***10000.00 Sign On Bonus***

PRIMARY FUNCTION:
To assist the surgical team under the direction of aprofessional nurse implementing skilled nursing care for neonatal pediatric adolescent
adult and geriatric patients undergoing surgical procedures. In the First Assist function to provide aid in exposure hemostasis closure
and other intraoperative technical functions that help the surgeon carry out a safe operation with optimal results for the patient. The CSFA
performs these functions during the operation under the direction and the supervision of the surgeon and in accordance with hospital policy.
In addition to intraoperative duties the CSFA also performs preoperative and postoperative duties to better facilitate proper patient care.

PRINCIPAL DUTIES ANDRESPONSIBILITIES:

• Performs assigned procedures for comfort and wellbeing for pediatric adolescent adult and geriatric patientsdemonstrating a concern for safety.
• Assists in updating physician reference sheets.
• Participates in the nursing care plans functioning as an effective team member.
• Demonstrates ability to scrub on all procedures minor to major.
• Communicates effectively to patients families employees and physicians utilizing both written and verbal
• communication skills.
• Responds appropriately to crisis situations as outlined in unit specific standards initiates interventions within scope of responsibility; notifies RN.
• Maintains required credentials ofBCLS and mandatory inservice patients.
• Demonstrates skills and knowledge necessary to provide care appropriate to neonatal pediatric adolescent
• adult and geriatric patients including knowledge of growth and development the ability to obtain and interpret information to identify patient needs and provide the care needed.
• Performs assigned work safely adhering to established departmental safety rules and practices.
• Reports to supervisor in a timely manner any unsafe activities conditions hazards or safety violations that may cause injury to oneself other employees patients and visitors.
• Performs other related duties as required.
• Acts upon surgeon request and under direct supervision of surgeon CSFA may perform the following: Appropriate placement and securing of retractors with or without padding; Packing with sponges; Digital manipulation of tissue; Suctioning irrigating or sponging & Manipulation of suture materials (e.g. loops tags running sutures)
• Assists with hemostasis by: Clamping and/or cauterizing vessels or tissue; Tying and/or ligating clamped vessels or tissue; Applying hemostatic clips; Placing hemostatic agents; Applying tourniquets; Applying vessel loops; Applying noncrushing clamps & Applying direct digital pressure.
• Assists with closure of body planes: Utilizing running or interrupted subcutaneous sutures with absorbable or nonabsorbable material; Utilizing subcuticular closure technique with or without adhesive skin closure strips; Closing the skin with method indicated by surgeon (suture staples etc. & Postoperative cutaneous injection oflocal anesthetic agent.
• Selects and apply appropriate wound dressings including liquid or spray occlusive materials absorbent material affixed with tape or circumferential wrapping or immobilizing dressing (soft or rigid).
• Provides assistance in securing drainage systems to tissue.

SCOPE PURPOSE AND FREQUENCY OF CONTACTS:
Daily contact with patients employees physicians and students. Contact at various time intervals with families visitors community agencies companies as well as general public.

DIRECTION/SUPERVISION OF OTHERS:

Gives direction to PPCTs SAIVs support service personnel and at various tirne intervals assists in direction of new staff RNs and STs.

DIRECTION/SUPERVISION RECEIVED:
Directly reports to Nurse Manager; receives supervision also from PCCs and direction from staff RNs. Practices under the direct supervision of the surgeon.

SHIFT/HOURS:

• Primarily Day Shift: MF
• OnCall responsibility on Weekends and Holidays
• Shift will be 410s

EDUCATION AND EXPERIENCE REQUIREMENTS:

• High school diploma or equivalent. Graduate of an accredited surgical technologist program; or minimum 2 year ORT experiencepreferred. Graduate of an accredited Surgical Assistant Program.
• An equivalent combination of education and experience may be substituted.

KNOWLEDGE SKILL AND ABILITY REQUIREMENTS:

• Knowledge skills and abilities related to scrub responsibilities for the care of the neonate pediatric
• adolescent adult and geriatric patient in the OR.
• knowledge skills and abilities related to the handling of instruments/equipment in the OR.
• Knowledge skills and abilities related to aseptic techniques.
• Knowledge skills and abilities related to neonatal pediatric adolescent adult and geriatric patient safety in delivery of care in the OR.
• Knowledge of nursing care provided for specific patient population of unit.
• Knowledge ofCCHS and departmental policies/procedures and CPGs.
• Knowledge ofCCHS Core Values.
• Knowledge ofperformance improvement purpose and process.
• Ability to act independently within established procedures and protocols.
• Ability to perform specific unit tasks as assigned by the RN.
• Ability to effectively respond to patient crisis situations as outlined in protocols under the direction of an RN.
• Ability to exercise judgement tact and diplomacy.
• Ability to perform required technical skills as outlined in procedures and protocols demonstrating use of appropriate safety measures forpatient employees and self.
• Ability to perform standard precautions.
• Ability to make decision utilizing sound judgement.
• Ability to maintain patient confidentiality.
• Ability to collect data enter data into computerized information system using a keyboard and light pen and retrieve patient careinformation.

SPECIAL REQUIREMENTS:
Certification by an approved certification body such as AST or CST. BCLS certification.

PHYSICAL DEMANDS:
Ability to stand walk sit bend lift push pull carry reach twist handle stoop climb as per unit based Physical Demands Checklist.

WORKING CONDITIONS:
Frequent exposure to biological chemical and environmental elements as per unit based Physical Demands Checklist.

Christiana Care Health System is an equal opportunity employer firmly committed to prohibiting discrimination whose staff is reflective of its community and considers qualified applicants for open positions without regard to race color sex religion national origin sexual orientation genetic information gender identity or expression age veteran status disability pregnancy citizenship status or any other characteristic protected under applicable federal state or local law.