RNFA with call stay, Days

OhioHealth•Grove City, OH

7d•Onsite

About The Position

The RNFA will work under the direction and direct supervision of the surgeon. The RNFA having acquired the necessary knowledge, judgment and skills specific to the role of RNFA works in collaboration with the surgeon and other healthcare team members to achieve optimal patient outcomes. As a High Reliability Organization (HRO), responsibilities require focus on safety, quality and efficiency in performing job duties. The job profile provides an overview of responsibilities and duties and is not intended to be an exhaustive list and is subject to change at any time.

Requirements

Associate's Degree (Required)
CNOR - Certified Nurse Operating Room - Competency & Credentialing Institute (CCI)
RNFA - Registered Nurse First Assist - Competency and Credentialing Institute
RN - Registered Nurse - Ohio Board of Nursing
RN licensure
Certification in perioperative nursing (CNOR)
Completion of RNFA program that meets the AORN recommended education standards for RNFA programs.
2+ years as operating room nurse as both circulator and scrub
Must commit to call-stay shifts
Knowledge of surgical anatomy, physiology and operative techniques related to the operative procedures in which RNFA will be 1st assisting

Responsibilities

In scope behaviors for the RNFA are as defined in the Staff RN job code 3178.
15% Preoperative patient management: In collaboration with the healthcare team, the RNFA can perform nursing assessments and preoperative evaluations. The RNFA can also communicate with the healthcare team members the plan of care.
15% Postoperative patient management: In collaboration with the healthcare team, the RNFA can participate in postoperative rounds and discharge planning.
70% Intraoperative performance: Work under the “direction of the surgeon” – the surgeon is required to be within Surgical Services. Functions as a first assist to the primary surgeon. Can utilize appropriate techniques to assist with closure of body planes, wound layers, subcutaneous, and skin closures. Can inject local anesthetic. Work under the “direct supervision of the surgeon” – the surgeon is physically present with the patient. Can participate in the desiccation of tissue. Can provide hemostasis. Can place laparoscopic trocars. Can coordinate the camera or changes out robotic arms and instruments during endoscopic surgery. Can provide exposure for the surgeon and visualization of the operative site. Can activate cautery and operate the electrosurgical unit. Perform specialized tissue handling, dissection, or cutting techniques i.e. trocar placement, preparation of allografts, saphenous vein harvesting.
RNFA OUT OF SCOPE BEHAVIORS: The RNFA cannot be the sole provider in the room during the surgical timeout. The RNFA cannot perform the initial incision. The RNFA cannot mark the surgical site. The RNFA cannot independently write orders. The RNFA cannot be involved in any other role or function during the surgical procedure scrub or circulator.