Nurse, First Assistant (40h Day)
Company: Kaiser
Location: Portland
Posted on: April 17, 2024
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Job Description:
Provides assistance to the surgical team during the
intra-operative phase of surgical care for the Northwest Surgical
Services region. Works in collaboration with the surgeon and health
care team in the performance of surgical procedures, including
assessment, planning, directing, providing and evaluating advanced
nursing care. All RNFA's will participate in a regional on-call
rotation to provide surgical assistance for elective, emergent and
urgent surgical cases.
Essential Functions:
--- Representative Functions or Duties: Practice standards of
performance: Pre-operative. Performs preoperative assessment and
evaluation. Collaborates with the surgical team on plan of care.
Intra-operative: Provides knowledge based technical assistance to
the surgeon during the operative procedure according to AORN
standards, licensure, state regulation and facility/practice
protocols, including: Using instruments and medical devices.
Providing surgical exposure. Handling and/or cutting tissue.
Providing hemostatis, clamp, cut, and ligate tissue as directed by
the surgeon. Suturing as directed by the surgeon. Post-Operative.
Evaluates the patient post-operatively according to facility
protocols.
--- Assessment Standard of Performance & Planning: Communicates
information so that continuity of care is maintained. Communicates
with patient, family and other staff in a professional and
courteous manner. Obtains and demonstrates the skills and knowledge
needed to provide appropriate population based and culturally
sensitive care to patients and families through education, training
and experience. Provides continuous reassessment through the intra
operative period. Utilizes knowledge of type of procedure to plan
for appropriate set up.
--- Practice standards of performance: Function as an assistant in
all surgical specialties at the direction of the attending surgeon.
Performs RNFA responsibilities in accordance with the Nurse
Practice Act of the State of Oregon, institutional policies and
procedures of Kaiser Permanente and the AORN Position Statement on
RN First Assistants. Practice within limitations of preparation and
experience. Demonstrate RNFA specific clinical skills. Review and
update skills checklist on an ongoing basis as specified by
policies of Kaiser Permanente. Intra operative nursing behaviors
include: handling tissue, providing exposure, using instruments,
clamp, cut, and legate as directed by the surgeon, providing
homeostasis, suturing as directed by the surgeon. Assists with room
preparation in collaboration with the Circulating Nurse and scrub
person. Brings patient X-rays into room NOTE: Notifies Charge Nurse
or designee if films are not available. Assists in patient
transport to the operating room and patient transfer to the
operating room table. Provides assistance to Anesthesia during
induction. Participates in pre-op briefing time out process.
Assists in patient position. Assists in patient preparation, i.e.,
prepping, catheterization, shaving, as necessary. Assists in
patient draping. Sets up ESU, lights, suction for the sterile
field. Monitors free counted items on the sterile field. Observes
for breaks in sterile technique and takes appropriate action as
necessary.
--- Assists with instrumentation and equipment as requested.
Applies dressings and secures drainage tubes. Assists with patient
transfer and positioning post operatively. Assists with room tear
down and turn over in collaboration with the Circulating Nurse and
scrub person. May perform pre and post-operative patient education
as designated. Review chart for pertinent data. Assist in
maintaining a safe environment and promoting efficiency in
surgical. Procedures.
Basic Qualifications:
Experience
- Minimum two (2) years of peri-operative scrubbing and circulating
experience in a KP OR or one (1) year of experience as an RNFA in
or outside of KP.
Education
- Certification of Completion from AORN recognized RNFA course.
- Successful completion of an RNFA program that meets the AORN
Recommended Education Standards for RNFA and criteria for the
CB.PMN acceptance program.
License, Certification, Registration
- Current Oregon RN license required upon hire/transfer.
- Basic Life Support (BLS) for Health Care Providers required upon
hire/transfer.
- Current CNOR Certification.
Additional Requirements:
- Meets all qualification of an RNFA as outlined in AORN Position
Statement.
- Must maintain CNOR and RN licensure with the required amount of
Continuing Education.
Preferred Qualifications:
- Minimum two (2) years of practice as an RNFA.
- CRNFA certification preferred.
- Advanced Cardiac Life Support (ACLS) required upon hire/transfer
preferred.
PrimaryLocation : Oregon,Hillsboro,Westside Hospital
HoursPerWeek : 40
Shift : Day
Workdays : Mon, Tue, Wed, Thu, Fri, Sat, Sun
WorkingHoursStart : 06:45 AM
WorkingHoursEnd : 05:15 PM
Job Schedule : Full-time
Job Type : Standard
Employee Status : Regular
Employee Group/Union Affiliation : W01-AFT-Local 5017
Job Level : Individual Contributor
Job Category : Nursing Licensed & Nurse Practitioners
Department : Westside Medical Cntr - Operating Room-1 - 1001
Travel : No
Kaiser Permanente is an equal opportunity employer committed to a
diverse and inclusive workforce. Applicants will receive
consideration for employment without regard to race, color,
religion, sex (including pregnancy), age, sexual orientation,
national origin, marital status, parental status, ancestry,
disability, gender identity, veteran status, genetic information,
other distinguishing characteristics of diversity and inclusion, or
any other protected status.--s-p-m1--
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Keywords: Kaiser, Beaver Creek , Nurse, First Assistant (40h Day), Healthcare , Portland, Oregon
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