from an approved vendor per Adventist Health policy.
• Association of perioperative Registered Nurses (AORN) membership.

Responsibilities

• Organizes and facilitates the patient while in the OR and coordinates overall care among the surgeon, anesthesiologist, and room staff.
• Functions as a first assistant during surgical incision, excision, and repair of pathology for procedures for which privileges have been granted.
• Participates in preoperative assessment and planning for selected surgical patients in collaboration with healthcare team members.
• Performs circulating and scrubbing duties.
• Verbally confirms the surgical site and side before induction of anesthesia.
• Performs sponge, needle, sharp, and instrument counts at appropriate times 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, and places drains as surgically indicated.
• Assists with cannulation and decannulation procedures when indicated.
• Assists with transferring and positioning patients and with their preparation and draping.
• Provides a safe and aseptic environment, corrects breaks in aseptic technique, inspects sterile items, and maintains sterility during delivery to the sterile field.
• Obtains and interprets patient data to determine appropriate diagnostic and therapeutic procedures as needed.
• Develops and implements action plans for practice changes to enhance patient outcomes.
• Maintains appropriate traffic patterns and personnel around the sterile field; applies appropriate sterilization and disinfection methods and parameters.
• Observes general OR cleanliness and takes appropriate action as necessary.
• Prepares instruments according to physician preference and scheduled procedure and uses specific surgical-environment knowledge and skills to assist the surgeon.
• Documents relevant data, including nursing diagnoses, the patient's plan of care, interventions and response, and discharge plan.
• Mentors, develops, inspires, educates, and leads staff members in the patient care setting.
• Identifies opportunities to decrease costs and enhance efficiency and cost effectiveness, as applicable.
• Performs other job-related duties as assigned.

What This Job Offers

• Education Level: No Education Listed