RN, First Assistant (Part Time, Day Shift)

Nwregionalheart; Bakersfield (CA); On-site; USD 120,000 - 150,000; Full time

Job summary

Adventist Health Bakersfield is seeking a skilled RNFA to organize and assist in the Operating Room, serving as a first assistant during surgical incisions and repairs under the surgeon's direction.

In this role you will coordinate preoperative assessment, maintain strict asepsis, manage instrument counts, assist with cannulation when indicated, and collaborate with the anesthesia and surgical teams to promote optimal patient outcomes.

Qualifications

• RNFA program completion and eligibility requirements as per AH policy.
• Two years perioperative nursing experience preferred.
• RN licensure in state of practice required; CNOR preferred; BLS/CPR as per AH policy required.

Responsibilities

• Performs circulating and scrubbing duties with aseptic technique.
• Verifies surgical site/side before induction of anesthesia and maintains counts.
• Assists surgeon with tissue handling, vessel management, suturing, and drain placement.
• Communicates with anesthesia and OR staff to coordinate patient care.
• Documents care plans and contributes to post-operative readiness and handoff.

Skills

Perioperative nursing experience

Surgical patient coordination

Education

RNFA program meeting AORN standards

Two years perioperative nursing experience

Job description

$5,000 Sign-On Incentive for eligible rehires and external hires that meet required qualifications and conditions for payment. Candidates must have at least one year of experience in the specialty for which they are being hired.

Central to all that California has to offer, Adventist Health Bakersfield has been providing an extraordinary team of world-class physicians, top-notch medical technology, caring professionals and award-winning quality since 1910. We are comprised of a 254-bed acute care hospital and 20 primary and specialty care medical offices. As one of America's fastest growing cities, Bakersfield offers affordable housing on the West Coast, beautiful weather, high-quality education and it is just a few hours away from Yosemite and Sequoia National Parks, the Central California Coast and Southern California's great sports, theaters, concerts and amusement parks.

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.

Job Requirements

Education and Work Experience

• Completion of an RNFA program that meets AORN standards: Required
• Two years' perioperative nursing experience: Preferred

Licenses/Certifications

• Registered Nurse (RN) licensure in the state of practice: Required
• Certified Registered Nurse First Assistant (CRNFA) certification in the state of practice: Preferred
• Cardiopulmonary Resuscitation (CPR) certificationorBasic 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 from approved vendor per AH policy: Required
• AHA-ACLS or ARC-ALS: 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.