RNFA w/Call, Surgery

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Job Description

Summary: Looking to fill a Registered Nurse First Assist position in a 4 OR suite, dynamic OR setting. This is a multi-service line OR consisting of patients with complex acuity. There are weekend, weekday and Holiday on-call requirements. The RNFA will work under the direction and direct supervision of the surgeon. The RNFA having acquired the necessary knowledge, judgment and skills specific to the role of RNFA works in collaboration with the surgeon and other healthcare team members to achieve optimal patient outcomes. Responsibilities And Duties: RNFA IN SCOPE BEHAVIORS IN THE PERIOPERATIVE AREA INCLUDE BUT ARE NOT LIMITED TO: In scope behaviors for the RNFA are as defined in the Staff RN job code 3178. 15% Preoperative patient management In collaboration with the healthcare team, the RNFA can perform nursing assessments and preoperative evaluations. The RNFA can also communicate with the healthcare team members the plan of care. 15% Postoperative patient management In collaboration with the healthcare team, the RNFA can participate in postoperative rounds and discharge planning. 70% Intraoperative performance Work under the “direction of the surgeon” – the surgeon is required to be within Surgical Services Functions as a first assist to the primary surgeon Can utilize appropriate techniques to assist with closure of body planes, wound layers, subcutaneous, an skin closures Can inject local anesthetic Work under the “direct supervision of the surgeon” – the surgeon is physically present with the patient Can participate in the desiccation of tissue Can provide hemostasis Can place laparoscopic trocars Can coordinate the camera or changes out robotic arms and instruments during endoscopic surgery Can provide exposure for the surgeon and visualization of the operative site>br>Can activate cautery and operate the electrosurgical unit Performa specialized tissue handling, dissection, or cutting techniques i.e. trocar placement, preparation of allografts, saphenous vein harvesting RNFA OUT OF SCOPE BEHAVIORS: The RNFA cannot be the sole provider in the room during the surgical timeout. The RNFA cannot perform the initial incision. The RNFA cannot mark the surgical site. The RNFA cannot independently write orders. The RNFA cannot be involved in any other role or function during the surgical procedure scrub or circulator As a High Reliability Organization (HRO), responsibilities require focus on safety, quality and efficiency in performing job duties. The job profile provides an overview of responsibilities and duties and is not intended to be an exhaustive list and is subject to change at any time