RNFA - Spine Clinic - Full Time

Titus Regional Medical Center • Mount Pleasant, TX

16d

About The Position

The RN First Assist (RNFA) is to carry out the functions that will assist the surgeon in performing a safe operation with optimal results for the patient. The RNFA practices peri-operative nursing and is therefore responsible for independent nursing behaviors of peri-operative nursing assessment and post -operative evaluation of care. The intra-operative practice of the RNFA is inter-department with the surgeon.

Requirements

• Two years of hospital experience preferred.
• Two years of Operating Room experience required
• Registered Nurse currently licensed to practice in the State of Texas required.
• CNOR Required
• Successful completion of additional educational preparation specific to the role of RNFA including a supervised clinical component
• BLS (Basic Life Support) upon hire date.
• PALS (Pediatric Advanced Life Support) within 90 days of hire date.
• ACLS (Advanced Cardiovascular Life Support) within 90 days of hire date.

Responsibilities

• Demonstrates knowledge and skill in applying principles of aseptic technique
• Demonstrates knowledge of surgical anatomy, physiology, and operative technique related to first assisting.
• Demonstrates ability to perform effectively and harmoniously as a member of the operative team
• Demonstrates skill in the following intra-operative nursing behaviors: a. Handling tissue b. Using Instruments c. Providing exposure d. Providing hemostasis
• Must be capable to perform in the role of OR RN
• Provides care appropriate to the age of the population served.
• Demonstrates appropriate knowledge of human growth and development.
• Understands and correctly administers medications/treatments in a timely manner.
• Utilizes the nursing process according to standards of care.
• Implement protective measures prior to operative or invasive procedure such as preoperative checklist and room readiness.
• Verifies that informed consent has been granted for planned operative or invasive procedure and any related activities.
• Ensures that patient is free from injury related to retained sponges, instruments, and sharps.
• Collects, identifies, labels, processes, stores, preserves, and transports specimens.
• Determines the need, prepares, applies, and removes devices designed to enhance positioning of patient for surgery.
• Implements aseptic technique by maintaining sterile field performs skin preparations, and dresses wound at completion of procedures.
• Demonstrates critical thinking skills in decision making.
• Designates the appropriate wound classification for each surgical wound.
• Initiates thermoregulation measures to patient as indicated.
• Properly documents blood and blood product administration.
• Identifies factors associated with an increased risk for hemorrhage or fluid and electrolyte loss.
• Assists with and/or performs procedures/services requiring technical and manual skills.
• Provides accurate and complete information whenever transfer of patient care takes place.
• Function as charge nurse when required.
• Demonstrates supervision and leadership skills.
• Demonstrates effective oral and written communication skills.
• Adheres to and follows all patient experience initiatives.
• Reports to and departs from work on time and as scheduled.
• Performs other duties as assigned.
• Must be able to deal with stress while maintaining composure.
• Follows and adheres to TRMC vaccine policy(s) mandated by the Centers for Medicare & Medicaid Services (CMS).
• Must be capable to perform in the role of CST
• Ensures operating suite is adequately prepared for procedure.
• Monitors PAR level of all surgical instruments and supplies.
• Cleans and sterilizes all surgical instruments.
• Verifies sterility and integrity of packages.
• Adjusts hours to meet patient services when cases are more or less than scheduled.
• Maintains compliance with the call coverage and call-in time.
• Maintains a clean, neat and safe environment by ensuring that supplies and equipment are cleaned and stored in an organized manner.
• Performs scrubbing technique according to departmental policy.
• Accurately performs all sponge, sharp and instrument counts according to policy.
• Prepares instrumentation according to Physicians preference cards and scheduled procedures; keeps cards current.
• Wear personal protective equipment during all procedures.
• Demonstrates proper concepts of prepping and draping according to Physician preference.
• Recognizes unseen boundaries between sterile/unsterile areas and when break occurs.
• Carries out activities during operations pertaining to handling of instruments, sponges, suture, drains, and dressings.
• Assists in restocking rooms and checking for outdated items.
• Performs other functions/activities within the scope of this position.
• Participates in departmental staff meetings and performance improvement activities.
• Maintains adequate inventory of both stack and non-stock items for Surgical Services and Anesthesia.
• Anticipates needs of surgeon during intraoperative phase.
• Assumes responsibility for care of instruments/equipment during intra/ postoperative phase, including cleaning and processing of instruments.
• Performs on-call duties as necessary.

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed