RN, Registered Nurse First Assist I - Surgery - Full Time
Company: Christus Health
Location: Longview
Posted on: February 2, 2025
Job Description:
Description
Summary:
The RNFA is a perioperative RN who works in collaboration with the
surgeon and health care team members to achieve optimal patient
outcomes. The RNFA must have acquired the necessary knowledge,
judgment, and skills specific to the expanded role of RNFA clinical
practice. Intraoperatively, the RNFA practices at the direction of
the surgeon and does not concurrently function as a scrub
nurse.
Responsibilities:
- Demonstrates effective management of surgical patient care
delivery by utilizing the nursing process. Completes and documents
patient assessments and reassessments according to policy and
procedure. Initiates, updates, and communicates an appropriate
multi -disciplinary plan of care base on identified nursing
diagnosis and patient needs. Evaluates patient response to care and
documents appropriately.
- Creates and maintains a sterile field using principles of
aseptic practice. Monitors movement of surgical team in and around
the sterile field. Initiates appropriate corrective action when
breaks in technique occur. Demonstrates knowledge of prepping and
draping techniques for various procedures. Performs hand washing
techniques according to established policies.
- Provides surgical equipment and supplies based on
age-appropriate patient needs. Demonstrates efficient use of time
and maintains turnover to a minimum. Assures all equipment is
functioning properly before use and operates equipment according to
manufacturers' guidelines and CSHS protocol. Participates in the
annual skills fair.
- Performs sponge, sharps, and instrument counts according to
policy. Initiates appropriate corrective action for incorrect
counts. Communicates and documents results of counts. Ensures all
instrument count sheets are completed and returned to the SPD.
- Monitors and controls the environment to maintain patient and
associate safety by adhering to safety policies, maintaining
traffic patterns, maintaining environmental controls for
temperature and humidity, and assisting anesthesia as needed.
- Administers and documents medications according to CHSB
policy.
- Demonstrates accountability by practicing within ethical and
legal guidelines. Exercises safe judgment in decision-making.
Demonstrates flexibility and adaptability to changes in nursing
practice and remains up to date on such changes.
- Delegates tasks and functions according to applicable laws,
regulations, and standards, taking into consideration the
competency of the assignee.
- Participates in associate and patient/family teaching by
identifying teaching needs and readiness to learn. Communicates
needs, determines teaching effectiveness, and documents
appropriately.
- Demonstrates ability to plan and implement safe patient
positioning using knowledge of the physiological effects of various
surgical positions.
- Demonstrates knowledge of sterilization techniques by
determining the appropriate method of sterilization for instruments
and supplies. Operates sterilization equipment safely and according
to policy. Documents necessary patient information and verification
of flash sterilization parameters according to policy.
- Competently handles specimens accurately and according to
policy and procedure.
- Participates in and documents the Universal Protocol/Time-Out
process according to policy.
- Demonstrates accurate inventory management through accurate
documentation of supply usage on the preference sheet and accurate
use of the supply and pharmacy pyxis machines.
- Remains updated to changes in the surgical schedule to ensure
proper instrumentation and supplies are readily available for use
as needed.
- Exercises safety precautions with high-risk equipment/supplies
such as electrosurgical units, light sources, lasers, and other
technology. Follows safety protocols to minimize risks to patients
and associates. Keeps abreast of patient's condition at all times
during the procedure.
- Fosters a collaborative environment and recognizes the value of
each provider's contribution to the comprehensive care of the
perioperative patient.
- Demonstrates competency to provide the duties and
responsibilities as a first assistant including but not limited to
using instruments/medical devices, providing exposure, handling
and/or cutting tissue, providing hemostasis, and suturing. See
RNFA/NP Job Description
Requirements:
Education/Skills
- Successful completion of an RNFA program that meets the "AORN
standards for RN first assistant education programs" and is
accepted by the Competency and Credentialing Institute (CCI).
Experience
- At least 5 years of OR experience required including both
scrubbing and circulating.
- Previous OR experience required for members of the CV team.
Licenses, Registrations, or Certifications
- Current RN License in state of employment or compact
- BLS Certification required.
- ACLS Certification required.
- CRNFA certification.
Work Type:
Full Time
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Keywords: Christus Health, Longview , RN, Registered Nurse First Assist I - Surgery - Full Time, Healthcare , Longview, Texas
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