OR Register Nurse First Assist, Clackamas

Position Title: OR Registered Nurse - First Assist (Confidential Client)
Location: Happy Valley OR Onsite
Employment Type: Permanent

• Salary: $62.40 - $88.11/hr

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 RNFAs will participate in a regional on-call rotation to provide surgical assistance for elective emergent and urgent surgical cases.

• Performs pre-operative assessment and evaluation and collaborates with the surgical team on plan of care
• Provides knowledge based technical assistance to the surgeon during the operative procedure according to AORN standards licensure state regulation and facility/practice protocols including: using instruments and medical devices providing surgical exposure handling and/or cutting tissue providing hemostasis clamp cut and ligate tissue as directed by the surgeon and suturing as directed by the surgeon
• Evaluates the patient post-operatively according to facility protocols
• Communicates information so that continuity of care is maintained and communicates with patient family and other staff in a professional and courteous manner
• Obtains and demonstrates the skills and knowledge needed to provide appropriate population based and culturally sensitive care to patients and families through education training and experience
• Provides continuous reassessment through the intra operative period
• Utilizes knowledge of type of procedure to plan for appropriate set up
• Functions as an assistant in all surgical specialties at the direction of the attending surgeon
• Performs RNFA responsibilities in accordance with the Nurse Practice Act of the State of Oregon institutional policies and procedures and the AORN Position Statement on RN First Assistants
• Practices within limitations of preparation and experience
• Demonstrates RNFA specific clinical skills and reviews and updates skills checklist on an ongoing basis
• Assists with room preparation in collaboration with the Circulating Nurse and scrub person
• Brings patient X-rays into room and notifies Charge Nurse or designee if films are not available
• Assists in patient transport to the operating room and 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 and preparation including prepping catheterization and 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 and takes appropriate action as necessary
• Assists with instrumentation and equipment as requested
• Applies dressings and secures drainage tubes
• Assists with patient transfer and positioning post operatively
• Assists with room tear down and turn over in collaboration with the Circulating Nurse and scrub person
• May perform pre and post-operative patient education as designated
• Reviews chart for pertinent data
• Assists in maintaining a safe environment and promoting efficiency in surgical procedures

• Minimum two (2) years of peri-operative scrubbing and circulating experience in a KP OR or one (1) year experience as an RNFA in or outside of KP
• Certification of Completion from AORN recognized RNFA course
• Successful completion of an RNFA program that meets the AORN Recommended Education Standards for RNFA and criteria for the acceptance program
• Registered Nurse License (Oregon)
• Nurse Operating Room Certificate
• Basic Life Support
• Meets all qualification of an RNFA as outlined in AORN Position Statement
• Must maintain CNOR and RN licensure with the required amount of Continuing Education

• Minimum two (2) years of practice as an RNFA
• CRNFA certification
• Advanced Cardiac Life Support (ACLS) required upon hire/transfer