RN First Assistant - Perioperative - Hopewell - Full-time

Capital Health System, Inc.; Hopewell (VA); On-site; USD 82,000 - 109,000; Full time

Benefits offered by this job

Medical Plan

Dental Plan

Vision Plan

Retirement Savings

Paid Time Off

Disability Benefits

FSA - Healthcare

Employee Assistance Program

Job summary

Capital Health is seeking a qualified Perioperative First Assistant RN to collaborate with the surgeon and care team during surgical procedures. You will assist with patient positioning, prepping, and draping, provide tissue retraction, and support hemostasis under the surgeon’s direction to maximize patient outcomes.

The role requires OR experience, completion of a First Assistant program, and CNOR certification within six months of hire.

Qualifications

• Associates degree or graduation from an accredited school of nursing.
• Completion of First Assistant program and CNOR within six months of hire.
• CNOR certification required and must be obtained within six months of hire.
• BSN degree preferred.

Responsibilities

• Assist physician in perioperative care before, during and after surgery.
• Position, prep and drape patient as directed by surgeon.
• Maintain hemostasis and assist with tissue retraction and instrument handling.
• Ensure asepsis and infection control throughout procedures and resuscitation as needed.

Skills

Operating room experience

Education

Associate degree or graduation from accredited nursing program

First Assistant program

CNOR certification

BSN preferred

Job description

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a dynamic health care resource accredited by the DNV that includes two hospitals, an outpatient center, satellite ED, and an expansive network of primary and specialty care. Capital Health Medical Group is made up of more than 600 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region. Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates.

The listed pay range or pay rate reflects compensation for a full-time equivalent (1.0 FTE) position. Actual compensation may differ depending on assigned hours and position status (e.g., part-time). Pay Range: $59.44 - $79.24 Scheduled Weekly Hours: 40

Position Overview

SUMMARY (Basic Purpose of the Job) Works in collaboration with the surgeon and other health care team members in performing a safe surgical procedure to maximize patient outcomes. Delivers quality care to the patient during their perioperative experience. Functions in the role of patient advocate. Provides patient and family health education and health assessment.

Minimum Requirements

• Associates degree or graduation from an accredited school of nursing.
• Completion of First Assistant program and completion of 20 hours or 10 cases of proctoring by the sponsoring surgeon.
• Nationally certified operating room nurse through the association of operating room nurses (AORN) required “and” must attain CNOR within six months of hire.
• Bachelors of Science in Nursing (BSN) preferred.

• Three years of operating room experience in both the scrub and circulating roles.

• AHA BLS - Healthcare Provider,
• Registered Nurse - NJ CPR

• Requires ACLS (or must obtain within 6 months of hire) if assigned to: Critical Care/Intermediate/Telemetry, Emergency Rooms, Pediatrics/Pediatrics Emergency Room, Labor & Delivery, Surgical Services (not to include Perioperative), Interventional Procedures, Observation.
• Requires NRP (or must obtain within 6 months of hire) if assigned to: Maternity Services
• Requires PALS (or must obtain within 6 months of hire) if assigned to: Emergency Rooms, Infant Follow-Up, Surgical Services (only PACU & Same Day Surgery), Pediatrics/Pediatric ED.

Usual Work Day:8 Hours

Abilities

Essentials Functions Assists Physician by performing individualized surgical care management before, during and after surgery. Assists with the positioning, prepping and draping of the patient or perform these independently, if so directed by the surgeon. Assists the surgeon with case, including providing retraction of tissue for optimal visualization and appropriate retraction instrument and/or technique, assists in maintaining hemostasis by direct pressure, use and application of appropriate surgical instrument for the task, placement of ties, placement of suture ligatures, application of chemical hemostatic agents, or other measure as directed by the surgeon. Uses electrocautery mono and bi-polar, clamp, ligate, and cut tissue per surgeon’s directive. Affords the surgeon the best possible exposure of the anatomy incident to the operation. Assists the surgeon in identifying any structure which should not be ligated and keeps these structures from the moves of the surgeon. Assists in closure of the incision including tying off bleeders, applying sutures and wound dressing and performs any and all tasks required of him/her by the surgeon incident to the particular procedure. Practices correct operating room etiquette. Evaluates and implements the plan of care. Possesses thorough understanding of appropriate instruments pertinent to the surgical case. Complies with all relevant statutes, regulations and institutional policies pertaining to the role of the first assistant. Works effectively and in harmony as part of the operative team. Applies principles of asepsis and infection control knowledgeably and skillfully. Recognizes changes in the patient’s condition. Recognizes potential emergency situations or surgical hazards and initiate preventative or corrective measures in a timely manner. Performs proficiently and calmly in all emergencies. Assists with resuscitation of patient during cardiac arrest or other life‑threatening events in the operating room. Responsible for case preparation to include schedule review, posting slip review to verify necessary equipment to be available and complete along with patient images and other necessary information. Working within scope of license, develops and implements nursing plan of care for patients. Communicates the plan of care to patients as prescribed by physician: test results, scheduling of specialized tests and treatment modalities, prescription drug instructions and other patient education. Documents treatment in medical record appropriately.

Essentials Functions

• Assists Physician by performing individualized surgical care management before, during and after surgery.
• Assists with the positioning, prepping and draping of the patient or perform these independently, if so directed by the surgeon.
• Assists the surgeon with case, including providing retraction of tissue for optimal visualization and appropriate retraction instrument and/or technique, assists in maintaining hemostasis by direct pressure, use and application of appropriate surgical instrument for the task, placement of ties, placement of suture ligatures, application of chemical hemostatic agents, or other measure as directed by the surgeon.
• Uses electrocautery mono and bi-polar, clamp, ligate, and cut tissue per surgeon’s directive.
• Affords the surgeon the best possible exposure of the anatomy incident to the operation.
• Assists the surgeon in identifying any structure which should not be ligated and keeps these structures from the moves of the surgeon.
• Assists in closure of the incision including tying off bleeders, applying sutures and wound dressing and performs any and all tasks required of him/her by the surgeon incident to the particular procedure.
• Practices correct operating room etiquette.
• Evaluates and implements the plan of care.
• Possesses thorough understanding of appropriate instruments pertinent to the surgical case.
• Complies with all relevant statutes, regulations and institutional policies pertaining to the role of the first assistant.
• Works effectively and in harmony as part of the operative team.
• Applies principles of asepsis and infection control knowledgeably and skillfully.
• Recognizes changes in the patient’s condition.
• Recognizes potential emergency situations or surgical hazards and initiate preventative or corrective measures in a timely manner.
• Performs proficiently and calmly in all emergencies.
• Assists with resuscitation of patient during cardiac arrest or other life‑threatening events in the operating room.
• Responsible for case preparation to include schedule review, posting slip review to verify necessary equipment to be available and complete along with patient images and other necessary information.
• Working within scope of license, develops and implements nursing plan of care for patients.
• Communicates the plan of care to patients as prescribed by physician: test results, scheduling of specialized tests and treatment modalities, prescription drug instructions and other patient education.
• Documents treatment in medical record appropriately.

Physical Demands And Work Environment

• Frequent physical demands include: Sitting, Standing, Walking, climbing (e.g., stairs or ladders), Carry objects, Push/Pull, Twisting, Bending, reaching forward, reaching overhead, Squat/kneel/crawl, Wrist position deviation, Pinching/fine motor activities, Keyboard use/repetitive motion
• Occasional physical demands include: Lifting Floor to Waist 15 lbs., Lifting Waist Level and Above 10 lbs.
• Continuous physical demands include: Lifting Floor to Waist 15 lbs., Lifting Waist Level and Above 10 lbs.
• Sensory Requirements include: Accurate Near Vision, Accurate Far Vision, Color Discrimination, Minimal Depth Perception, Minimal Hearing
• Anticipated Occupational Exposure Risks include: Bloodborne Pathogens, Chemical, Airborne Communicable Disease, Extreme Temperatures, Radiation, Uneven Surfaces or Elevations, Extreme Noise Levels, Dust/Particulate Matter.

Benefits

• Medical Plan
• Prescription drug coverage & In-House Employee Pharmacy
• Dental Plan
• Vision Plan
• Flexible Spending Account (FSA) - Healthcare
• FSA - Dependent Care
• FSA
• Retirement Savings and Investment Plan
• Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance
• Supplemental Group Term Life & Accidental Death & Dismemberment Insurance
• Disability Benefits – Long Term Disability (LTD)
• Disability Benefits – Short Term Disability (STD)
• Employee Assistance Program
• Commuter Transit
• Commuter Parking
• Supplemental Life Insurance - Voluntary Life
• Spouse - Voluntary Life
• Employee - Voluntary Life
• Child Voluntary Legal Services
• Voluntary Accident, Critical Illness and Hospital Indemnity Insurance
• Voluntary Identity Theft Insurance
• Voluntary Pet Insurance
• Paid Time-Off Program

The pay range listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining base salary and/or rate, several factors may be considered including, but not limited to location, years of relevant experience, education, credentials, negotiated contracts, budget, market data, and internal equity. Bonus and/or incentive eligibility are determined by role and level. The salary applies specifically to the position being advertised and does not include potential bonuses, incentive compensation, differential pay or other forms of compensation, compensation allowance, or benefits health or welfare. Actual total compensation may vary based on factors such as experience, skills, qualifications, and other relevant criteria.

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