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  3. RN, First Assistant - AHLM (Specialty)
AH

RN, First Assistant - AHLM (Specialty)

Adventist Health·Lodi, California

$65 - $88/hr·Full Time·On Site·2-5 yrs·Posted 3 months ago
Practice for this role

About the role

This role organizes and facilitates patient care in the Operating Room, coordinating between the surgeon, anesthesiologist, and room staff, while functioning as a first assistant during surgical procedures for which privileges have been granted. Responsibilities include performing circulating and scrubbing duties, handling tissues, suturing, and ensuring adherence to aseptic technique throughout the perioperative period.

Centered in the heart of San Joaquin County, Adventist Health Lodi Memorial has been one of the area's leading healthcare providers since 1952.

We are comprised of a 190-bed hospital, 17 medical offices, home care services, comprehensive cancer care and a vast scope of award-winning services located throughout Lodi and the surrounding areas.

Lodi is known for its small-town charm, extensive vineyards and delicious local restaurants and bakeries.

The allure of Lodi's close-knit community is complimented by its proximity to major metropolitan cities in the Bay Area and Sacramento, as well as a quick drive to Lake Tahoe or the Northern California coast.

Job Summary: 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.

This position is represented by CNA.

Job Requirements: Education and Work Experience: Bachelor's Degree in Nursing (BSN): Preferred Two years' perioperative nursing experience: Preferred Licenses/Certifications: Registered Nurse (RN) licensure in the state of practice: Required Registered Nurse First Assistant (RNFA) certification in the state of practice: Required Certified Registered Nurse First Assistant (CRNFA) certification in the state of practice: Preferred Cardiopulmonary Resuscitation (CPR) certification or Basic Life Support (BLS) certification from approved vendor per AH policy: Required Certified Nurse Operating Room (CNOR) certification: Required Pediatric Emergency Assessment, Recognition and Status (PEARS)/Pediatric Advanced Life Support (PALS) certification from approved vendor per AH policy: Preferred Association of perioperative Registered Nurses (AORN) membership: Preferred Facility Specific License/Certifications: Basic Life Support (BLS) certification or Cardiopulmonary Resuscitation (CPR) certification from approved vendor per AH policy: Required Pediatric Advanced Life Support (PALS) certification from approved vendor per AH policy: Required 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.

Organizational Requirements: Adventist Health is committed to the safety and wellbeing of our associates and patients.

Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable.

Medical and religious exemptions may apply.

Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.

#AHJOB

Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.

Requirements

Required qualifications include Registered Nurse (RN) licensure and Registered Nurse First Assistant (RNFA) certification in the state of practice, along with current CPR/BLS and CNOR certifications. A Bachelor's Degree in Nursing and two years of perioperative nursing experience are preferred.

  • bachelor degree
  • Documentation
  • Mentoring
  • Repair
  • Aseptic Technique
  • Preoperative Assessment
  • Cost Effectiveness
  • Suturing
  • Perioperative Care
  • Tissue Handling
  • Circulating Duties
  • Operating Room
  • First Assistant
  • Surgical Incision
  • Excision
  • Scrubbing Duties

Posting details

Employment type
Full Time
Work arrangement
On Site
Experience
2-5 yrs
Salary
$65 - $88/hr
Location
Lodi, California
Posted
Mar 31, 2026
Application
Employer website
AH

Hiring organization

Adventist Health

Adventist Health Central Coast (formerly Tenet Health Central Coast) is proud to serve the Central Coast of California. We offer care through two acute care hospitals, two imaging centers and an expansive primary and specialty care network.

Salary listed on 1,070 jobs
IndustryHospitals and Health Care
TypePrivately Held
Size501-1,000 employees
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Market context

California nursing roles remain highly competitive

California nursing roles often draw steady demand, especially for experienced RNs in procedural and critical care settings. Competition is strongest for candidates who already hold a California RN license, current BLS and ACLS, and recent ICU, ER, or PACU experience. Review the AI-summarized requirements and benefits on this platform to save research time, then confirm your certifications and highlight relevant bedside and procedural experience in your application.

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