RN, First Assistant -RNFA

Talented Medical Solutions; Bakersfield (CA); On-site; USD 110,000 - 150,000; Full time

Job summary

Talented Medical Solutions is seeking an experienced Operating Room Nurse First Assistant (RNFA) in Bakersfield, CA. You will coordinate patient care with the surgeon, anesthesiologist and OR staff and serve as a first assistant during incisions, excisions and repairs.

The requirements include RN licensure in the state, CNOR; CPR/BLS; ACLS; CRNFA preferred. AORN membership preferred. The role includes on-call duties, weekend coverage and 24/7 unit operations within a 254-bed hospital setting.

Qualifications

• RN license in the state of practice is required.
• CNOR certification is required for the role.
• CRNFA certification is preferred but not mandatory.

Responsibilities

• Performs circulating and scrubbing duties in the OR.
• Confirms surgical site before induction of anesthesia.
• Assists with tissue handling, vessel ligation and wound closure.
• Maintains sterile field and aseptic technique throughout procedures.
• Documents patient data and care plans.

Skills

Surgical assistance

Aseptic technique

Team coordination

Communication

Education

RN licensure (state practice)

CNOR certification

CRNFA certification (preferred)

Tools

Cerner Surginet

Epic

Job description

In-Office | Bakersfield, CA, United States

10 hours mid-shift. 0630-5 pm. Call Schedule - Weekday end of shift till 11 pm at least 1 day a week. At least 1 continuous weekend (Friday-Monday 6:30 am) per 6-week period. On call: weekday 2-3 weekdays. Weekend Fri-Sunday- minimum of 1 weekend.

Central to all that California has to offer, 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) certification or Basic 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.

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:

Our facility 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.

"Hospital Total Bed Count: 240 Unit Bed Count: 8 ORs Staffing on Unit: 0630-2300- on call staff after 2300 Days: 35 Nights: 1700-2300 – 18 will taper down staff after 9pm Weekends: 6 Call Required? at least 1 per week (end of shift -11PM) ; weekend(Friday-Sunday) at least 1 weekend for 6 schedule week Floating to other units Required? Yes, if needed. Float to other AH surgery area around. AHDL, AHTV, OPSC and AHSB Weekend Coverage Required? Only for on call Medication System: Pyxis EMR System: Cerner(Surginet) but going to Epic on (/1/2026 Lift Teams: We use of Perioperative Assistant and other staff in the OR Pharmacy Hours: 24/7 Phlebotomy available on unit? 24/7 Transport Team: 0630-11pm Unit Secretary on Unit: none Special Equipment Used on This Unit: Hannah table, O-Arm, Medtronic Stealth, Jackson Table, Mako System Special Procedures Performed on This Unit: Davinci Procedure, MIS lumbar cases, Open Heart cases Scrubs: Provided. Staff comes in with street clothes or scrubs but they need to change in the unit for surgical scrubs. They need to change out to street clothes if staff goes out the building"