The RNFA practices in collaboration with and at the direction of the surgeon during the intraoperative phase. First-assisting activities may include handling tissue, providing exposure, using instruments, suturing, and providing hemostasis. These activities are refinements of perioperative nursing practice. The RNFA may serve as a scrub or circulator as necessary. The position provides safe, skillful, accurate, and efficient age-appropriate and population-specific patient care. It uses the nursing process to assess patients, identify individualized needs, develop and update plans of care, provide appropriate interventions during surgical procedures, and evaluate patient progress. The RNFA demonstrates knowledge of surgical anatomy, physiology, and first-assistant operative techniques across specialty areas, and the manual dexterity and skills needed to assist the surgeon. The RNFA also maintains professional practice and documentation standards, follows hospital and departmental policies, supports patient rights and cultural and religious diversity, and follows procedures for instrument and scope sterilization and environmental cleaning.
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Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree