Surgery RN RNFA - Per Diem*

Carson Valley Health; Gardnerville (NV); On-site; USD 55,000 - 83,000; Part time

Job summary

Carson Valley Health in Nevada requires a trained RNFA to support surgical teams as a First Assistant. The role emphasizes collaboration with surgeons to achieve safe operations and optimal patient outcomes, without replacing the scrub nurse function.

Requirements include CNOR-ready RN license, completion of an RNFA program, and BLS/ACLS. Per diem status applies with 15% uplift to hourly rate and flexible scheduling.

Qualifications

• RNFA program meets AORN education standards and CBPN acceptance criteria.
• CNOR and RN licensure maintained with required CE.
• BLS and ACLS certification and ongoing proficiency in perioperative nursing.

Responsibilities

• Perform RNFA responsibilities under the nurse practice act and AORN guidelines.
• Assist in surgical procedures as an RN First Assistant under surgeon direction.
• Maintain patient safety, environment, and efficient intraoperative flow.
• Document nursing care and medication administration accurately within policy.

Skills

RNFA knowledge

Effective communication

Acute care nursing

Intraoperative tissue handling

Intraoperative hemostasis

Aseptic technique

Education

RNFA program completion

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

2 Attachments

3 days ago Requisition ID: 3248

*IMPORTANT NOTE: In lieu of benefits due to "per diem" status, 15% will be added to the hourly rate. Per diem employees are offered work on an "as-needed" basis.

POSITION SUMMARY:

Performs RNFA responsibilities in accordance with the Nurse Practice Act of the State of Nevada, institutional policies and procedures of this facility, and the AORN Position Statement on RN First Assistants. The RNFA practices in collaboration with the surgeon and the health care team in performing a safe operation with optimal outcomes for the patient. The RNFA does not concurrently function as the scrub nurse.

POSITION REQUIREMENTS:

• Successful completion of an RNFA program that meets the AORN Recommended Education *Standards for RNFA Programs and the criteria for the CBPN Acceptance Program.

License Required

• Current NV Nursing license.
• Must maintain CNOR and RN Licensure with the required amount of Continuing Education.

Certification Required

• Certified as a CNOR.
• CRNFA certification preferred after meeting eligibility requirements for exam.
• BLS and ACLS required.
• Demonstrated proficiency in acute care nursing, knowledge, and skills.
• Ability to communicate effectively.
• 'Must show initiative, maturity, and effectiveness in dealing with people.
• Appreciation of and desire to be part of a healthcare team.

POSITION ESSENTIAL FUNCTIONS:

Knowledge

• Practice within limitations of preparation and experience. Demonstrates knowledge of hospital policies and procedures for the following:
• Intraoperative Tissue Handling.
• Intraoperative Homeostasis.
• Intraoperative Retracting.
• Intraoperative Wound Closure.

RNFA

• Perform RNFA responsibilities in accordance with the Nurse Practice Act of the State of Nevada, institutional policies and procedures of this facility, and the AORN Position Statement on RN First Assistants.
• Demonstrate RNFA specific clinical skills. Intraoperative nursing behaviors may include:
• handling tissue.
• providing exposure.
• using instruments.
• suturing and tying.
• providing hemostasis.
• Function as an assistant in all surgical specialties at the direction of the attending surgeon.
• May perform pre and post-operative patient education as designated.
• Review chart for pertinent data.
• Assist in maintaining a safe environment and promoting efficiency in surgical procedures.

Judgment

• Demonstrates the skills and judgment necessary to implement medical plan of care, nursing interventions and procedures as necessary for the care of the patient.
• Demonstrates knowledge of hospital policies and procedures for administering, transcribing, and recording medications.
• Demonstrates knowledge of commonly used meds: action, dose, and side effects.
• Observes 10 rights of medication administration: right med, right dose, right time, right route, right patient, right education, right documentation, right to refuse, right assessment, right evaluation. (policy 105.724).
• Demonstrates proper procedures in all methods of medication administration.
• Initiates and maintains IV access according to hospital policy and procedures.
• Identifies priorities and executes nursing care accordingly.
• Provides emotional support and comfort measures.
• Gives information or explanation to patients and their families.
• Applies and monitors principles of aseptic technique throughout the intraoperative period,
• Acts as a scrub/circulating nurse during the intraoperative phase.
• Assures safe transfer/transport of patient to and from operating room.
• Performs sponge, needle, and instrument counts according to policy and procedure.
• Ensures safety of patients during the use of electrical equipment.
• Preps the surgical site using aseptic technique.
• Correctly collects and accurately labels specimens.
• Confines and contains sources of contaminations.
• Revises physician’s preference cards and communicates changes to appropriate personnel.

Documentation

• Maintains up to date accurate documentation of nursing care provided to assure the integration of information for use by the health care team, to ensure quality care.
• Nursing assessment is complete and accurate during pre-operative and post-operative phase of admission per policy.
• Medication administration record must reflect full documentation by nurse administering med, time given, reason for omission, and site for injection (if applicable).
• Demonstrates proper access, documentation of narcotics in the Pyxis and EMR.
• Accurately and promptly documents unusual occurrences noted during the perioperative phase.

CARSON VALLEY HEALTH IS PROUD TO BE RECOGNIZED AS A FINALIST IN THE

"BEST PLACES TO WORK" - NORTHERN NEVADA, 2021, 2022, 2024, 2025 & 2026!

WE LOOK FORWARD TO WELCOMING YOU TO OUR TEAM!!

Surgery RN RNFA - Per Diem*

*IMPORTANT NOTE: In lieu of benefits due to "per diem" status, 15% will be added to the hourly rate. Per diem employees are offered work on an "as-needed" basis.

POSITION SUMMARY:

Performs RNFA responsibilities in accordance with the Nurse Practice Act of the State of Nevada, institutional policies and procedures of this facility, and the AORN Position Statement on RN First Assistants. The RNFA practices in collaboration with the surgeon and the health care team in performing a safe operation with optimal outcomes for the patient. The RNFA does not concurrently function as the scrub nurse.

POSITION REQUIREMENTS:

Minimum Education

• Successful completion of an RNFA program that meets the AORN Recommended Education *Standards for RNFA Programs and the criteria for the CBPN Acceptance Program.

License Required

• Current NV Nursing license.
• Must maintain CNOR and RN Licensure with the required amount of Continuing Education.

Certification Required

• Certified as a CNOR.
• CRNFA certification preferred after meeting eligibility requirements for exam.
• BLS and ACLS required.

Minimum Work Experience

• Demonstrated proficiency in acute care nursing, knowledge, and skills.
• Ability to communicate effectively.
• 'Must show initiative, maturity, and effectiveness in dealing with people.
• Appreciation of and desire to be part of a healthcare team.

POSITION ESSENTIAL FUNCTIONS:

Knowledge

• Practice within limitations of preparation and experience. Demonstrates knowledge of hospital policies and procedures for the following:
• Intraoperative Tissue Handling.
• Intraoperative Homeostasis.
• Intraoperative Retracting.
• Intraoperative Wound Closure.

RNFA

• Perform RNFA responsibilities in accordance with the Nurse Practice Act of the State of Nevada, institutional policies and procedures of this facility, and the AORN Position Statement on RN First Assistants.
• Demonstrate RNFA specific clinical skills. Intraoperative nursing behaviors may include:
• handling tissue.
• providing exposure.
• using instruments.
• suturing and tying.
• providing hemostasis.
• Function as an assistant in all surgical specialties at the direction of the attending surgeon.
• May perform pre and post-operative patient education as designated.
• Review chart for pertinent data.
• Assist in maintaining a safe environment and promoting efficiency in surgical procedures.

Judgment

• Demonstrates the skills and judgment necessary to implement medical plan of care, nursing interventions and procedures as necessary for the care of the patient.
• Demonstrates knowledge of hospital policies and procedures for administering, transcribing, and recording medications.
• Demonstrates knowledge of commonly used meds: action, dose, and side effects.
• Observes 10 rights of medication administration: right med, right dose, right time, right route, right patient, right education, right documentation, right to refuse, right assessment, right evaluation. (policy 105.724).
• Demonstrates proper procedures in all methods of medication administration.
• Initiates and maintains IV access according to hospital policy and procedures.
• Identifies priorities and executes nursing care accordingly.
• Provides emotional support and comfort measures.
• Gives information or explanation to patients and their families.
• Applies and monitors principles of aseptic technique throughout the intraoperative period,
• Acts as a scrub/circulating nurse during the intraoperative phase.
• Assures safe transfer/transport of patient to and from operating room.
• Performs sponge, needle, and instrument counts according to policy and procedure.
• Ensures safety of patients during the use of electrical equipment.
• Preps the surgical site using aseptic technique.
• Correctly collects and accurately labels specimens.
• Confines and contains sources of contaminations.
• Revises physician’s preference cards and communicates changes to appropriate personnel.

Documentation

• Maintains up to date accurate documentation of nursing care provided to assure the integration of information for use by the health care team, to ensure quality care.
• Nursing assessment is complete and accurate during pre-operative and post-operative phase of admission per policy.
• Medication administration record must reflect full documentation by nurse administering med, time given, reason for omission, and site for injection (if applicable).
• Demonstrates proper access, documentation of narcotics in the Pyxis and EMR.
• Accurately and promptly documents unusual occurrences noted during the perioperative phase.

CARSON VALLEY HEALTH IS PROUD TO BE RECOGNIZED AS A FINALIST IN THE

"BEST PLACES TO WORK" - NORTHERN NEVADA, 2021, 2022, 2024, 2025 & 2026!

WE LOOK FORWARD TO WELCOMING YOU TO OUR TEAM!!

Per Diem positions have no guaranteed hours or set schedule. 1 shift of availability per pay period. Call: 1 weeknight per month and 2 weekend days per month. Holidays: 1 summer & 1 winter.

Attachments (2)

SURGERY - RNFA.docx

CVH Standards of Behavior Final 032323.pdf