RNFA Sr, Registered Nurse First Assist Senior - Cardiovascular Surgery in Tyler, TX

Job Description

Summary:

The RNFA is a perioperative RN who works in collaboration with the surgeon and health care team members to achieve optimal patient outcomes. The RNFA must have acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA practices at the direction of the surgeon and does not concurrently function as a scrub nurse. 

Responsibilities:

  • Demonstrates effective management of surgical patient care delivery byutilizingthe nursing process. Completes and documents patient assessments and reassessments according to policy and procedure. Initiates, updates, and communicatesan appropriate multi-disciplinary plan of carebaseonidentifiednursing diagnosis and patient needs. Evaluates patient response to care and documents appropriately.  
  • Creates andmaintainsa sterile field using principles of aseptic practice. Monitorsmovementof surgical team in and around the sterile field. Initiatesappropriate correctiveaction when breaks in technique occur. Demonstrates knowledge of prepping and draping techniques for various procedures. Performs hand washing techniques according to established policies.  
  • Provides surgical equipment and supplies based onage appropriatepatient needs. Demonstrates efficient use of time andmaintainsturnover to a minimum. Assures all equipment is functioning properly beforeuseandoperatesequipment according to manufacturers’ guidelines and CSHS protocol. Participates in the annual skills fair. 
  • Performs sponge, sharps, and instrument counts according to policy. Initiatesappropriate correctiveaction for incorrect counts. Communicates and documents results of counts. Insuresall instrument count sheets are completed and returned to the SPD.  
  • Monitors and controls the environment tomaintainpatient and associate safety by adhering to safety policies,maintainingtraffic patterns,maintainingenvironmental controls for temperature and humidity, andassistinganesthesia as needed.  
  • Administers and documents medications according to CHSB policy. 
  • Demonstrates accountability by practicing within ethical and legal guidelines. Exercises safe judgment in decision-making. Demonstrates flexibility and adaptability to changes in nursing practice andremainsup-to-dateon such changes.  
  • Delegates tasks and functions according to applicable laws, regulations, and standards, taking into consideration the competency of the assignee. 
  • Participates in associate and patient/family teaching byidentifyingteaching needs and readiness to learn. Communicates needs,determinesteaching effectiveness, and documents appropriately. 
  • Demonstrates ability to plan and implement safe patient positioning using knowledge of the physiological effects of various surgical positions. 
  • Demonstrates knowledge of sterilization techniques bydeterminingtheappropriate methodof sterilization for instruments and supplies. Operates sterilization equipment safely and  
  • according topolicy. Documentsnecessarypatient information and verification of flash sterilization parameters according to policy. 
  • Competently handles specimens accurately and according to policy and procedure. 
  • Participates in and documents the Universal Protocol/Time-Out process according to policy. 
  • Demonstratesaccurateinventory management throughaccuratedocumentation of supply usage on the preference sheet andaccurateuse of the supply andpharmacypyxis machines. 
  • Remains updated to changes in the surgical schedule to ensure proper instrumentation and supplies are readily available for use as needed.  
  • Exercises safety precautions with high-risk equipment/supplies such as electrosurgical units, light sources, lasers, and other technology. Follows safety protocols to minimize risks to  
  • patientsand associates. Keeps abreast ofpatient’scondition at all times during the procedure. 
  • Fosters a collaborative environment and recognizes the value of each provider’s contribution to the comprehensive care of the perioperative patient. 
  • Demonstrates competency to provide the duties and responsibilities as a first assistant including but not limited to using instruments/medical devices, providing exposure, handling and/or cutting tissue, providing hemostasis, and suturing. See RNFA/NP Job Description  

Requirements:

Education/Skills 
  • Successful completion of an RNFA program that meets the “AORN standards for RN first assistant education programs” and is accepted by the Competency and Credentialing Institute (CCI).  
Experience 
  • At least5years of OR experience required including both scrubbing and circulating. 
  • Previous OR experience required for members of the CV team. 
Licenses, Registrations, or Certifications 
  • Current RN license required. 
  • BLS Certification required. 
  • ACLS Certification required. 
  • CNOR required, CRNFA or currently working on eligibility for certification.

Work Schedule:

PRN

Work Type:

Per Diem As Needed


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Job Attributes

Job ID

311088

Job Title

RNFA Sr, Registered Nurse First Assist Senior - Cardiovascular Surgery

Job Type

PRN

Schedule / Shift

PRN

Job Category

Nursing

Location

Tyler, TX

RNFA Sr, Registered Nurse First Assist Senior - Cardiovascular Surgery

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