Cardiac Surgery First Assistant

3 weeks ago


Edgewood, Maryland, United States St. Elizabeth Healthcare Full time
Job Summary:

The RNFA-Cardiac functions interdependently with the surgeon and applies in-depth knowledge, expert skill, and clinical judgment in assisting the surgeon with performing complex surgical procedures. The professional nurse provides evidence-based nursing care utilizing the nursing process to meet the surgical needs of the patient in the perioperative setting. The RNFA is responsible for appropriately delegating tasks to other licensed/unlicensed health care team members as deemed appropriate by training and education. The RNFA-Cardiac collaborates with multidisciplinary healthcare team members when providing nursing care.

Key Responsibilities:

  • Assist surgeon with sternal wiring, placement of chest tubes, and hemostasis.
  • Under the direction of the surgeon, harvests saphenous vein(s), places drains, and performs wound closure.
  • Provides hemostasis and wound exposure, handles tissue to reduce the potential for injury, sutures tissue, and applies dressings to the wound.
  • Uses advanced surgical instruments consistent with their design and purpose for complex cardiac surgical procedures.
  • Assists surgeon with tissue dissection and exposure through appropriate use of instruments/retractors/suctioning/sponging techniques.
  • Assists surgeon with clamping blood vessels, coagulating bleeding points, ligation of vessels, sternal wiring, and wound closure.
  • Under direction of surgeon, independently harvests saphenous vein(s) for bypass procedures.
  • Assists surgeon with cannulation and decannulation utilizing various techniques.
  • Under direction of surgeon, independently places drains in leg incision and performs suturing/closure of deep tissue and skin.
  • Assists with postoperative transport of patient and effectively communicates pertinent information to receiving unit personnel.
  • Effectively communicates with patient family/significant other in a professional manner.
  • Demonstrates excellent interpersonal and communication skills that enhance team functioning in the operating room.
Requirements:

  • Graduate of an accredited school of nursing.
  • Current registration to practice nursing in the state where work is being performed.
  • Meets contact hour requirements for licensure, including all state-required courses.
  • Successful completion of RNFA program and internship that meets AORN's Standards for RN First Assistant Programs criteria.
  • Basic Cardiac Life Support (BCLS) required.
  • CNOR required and maintained as current status.
Specialized Knowledge:

Expert knowledge of anatomy and physiology, surgical procedures and instrumentation, and operative techniques specific to cardiac procedures. Knowledge of suture, suturing techniques and wound closure. Knowledge of tissue dissection and exposure. Knowledgeable regarding clamping blood vessels, coagulating bleeding points, ligation of vessels, saphenectomy procedures, and placement of drains. Knowledge of various cannulation and decannulation techniques. Knowledge of intra-aortic balloon pump and ventricular assist device insertion techniques. Competent in mathematical calculations associated with medication administration

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