Registered Nurse First Assist (RNFA) - Full Time - Shift
Job Category: Nursing - Registered Nurse
Requisition Number: REGIS003663
- Posted: July 1, 2024
- Full-Time
Locations
Showing 1 location
Under the general direction of Kern Medical Center’s (KMC) Director of Surgical Services, Surgical Service’s Leadership, and the Chief Nursing Officer (CNO), the Registered Nurse First Assistant (RNFA) renders direct patient care in the operating room, as part of the perioperative team, by assisting the surgeon in the surgical treatment of the patient. The RNFA practices perioperative nursing and must have acquired the necessary specific knowledge, skills, and judgment for this role. While performing the duties of RNFA, the RN must adhere to standardized procedures.
Kern Medical has been a community cornerstone since its founding in 1867. Today, we are an acute care teaching center with 222 beds, offering the only advanced trauma care between Fresno and Los Angeles. Kern Medical offers a range of primary, specialty, and multi-specialty services including high-risk pregnancy care, inpatient psychiatric services integrated with county mental health programs, and a growing network of outpatient clinics providing personalized patient-centered wellness care. Kern Medical cares for 15,500 inpatients and 125,000 clinic patients a year.
Position: Registered Nurse First Assist (RNFA)
Compensation: The estimated pay for this position is $72.6247 to $89.3193. The rates shown include a 6% premium pay. Additional compensation may be available for this role through differentials, incentives, and bonuses. This position may also be eligible for participation and company contributions into the Kern County Employees’ Retirement Plan.
Essential Functions:
- Creates and sustains an environment that supports compassionate caring through authentic presence with the patient and family.
- Assists with the positioning, prepping, and draping of the patient or performs these tasks independently, if directed by the surgeon.
- Communicates with the patient’s physician immediately when the patient’s condition changes or deteriorates.
- Provides homeostasis by applying electrocautery tip to clamps or vessels in a safe and knowledgeable manner as directed by the surgeon.
- Handles tissues as directed by the surgeon.
- Assists the surgeon directly by controlling bleeding, suturing, and other surgical needs.
- Provides exposure through appropriate use of instruments, retractors, suctioning, and sponging techniques.
- Assists surgeon with wound closure of layers; sutures the peritoneum, fascia, subcutaneous tissue, and skin.
- Assists surgeon at the completion of the surgical procedure by providing knot tying, affixing and stabilizing all drains, cleaning the wound, and applying dressings.
- Provides other advanced assistance, such as mobilization of tissue and patient positioning.
- In extreme emergencies, assists on procedures that present an unusual hazard to life.
- Collects and documents data for assigned patients according to prescribed methods.
- Assists with the perioperative patient assessment, teaching, management, and planning for the perioperative experience.
- Uses education, experience, and interpretation of assessment data to prioritize appropriate nursing actions.
- Establishes nursing diagnoses and evaluates the effectiveness of nursing interventions.
- Anticipates and effectively manages rapidly changing situations.
- Performs and documents the nursing process consistent with scientific principles and hospital policy.
- Contributes to team building through participation in unit programs and meetings.
- Adheres to hospital-approved policies and procedures.
- Completes all competencies, mandatory classes, and educational coursework as required.
- Demonstrates clinical knowledge and skill in the care of populations served by Kern Medical facilities.
Employment Standards:
- Graduation from an accredited school of nursing; Masters or Bachelor’s degree in Nursing or Healthcare Administration preferred.
- Current unrestricted registered nurse licensure in the State of California.
- Successful completion of didactics of structured course in first assisting.
- Completion of 120 hours of proctored instruction in the OR with a qualified surgeon at hire if certified RNFA.
- Certificated Operating Room RN (CNOR) required.
- Certified RNFA preferred (CRNFA).
- Basic Life Support (BLS) certification.
- Advanced Cardiac Life Support (ACLS) certification.
- Pediatric Advanced Life Support (PALS) certification beneficial.
Knowledge of: Modern principles, methods, and practices of the surgical services department.
Ability to:
- Determine appropriate course of action in complex situations.
- Communicate effectively, both orally and in writing.
- Handle difficult situations involving patients, physicians, or others in a professional manner.
- Work cohesively as part of the perioperative team.
- Function independently as a RN in the operating room as needed.
Skills:
- Strong organizational and interpersonal skills.
Supplemental:
A background check may be required for this classification. All KMC employees are designated “Disaster Service Workers”. In the event of a disaster or civil disorder, all Kern Medical employees are to remain at work or report to work in a safe and practicable manner.
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