RN, First Assistant - Per Diem, Variable, Surgery

📁
Nursing
💼
Southern California Region
📅
32092 Requisition #

Adventist Health is more than an award-winning health system. We provide whole-person care to our communities and champion the greater good - from the operating room to the boardroom, we are driven by our unique passion to live God's love through health, wholeness and hope. From Oregon to Oahu, we have a calling to always do more. Now is your chance to apply your passion to our mission.

 

We're looking for someone to join our team as a RN, First Assistant who:

Organizes and facilitates the patient while in the Operating Room (OR). Coordinates the overall care of patient between surgeon, anesthesiologist and room staff. Functions as a first assistant during surgical incision, excision, and repair of pathology throughout the perioperative period on procedures for which privileges have been granted. Participates in preoperative assessment and planning for selected surgical patients in collaboration with the healthcare team members in the preoperative location. Regularly demonstrates subject matter expertise regarding medication, treatment and patient care standards.

 

Essential Functions:

  • Performs circulating and scrubbing duties. Verbally confirms surgical site/side before induction of anesthesia. Accurately performs all sponge, needle, sharp and instrument counts at appropriate time and according to department policy. Handles and dissects tissues in collaboration with the surgeon.
  • Clamps blood vessels, coagulates bleeding points, ligates vessels, and performs other procedures in collaboration with the surgeon. Sutures muscle, fascia, subcutaneous, and skin tissue in collaboration with the surgeon. Places drains as surgically indicated. Assists with cannulation and decannulation procedures, if indicated.
  • Assists with transferring the patient to and from the operating room, positioning, prepping and draping. Provides patient with safe and aseptic environment by applying the principles of aseptic technique. Takes corrective action to rectify breaks in aseptic technique. Inspects sterile items before opening and maintains sterility of items during delivery to sterile field. Obtains and interprets patient data to determine appropriate diagnostic and therapeutic procedures, as needed. Develops and implements action plan for practice changes to enhance patient outcomes.
  • Maintains appropriate traffic patterns and personnel around the sterile field. Applies appropriate methods and parameters of sterilization/disinfection. Observes for general cleanliness of the Operating Room and takes appropriate action to amend, as necessary. Prepares instruments according to physician preference and scheduled procedure. Utilizes specific knowledge and skills in a surgical environment to assist the surgeon. Works under minimal supervision.
  • Documents relevant data, including but not limited to nursing diagnoses, patient's plan of care, intervention and response, and discharge plan. Mentors, develops, inspires, educates and leads staff members in patient care setting. Enhances efficiency and cost effectiveness by identifying opportunities to decrease costs, as applicable to the job.
  • Performs other job-related duties as assigned.

 

You'll be successful with the following qualifications:

 

Education: 

  • Graduate from an accredited school/college of nursing, as applicable: Required
  • Bachelor's Degree: Preferred

 

Work Experience: 

  • Two years perioperative nursing experience: Preferred

 

Required Licenses/Certifications: 

  • Registered Nurse (RN) licensure in the state of practice: Required
  • Registered Nurse First Assistant (RNFA) licensure in the state of practice: Required
  • Cardiopulmonary Resuscitation (CPR) or Basic Life Support (BLS) certification: Required
  • Certified Nurse Operating Room (CNOR) certification: Required
  • Pediatric Emergency Assessment, Recognition and Status (PEARS)/Pediatric Advanced Life Support (PALS) certification: Preferred
  • Association of perioperative Registered Nurses (AORN) membership: Preferred

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