RN, FIRST ASSIST ONA ( Job Number: 169835 )
Kaiser Permanente 2,818 reviews - Portland, OR

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Provides assistance to the surgical team during the intra-operative phase of surgical care for the Northwest Surgical Services region. Works in collaboration with the surgeon and health care team in the performance of surgical procedures, including assessment, planning, directing, providing and evaluating advanced nursing care. All RNFA's will participate in a regional on-call rotation to provide surgical assistance for elective, emergent and urgent surgical cases.

Essential Functions:
Representative Functions or Duties
Practice standards of performance:
• Pre-operative:
• Performs pre-operative assessment & evaluation
• Collaborates w/ the surgical team on plan of care
• Intra-operative:
• Provides knowledge based technical assistance to the surgeon during the operative procedure according to AORN standards, licensure, state regulation & facility/practice protocols, including:
• Using instruments & medical devices
• Providing surgical exposure
• Handling &/or cutting tissue
• Providing hemostatis, clamp, cut & ligate tissue as directed by the surgeon
• Suturing as directed by the surgeon
• Post-Operative
• Evaluates the patient post-operatively according to facility protocols
• Assessment Standard of Performance & Planning:
• Communicates information so that continuity of care is maintained.
• Communicates w/ patient, family & other staff in a professional & courteous manner
• Obtains & demonstrates the skills & knowledge needed to provide appropriate population based & culturally sensitive care to patients & families through education, training & experience
• Provides continuous reassessment through the intra operative period
• Utilizes knowledge of type of procedure to plan for appropriate set up
• Practice standards of performance:
• Function as an assistant in all surgical specialties at the direction of the attending surgeon
• Performs RNFA responsibilities in accordance w/ the Nurse Practice Act of the State of Oregon, institutional policies & procedures of KP & the AORN Position Statement on RN First Assistants
• Practice w/in limitations of preparation & experience
• Demonstrate RNFA specific clinical skills
• Review & update skills checklist on an ongoing basis as specified by policies of KP
• Intra operative nursing behaviors include:
• Handling tissue
• Providing exposure
• Using instruments
• Clamp, cut & legate as directed by the surgeon
• Providing homeostasis
• Suturing as directed by the surgeon
• Assists with room preparation in collaboration w/ the Circulating Nurse & scrub person
• Brings patient X-rays into room NOTE: Notifies Charge Nurse or designee if films are not available
• Assists in patient transport to the operating room & patient transfer to the operating room table
• Provides assistance to Anesthesia during induction
• Participates in pre-op briefing time out process
• Assists in patient position
• Assists in patient preparation, i.e., prepping, catheterization, shaving, as necessary
• Assists in patient draping
• Sets up ESU, lights, suction for the sterile field
• Monitors free counted items on the sterile field
• Observes for breaks in sterile technique & takes appropriate action as necessary
• Assists w/ instrumentation & equipment as requested
• Applies dressings & secures drainage tubes
• Assists w/ patient transfer & positioning post operatively
• Assists w/ room tear down & turn over in collaboration w/ the Circulating Nurse & scrub person
• May perform pre & post-operative patient education as designated
• Review chart for pertinent data
• Assist in maintaining a safe environment & promoting efficiency in surgical procedures
Basic Qualifications:
Two (2) years of peril-operative scrubbing and circulating experience
• One (1) year of practice as an RNFA
• Certification of Completion from AORN recognized RNFA course
• Current Oregon RN license
• Basic Life Support (BLS) for Healthcare Providers
Preferred Qualifications:
Two (2) to five (5) years of practice as an RNFA preferred
• CRNFA certification preferred
• ACLS preferred
Salary Range: $36.41 - $52.36

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