RN, First Assistant, Per Diem, Day Shift

Adventist Health•Portland, OR

7d•$54 - $80•Onsite

About The Position

Adventist Health Portland is seeking an RN, First Assistant to organize and facilitate patient care in the Operating Room (OR). The role coordinates care among the surgeon, anesthesiologist, and room staff and 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 in collaboration with healthcare team members and regularly demonstrates expertise in medication, treatment, and patient care standards. The role performs circulating and scrubbing duties, assists with surgical procedures and patient positioning and transfers, maintains a safe and aseptic environment, prepares instruments, documents patient care, and supports staff development. The RN, First Assistant works under minimal supervision and performs other job-related duties as assigned.

Requirements

Completion of an RNFA program that meets AORN standards.
Registered Nurse (RN) licensure in the state of practice.
Cardiopulmonary Resuscitation (CPR) or Basic Life Support (BLS) certification from an approved vendor per AH policy.
Certified Nurse Operating Room (CNOR) certification.
Basic Life Support (BLS) certification from an approved vendor per AH policy, per facility-specific requirements.

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 AH policy.
Association of perioperative Registered Nurses (AORN) membership.

Responsibilities

Organize and facilitate patient care in the Operating Room and coordinate care among the surgeon, anesthesiologist, and room staff.
Function as a first assistant during surgical incision, excision, and repair of pathology for procedures for which privileges have been granted.
Participate in preoperative assessment and planning for selected surgical patients in collaboration with healthcare team members.
Perform circulating and scrubbing duties, verbally confirm the surgical site and side before anesthesia induction, and accurately perform required sponge, needle, sharp, and instrument counts.
Handle and dissect tissues; clamp blood vessels, coagulate bleeding points, ligate vessels, and perform other procedures in collaboration with the surgeon.
Suture muscle, fascia, subcutaneous, and skin tissue in collaboration with the surgeon; place drains as indicated; and assist with cannulation and decannulation procedures when indicated.
Assist with transferring, positioning, prepping, and draping patients, and provide a safe aseptic environment by applying aseptic technique and correcting breaks in technique.
Inspect sterile items, maintain sterility during delivery to the sterile field, maintain appropriate traffic patterns around the field, and apply appropriate sterilization and disinfection methods.
Obtain and interpret patient data to determine appropriate diagnostic and therapeutic procedures as needed.
Develop and implement action plans for practice changes to enhance patient outcomes.
Observe Operating Room cleanliness and take corrective action as necessary; prepare instruments according to physician preference and scheduled procedures.
Use surgical-environment knowledge and skills to assist the surgeon while working under minimal supervision.
Document relevant data, including nursing diagnoses, the patient's plan of care, interventions and response, and discharge plan.
Mentor, develop, inspire, educate, and lead staff members in the patient care setting.
Identify opportunities to decrease costs and enhance efficiency and cost effectiveness, as applicable.
Perform other job-related duties as assigned.
Receive required vaccinations as a condition of employment and annually thereafter where applicable; medical and religious exemptions may apply.