Rnfa

Sign On Bonus Eligible

Default Work Shift:

Varies (United States of America)

Hours:

40

Salary range:

$64.42 - $98.61

Schedule:

Full Time

Shift Hours:

10 Hour employee

Department:

Surgery Same Day DHOC

Job Objective:

Assesses patients using the nursing process. Develops a Plan of Care that is consistent with the needs appropriate to the age of the patient. Independently sets priorities and implements nursing activities in an accurate, safe, and timely manner. Delegates activities appropriately to other team members. Evaluates and documents the effectiveness of nursing and medical interventions. Formulates, implements and documents an individual teaching plan for each patient. Provides patient care in a cost effective high quality manner. Functions as an RN First Assistant (RNFA) during operative and other invasive procedures and throughout the perioperative continuum in accordance with scope of practice credentials, privileges, experience, education, and competency verification as appropriate.

Job Description:

Education: Required: Bachelor of Science in Nursing (BSN) or Master’s in Nursing if hired into position after July 1, 2012 Licensure/Certification: Required: California Registered Nurse (RN) license; Completion of RNFA didactic course; American Heart Association BLS and ACLS Experience: Required: Two (2) years of perioperative nursing experience

Reports To: Clinical Director Supervises: N/A Ages of Patients: Pediatric, Adolescent, Adult, Geriatric Blood Borne Pathogens: High Potential

Skills, Knowledge, Abilities:

Ability to assess patients using the nursing process, Ability to change intervention strategies when expected outcomes not met, Ability to recognize priorities in critical situations and acts in a timely manner, Competency and knowledge of the surgical environment regarding traffic patterns and contamination of the sterile field, Interventions are based on priorities and are individualized and consistent with plan of care, Knowledge of Department of Nursing performance improvement and patient safety goals, Knowledge of surgical anatomy, physiology, operative techniques, and equipment utilized in surgery

Essential Responsibilities

1. Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations. 2. Participate in preoperative assessment and planning for surgical patients specific to RNFA activities (e.g.anatomical exposure, wound closure) in collaboration with perioperative team members. 3. Implements skills in accordance with EMH Standards of Care, policies, procedures, and Nurse Practice Act. 4. Evaluates effectiveness of nursing and medical interventions. 5. Changes intervention strategies when expected outcomes not met. 6. Consistently documents in accordance with EMH policies and procedures. 7. Consistently administers medications and documents in compliance with medication administration policies and procedures. 8. Demonstrates competency in the operation of equipment specific to clinical area. 9. Complies with departmental plan to meet budget goals. 10. Demonstrates knowledge of Department of Nursing performance improvement and patient safety goals. 11. Maintains aseptic technique according to the policies and procedures of Surgical Services. 12. Demonstrates competency and knowledge of the surgical environment regarding traffic patterns and contamination of the sterile field. 13. Anticipates surgeons needs by review of preference card and procuring appropriate supplies prior to start of case. 14. Remains attentive to the progression of the case in order to anticipate surgeon’s needs. 15. Properly disposes of all sharps and biohazardous waste. 16. Assists with putting away supplies and room turnover. 17. Contributes to maximum efficiency of the surgical line up in order to adhere to surgical start times. 18. Uses judgment when opening and using supplies to ensure cost effectiveness. 19. Keeps current with new intraoperative techniques and equipment through participation in unit based and continuing education. 20. Acts as a preceptor to new staff and students. 21. Positions the patient to provide access to the operative site while maximizing patient safety and comfort, protecting the patient from injury. 22. Provides intra-operative exposure and retraction; Retracts tissues or organs by use of the hand; places and holds surgical retractors; packs sponges or laparotomy pads into body cavities to hold tissues or organs out of the operative field; manages all instruments in the operative field to prevent obstruction of the surgeon’s view. 23. Sutures tissue, using instruments and suture material; correctly approximates tissue layers; approximates tissue appropriately to avoid excess tension and tissue necrosis; ties knots firmly to avoid slipping; uses staples, clips or other devices to approximate tissue. 24. Handles tissues and manipulates instruments to perform superficial dissection, aspirating and sponging of blood and other fluids from the operative site, placing suture ligatures in the muscle, subcutaneous and skin layers, placing hemoclips or other ligating devices on bleeders. 25. Performs other duties as assigned.