O.R. Registered Nurse - RNFA

AdventHealth; Shawnee (KS); On-site; USD 52,000 - 96,000; Full time

Benefits offered by this job

Sign-on bonus $10,000

Clinical ladder program

Certifications pay

Job summary

AdventHealth South Overland Park in Kansas is seeking a Registered Nurse First Assistant (RNFA) to support perioperative care across pre-, intra-, and post-operative phases, collaborating with the surgical team to provide safe, compassionate care.

The RNFA will serve as the first assistant during surgeries, prepare rooms and instruments, and assist with assessments and surgeon preference cards; requires RN, CRNFA, CNOR, BLS, and ≥2 years OR experience.

Qualifications

• Two or more years of nursing experience in an OR Unit.
• At least two years of circulating and/or scrub experience in a multi-specialty surgical setting.
• Proficiency in acute and peri-operative nursing practice.
• Experience with computerized clinical documentation.
• Strong communication, collaboration, anticipation, and critical-thinking skills.
• Ability to communicate effectively with patients, families, nurses, physicians and surgeons.
• Knowledge of regulatory, compliance, and accreditation standards.

Responsibilities

• Performs specialized nursing care during pre-, intra-, and post-operative phases.
• Acts as first assistant during surgical procedures within scope of training and policy.
• Assists with pre-operative and post-operative patient assessments and communicates findings.
• Prepares operating rooms with instruments and supplies per surgeon preference cards.
• Performs surgical counts and reports discrepancies.
• Maintains privacy, safety, dignity, and confidentiality for patients.
• Initiates incident reporting and supports process improvements.
• Promotes positive relationships within the department and organization.

Skills

Circulating and scrub skills

Prepare surgical suites

Knowledge of instruments

Anticipate needs of surgeon

Clear communication

Accountability in peri-operative care

Stand for extended periods

Manual dexterity and lifting

Education

Associate's of Nursing

Bachelor's of Nursing

Job description

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

All the benefits and perks you need for you and your family:

• Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
• Paid Time Off from Day One
• 403-B Retirement Plan
• 4 Weeks 100% Paid Parental Leave
• Career Development
• Whole Person Well-being Resources
• Mental Health Resources and Support
• Pet Benefits

Schedule:

Full time

Shift:

Day (United States of America)

Address:

9100 W 74TH ST

City:

SHAWNEE MISSION

State:

Kansas

Postal Code:

66204

Job Description:

Registered Nurse First Assistant (RNFA)

Shift: Days

Location: AdventHealth South Overland Park

Role Summary:

The Registered Nurse First Assistant (RNFA) provides specialized nursing care throughout all phases of the peri-operative process. When a qualified physician is unavailable, the RNFA may serve as the first assistant during surgical procedures when the registered nurse possesses the appropriate knowledge, education, competency, and technical skills.

This role assesses patient needs, plans and implements individualized care, evaluates outcomes, and collaborates with the surgical team to provide safe, comprehensive, and compassionate care.

Key RNFA Responsibilities:

• The Registered Nurse First Assistant performs specialized nursing care during the pre-operative, intra-operative, and post-operative phases of care.
• The RNFA serves as the first assistant during surgical procedures within the scope of education, training, competency, applicable laws, regulations, and organizational policies.
• Assists with pre-operative and post-operative patient assessments and communicates relevant findings to the surgical team.
• Prepares operating rooms with the appropriate instruments, equipment, supplies, and resources based on surgeon preference cards.
• Performs surgical counts according to policy and immediately reports discrepancies.
• Demonstrates knowledge of surgical procedures, instruments, supplies, equipment, and anticipated surgeon needs.
• Assists with updating surgeon preference cards as needed.
• Assumes unit responsibility when delegated by the nursing manager or director.
• Recognizes and responds efficiently and appropriately to emergency situations.
• Recognizes abnormal laboratory, blood gas, and radiologic findings and understands their clinical significance.
• Maintains appropriate traffic control in the operating room.
• Protects each patient’s privacy, safety, dignity, and confidentiality at all times.
• Initiates incident reporting processes when indicated.
• Uses appropriate communication channels when reporting information, raising concerns, or supporting process changes.
• Promotes positive relationships within the department and across the organization.

Knowledge, Skills, and Abilities:

• Circulating and scrub skills.
• Ability to prepare surgical suites using surgeon preference cards.
• Knowledge of surgical instruments, supplies, and equipment.
• Ability to anticipate the needs of the surgeon and surgical team.
• Clear communication and strong anticipatory skills.
• Cognitive, psychomotor, and affective behaviors that demonstrate accountability and responsibility for identifying and meeting the needs of peri-operative patients.
• Ability to stand for extended periods.
• Manual dexterity and the ability to lift, pull, and push equipment, heavy instrument sets, and patients.

Qualifications:

• Two or more years of nursing experience in in an OR Unit.
• At least two years of circulating and/or scrub experience in a multi-specialty surgical setting.
• Demonstrated proficiency in acute care nursing and peri-operative nursing practice.
• Experience with computerized clinical documentation.
• Strong communication, collaboration, anticipation, and critical-thinking skills.
• Ability to communicate effectively with patients, families, nurses, physicians, surgeons, and other health care professionals.
• Strong physician and surgeon relationship skills with a team-focused approach.
• Knowledge of applicable regulatory, compliance, and accreditation standards.

Education:

Required-Associate's of Nursing

Preferred- Bachelor's of Nursing

Required Licenses and Certifications:

• Registered Nurse (RN)
• Certified Registered Nurse First Assist (CRNFA)
• Basic Life Support - CPR Cert (BLS)
• Certified Nurse Operating Room (CNOR)

Why AdventHealth?

At AdventHealth, we believe health is more than treating an illness. It is about caring for the whole person—body, mind, and spirit. As a member of our peri-operative team, you will have the opportunity to make a meaningful difference for patients and families during some of their most important moments.

At AdventHealth South Overland Park, you will work alongside a collaborative surgical team that values clinical excellence, compassion, teamwork, and professional growth. Your expertise, leadership, and joyful approach to patient care will help create an experience where patients feel safe, supported, and cared for.

Together, we are stronger. Together, we are making a difference. Together, we are transforming care by seeing and caring for the whole person.

• This position comes with a $10,000 sign-on bonuses, based on applicable eligibility requirements.
• Additional pay is available for eligible specialty certifications and participation in the AdventHealth clinical ladder program.
• Our clinical ladder program recognizes professional growth, advanced clinical skills, leadership, education, and contributions to patient care. Eligible team members have opportunities to advance professionally while earning additional compensation.

Physical Requirements:

(Please click the link below to view work requirements)

Physical Requirements - https://tinyurl.com/49cf4xnf

Pay Range:

$37.86 - $70.41

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.