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Registered Nurse First Assistant
2 months ago
OrthoNY is seeking an experienced and dedicated RN First Assistant to join our Ambulatory Surgery Center team. This position offers a unique opportunity to work in a dynamic, patient-focused environment with a strong emphasis on work-life balance. You’ll have access to ongoing professional growth and learning opportunities while working alongside skilled orthopedic surgeons in a collaborative atmosphere.
If you're looking for a rewarding role where you can enhance your expertise and thrive, OrthoNY is the place for you
General Description
Performs first assistant responsibilities under the direction of the surgeon. Delivers direct/indirect patient care utilizing the nursing process through data collection and assessment; implementation and prioritization of patient’s problems and needs; and development/implementation/evaluation of a nursing plan of care. Demonstrates critical thinking to assure the delivery of safe, quality, age-specific care. Delegates effectively to appropriate team members. Documents accurately and in a timely manner. Adheres to organizational policies and procedures; regulatory/accrediting body requirements; and professional practice standards. Care will be provided to patients of all ages, from infants to geriatrics.
Responsibilities
- Assist the surgeon throughout the perioperative experience;
- Perform effectively in emergency and stressful situations;
- Demonstrate proficiency in perioperative nursing practice as both a scrub nurse and a circulating nurse;
- Demonstrate appropriate Intraoperative first assisting skills by:
- Providing exposure/retraction in the operating field
- Handling and/or cutting tissue (scissors/electrosurgical devices)
- Providing hemostasis via
- Electrosurgery – direct and through an instrument
- Bipolar electrocautery
- Clamps/clips
- Pressure/sponging/suctioning
- Suture ligatures
- Collagens/cellulose
- Bone wax
- Topical hemostatic agents
- suturing
- knot tying
- cutting suture materials
- would closure
- would approximation
- subcuticular closure
- skin closure
- staples
- affix, stabilize and secure drains
- Demonstrate appropriate Intraoperative first assisting skills by:
- Assist other team members in the set-up, clean-up, and turnover of operating rooms;
- Prepare and administer medications;
- Transport, move, or position patients on the operating table;
- Deliver safe nursing interventions in an organized, efficient, and prioritized manner;
- Recognize safety hazards and initiate appropriate preventive and corrective action;
- Provide exposure/retraction, handle/cut tissue, provide hemostasis, suturing, and wound closure;
- Apply surgical dressings and remove drains in the PACU upon written order of the surgeon;
- Evaluate/re-evaluate patient’s response to nursing interventions and progress;
- Collaborate and communicate effectively with team members;
- Update and revise surgeon preference cards;
- Assist in the orientation and training of new and tenured personnel;
- Participate in disaster/emergency procedures and Time Outs;
- Maintain sterile field integrity;
- Assume responsibility and accountability for individual knowledge, skills, performance, and behavior in accordance with hospital, division and unit standards of care and policies and procedures;
- Demonstrate infection control principles and use personal protection equipment appropriately;
- Participate in staff meetings, educational programs, committees, QI activities, and mandatory in-services;
- Control costs through the judicious use of human and material resources;
- Perform other duties as assigned.
Skills and Qualifications
- Graduate of an accredited program for nursing education; BSN preferred;
- Current unrestricted licensure to practice professional nursing in New York State;
- Current CPR (BLS) certification required;
- ACLS and PALS certification required or obtained within 6 months of hire;
- Minimum 2 years of perioperative nursing experience in both scrub and circulating roles;
- Successful completion of an RNFA program and internship/clinical hours meeting AORN standards; CRNFA certification required;
- Knowledge of surgical anatomy, physiology, pathophysiology, and operative technique.
- Successful completion of mandatory requirements including unit proficiencies/competencies;
- Proficient in Microsoft Office Suite;
- Effective verbal and written communication skills
Other Information
- Reliable transportation required.
- Heavy lifting: frequent lifting of up to 100 pounds with assistance and carrying objects weighing up to 50 pounds.
- Type of position: Full Time
- FLSA Status: Non-Exempt