Kaiser Permanente
Registered Nurse First Assistant - Zion Mob - Orthopedics - Full-Time
Primary Location: San Diego, California, Zion Medical Center Schedule: Full-time Shift: Day Salary: $60.05 - $77.33 / hour Job Number: 1353979 The RN First Assistant renders direct patient care as part of the perioperative role by assisting the surgeon in the surgical treatment of the patient. The responsibility of functioning as first assistant must be based on documented knowledge and skills acquired after specialized preparation and formal instruction. The RNFA practices under the direct supervision of the surgeon during the surgical intervention. The RNFA must perform only as first assistant and not concurrently as scrub nurse. Only in extreme emergencies should an RNFA be expected to assist on procedures that present an unusual hazard to life. The RNFA must adhere to the policies of the institution and must remain within the scope of practice as stated by the Nursing Practice Act of the State of California. The RNFA may perform technical functions: 1. Assist with the positioning, prepping and draping of the patient or perform these independently, if so directed by the surgeon. 2. Provide retraction by: a. Closely observing the operative field at all times. b. Demonstrating stamina for sustained retraction. c. Retaining manually controlled retractors in the position set by the surgeon with regard to surrounding tissue. d. Managing all instruments in the operative field to prevent obstruction of the surgeons view. e. Anticipating retraction needs with knowledge of the surgeons preferences and anatomical structures. 3. Provide hemostasis by: a. Applying electrocautery tip to clamps or vessels in a safe and knowledgeable manner as directed by the surgeon. b. Sponging and utilizing pressure as necessary. c. Utilizing suctioning techniques. d. Applying clamps on superficial vessels and the tying off, electrocoagulation of them as directed by the surgeon. e. Placing suture ligatures in the muscle, subcutaneous, and skin layers. f. Placing hemoclips on bleeders as directed by the surgeon. 4. Perform knot tying by: a. Having knowledge of the basic techniques. b. Tying knots firmly to avoid slipping. c. Avoiding undue friction to prevent fraying of suture. d. Carrying knot down to the tissue with the tip of the index finger and laying the strands flat. e. Approximating tissue rather than pulling tightly to prevent tissue necrosis. 5. Provide closure of layers by: a. Correctly approximating the layers under the direction of the surgeon. b. Demonstrating a knowledge of different types of closure. c. Correctly approximating skin edges when utilizing skin staples. 6. Assist the surgeon at the completion of the procedure by: a. Affixing and stabilizing all drains. b. Cleaning the wound and applying the dressing. c. Assist with applying casts or plaster splints. Basic Qualifications: 3-years recent (within the past 5 years) full-time equivalent experience in the operating room, including both the scrub and circulating roles. Nationally certified operating room nurse through the Association of Operating Room Nurses (AORN) or an accredited program. Successful completion of a structured RNFA course and completion of 20 hours or 10 cases of proctoring by the sponsoring surgeon. Registered Nurse License (California) Basic Life Support Advanced Cardiac Life Support Preferred Qualifications: N/A Scheduled Weekly Hours: 40 Shift: Day Workdays: Mon, Tue, Wed, Thu, Fri, Sat, Sun Working Hours Start: 07:00 AM Working Hours End: 03:30 PM Job Schedule: Full-time Job Type: Standard Worker Location: Onsite Employee Status: Regular Employee Group/Union Affiliation: B13|AFSCME|UNAC Job Level: Individual Contributor Department: ZION MEDICAL CENTER - Orthopedics-Regular Clinic - 0806 Pay Range: $60.05 - $77.33 / hour Travel: Yes, 75 % of the Time
Primary Location: San Diego, California, Zion Medical Center Schedule: Full-time Shift: Day Salary: $60.05 - $77.33 / hour Job Number: 1353979 The RN First Assistant renders direct patient care as part of the perioperative role by assisting the surgeon in the surgical treatment of the patient. The responsibility of functioning as first assistant must be based on documented knowledge and skills acquired after specialized preparation and formal instruction. The RNFA practices under the direct supervision of the surgeon during the surgical intervention. The RNFA must perform only as first assistant and not concurrently as scrub nurse. Only in extreme emergencies should an RNFA be expected to assist on procedures that present an unusual hazard to life. The RNFA must adhere to the policies of the institution and must remain within the scope of practice as stated by the Nursing Practice Act of the State of California. The RNFA may perform technical functions: 1. Assist with the positioning, prepping and draping of the patient or perform these independently, if so directed by the surgeon. 2. Provide retraction by: a. Closely observing the operative field at all times. b. Demonstrating stamina for sustained retraction. c. Retaining manually controlled retractors in the position set by the surgeon with regard to surrounding tissue. d. Managing all instruments in the operative field to prevent obstruction of the surgeons view. e. Anticipating retraction needs with knowledge of the surgeons preferences and anatomical structures. 3. Provide hemostasis by: a. Applying electrocautery tip to clamps or vessels in a safe and knowledgeable manner as directed by the surgeon. b. Sponging and utilizing pressure as necessary. c. Utilizing suctioning techniques. d. Applying clamps on superficial vessels and the tying off, electrocoagulation of them as directed by the surgeon. e. Placing suture ligatures in the muscle, subcutaneous, and skin layers. f. Placing hemoclips on bleeders as directed by the surgeon. 4. Perform knot tying by: a. Having knowledge of the basic techniques. b. Tying knots firmly to avoid slipping. c. Avoiding undue friction to prevent fraying of suture. d. Carrying knot down to the tissue with the tip of the index finger and laying the strands flat. e. Approximating tissue rather than pulling tightly to prevent tissue necrosis. 5. Provide closure of layers by: a. Correctly approximating the layers under the direction of the surgeon. b. Demonstrating a knowledge of different types of closure. c. Correctly approximating skin edges when utilizing skin staples. 6. Assist the surgeon at the completion of the procedure by: a. Affixing and stabilizing all drains. b. Cleaning the wound and applying the dressing. c. Assist with applying casts or plaster splints. Basic Qualifications: 3-years recent (within the past 5 years) full-time equivalent experience in the operating room, including both the scrub and circulating roles. Nationally certified operating room nurse through the Association of Operating Room Nurses (AORN) or an accredited program. Successful completion of a structured RNFA course and completion of 20 hours or 10 cases of proctoring by the sponsoring surgeon. Registered Nurse License (California) Basic Life Support Advanced Cardiac Life Support Preferred Qualifications: N/A Scheduled Weekly Hours: 40 Shift: Day Workdays: Mon, Tue, Wed, Thu, Fri, Sat, Sun Working Hours Start: 07:00 AM Working Hours End: 03:30 PM Job Schedule: Full-time Job Type: Standard Worker Location: Onsite Employee Status: Regular Employee Group/Union Affiliation: B13|AFSCME|UNAC Job Level: Individual Contributor Department: ZION MEDICAL CENTER - Orthopedics-Regular Clinic - 0806 Pay Range: $60.05 - $77.33 / hour Travel: Yes, 75 % of the Time