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Registered Nurse First Asst - Surgery - Full Time (1.06) - Day

Department:  SURGERY (CC 5010142)
Job Summary
Under the general supervision and direction of the Nurse manager or designated Charge Nurse, works in collaboration with the surgeon and other health care team members to achieve optimal patient outcomes.  The RN First Assist will have acquired the necessary knowledge, judgment and skills specific to the expanded role of RNFA clinical practice; intraoperatively practices at the direction of the surgeon; and does not concurrently function as a scrub person.  
     
Core Job Responsibilities
1 Assessment - Collects patient health data relevant to the operative or invasive procedure throughout the perioperative continuum.  Preoperatively performs a focused nursing assessment in reference to planned procedure.  Intraoperatively assesses patient, wound, and sterile field.  Monitors and assesses patient's postoperative status to determine progress toward expected outcomes or signs and symptoms of postoperative complications.
2 Diagnosis - Analyzes the assessment data to determine nursing diagnosis.  Formulates and modifies nursing diagnoses based on relevant patient data throughout the perioperative continuum s applicable to RNFA interventions.
3 Outcome Identification - Identifies and communicates desired patient outcomes throughout the perioperative continuum.  Establishes individualized outcomes in collaboration with patient, designated support person or health care providers based on the identified nursing diagnoses as applicable to RNFA interventions.
4 Planning - Develops and manages an individualized plan of care that directs the interventions of the RNFA.  Establishes individualized outcomes in collaboration with patient, designated support person or health care providers based on the identified nursing diagnoses as applicable to RNFA interventions.  Analyzes and modifies poster operative patient outcomes compared to baseline nursing assessment.
5 Implementation - Implements, manages, and coordinates the perioperative plan of care related to RNFA interventions.  Coordinates and manages patient care throughout the perioperative continuum consistent with RNFA practice.  Delegates tasks and functions according to organizational policy, applicable laws, regulations, and standards, taking into consideration the competency of the assignee.  Applies nursing knowledge as the basis for effective problem solving and decision making when providing perioperative patient care.  Verifies operative procedure, surgical site, and laterality.  Participates in positioning the patient in collaboration with the surgeon, anesthesia professional, and other members of the perioperative team.  Functions as first assistant to the primary surgeon during operative or other invasive procedures and throughout the perioperative continuum in accordance with scope of practice, credentials, privileges, education and experience.  Minimizes the length of the operative or invasive procedure and maximizes surgeons's efficiency of movement within the surgical wound.  Implements and maintains sterile technique to prevent patient exposure to microorganisms and other particulates.  Protects patient from thermal, electrical, chemical, or mechanical injury throughout the perioperative continuum.  Implements homeostasis techniques.  Implements measures to prevent injury related to retained surgical items.  Makes postoperative rounds in conjunction with or at the direction of the surgeon as determined by health care organization policy and guidelines of practice.  Provides individualized patient, designated support person, or health care provider education regarding identified needs related to RNFA interventions.
6 Evaluation - Evaluates patient progress towards attaining outcomes.  Conducts a systematic and ongoing evaluation measuring the effectiveness of RNFA interventions in relation to achieving identified outcomes.  Involves the patient, designated support person, and health care providers in the evaluation process whenever possible.
7 Quality of Practice - Systematically evaluates quality of nursing practice.  Participates in quality monitoring and performance improvement activities to improve patient outcomes related to RNFA practice.  Participates in professional activities directed toward improving patient care.
8 Education - Seeks out and participates in learning opportunities.  Acquires and maintains specialized knowledge and skill in perioperative nursing practice.  Builds upon the knowledge base and skill level of an assistant at surgery through experiential learning and ongoing education.
9 Professional Practice Evaluation - Evaluated their practice in context with current professional practice standards, rules, and regulations.  Practices first assisting in accordance with professional standards, state and federal laws and regulations, and accreditation standards.  Complies with healthcare organization policies related to RNFA practice and provides care consistent with facility policies and procedures.  
10 Collegiality - Interacts with, and contributes to the professional growth of peers, colleagues, and other.  Serves as educator, mentor, consultant, and resource to colleagues and other health care professionals in relation to RNFA activities.
11 Collaboration/Consultation - Works as a professional colleague with the perioperative team and collaborates with the patient, designated support person, and other health care providers when making decisions to plan care.  In collaboration with the patient, the RNFA communicates the individual patient needs to members of the healthcare team.  Includes the patient and designated support person or care provider in decision making when providing care related to RNFA activities.  Influences multidisciplinary relationships by enhancing collaborative processes, "corporate culture," institutional values, and professionalism.
12 Ethics - Practices in an ethical manner using available resources to formulate ethical decisions.  Practices as an RNFA according to the "ANA Code of Ethics for Nurses with Interpretive Statements".
13 Research - The RNFA incorporates research findings into practice.  Uses evidence-based practices relevant to perioperative patient care management and RNFA practice.
14 Resource Utilization - Considers factors related to safety, effectiveness, efficiency, the environment, and the cost in planning, delivering, and evaluating patient care.  Considers health care access, fiscal responsibility, efficacy, and quality when providing RNFA related nursing care.  Advocates for technical advances in clinical care to increase efficiency and improve outcomes.
15 Leadership - Provides leadership in the profession and professional practice setting.  Supervises peers, colleagues, allied health personnel, and support team members as assigned.  Participates in ongoing quality improvement activities.  Advocates for advances in perioperative nursing by participating in professional nursing organizations.
16 Advocacy - Advocates for individuals and groups related to perioperative health safety.  Advocates for a culture of safety for patients and perioperative team members in the workplace.  Advocates for patient rights.
     
Education Requirements
Required Licensed as a Registered Nurse with the State of New York.  Current ACLS certification.   Graduate of a recognized RNFA program.
Preferred CRNFA certification
     
Licensure /Certification Registration Requirements
Required Licensed as a Registered Nurse with the State of New York
Required Current ACLS certification
Required Graduate of recognized RNFA program  
Required Experience
Preferred CRNFA certification


Nearest Major Market: Utica