Registered Nurse First Assist
4 days ago
Wilmington
What We Offer: You’re looking for a consistent schedule, a supportive team, and meaningful work focused on surgical patients. Join Novant Health’s Women’s Operating Room where you’ll work alongside a close-knit team dedicated to caring for patients during some of life’s most important moments. Location Details • Location: Scotts Hill Medical Center- Wilmington, NC, • Schedule: Monday–Friday, mixed shifts, 7am-7pm and 7am-5pm, • Call: Some weekend and call required (details discussed during interview) What We're Looking For:, • Education: Must be an AD, BSN, MSN, NP, CNS, CNA, CNM registered nurse who has graduated from an accredited school of nursing. Completion of a RNFA course., • Experience: Two years, required. Perioperative RN experience., • Licensure/Certification:, • Current RN licensure in appropriate state, preferred, • CNOR through the Certification Board of Perioperative Nursing, required., • Completion of Novant Health's credentialing process, required., • Advanced Cardiac life Support (ACLS) certification, Pediatric Advanced Life Support (PALS) certification, preferred. Additional Skills/Requirements (required): • Promote the mission, vision, and values of the organization., • Assess patients at intervals in accordance with facility or health care organization policies and procedures., • Participate in preoperative assessment and planning for surgical patients specific to RNFA activities (eg, anatomical exposure, wound closure) in collaboration with perioperative team members., • Develop an individualized perioperative patient plan of care., • Implement the plan of care by:, • protecting the patient from injury caused by extraneous objects and chemical, electrical, laser, mechanical, and thermal sources., • participating in accounting procedures to protect the patient from unintended retained surgical items., • performing interventions necessary to ensure that the patient’s procedure is performed on the correct site, side, and level., • assisting with management of the patient’s specimens as necessary., • communicating the patient’s current status to relevant parties throughout the continuum of care., • administering medications safely and correctly., • performing interventions to maintain the patient’s wound and tissue perfusion at or above baseline levels., • performing interventions to maintain the status of the patient’s genitourinary, gastrointestinal, musculoskeletal, endocrine, respiratory, cardiovascular, and neurological systems and fluid, electrolyte, and acid-base balances at or above baseline levels., • performing interventions to ensure the patient is at or returned to normothermia at the conclusion of the immediate postoperative period., • performing interventions to protect the patient from surgical site infection., • assessing the knowledge level of the patient or designated support person., • providing education regarding the expected psychosocial response, nutritional management, medication management, pain management, wound management, and expected responses to the operational or invasive procedure., • involving the patient or designated support person actively in decisions affecting his or her perioperative care and the rehabilitation process., • protecting the patients’ rights, dignity, and privacy., • providing age-specific, culturally competent, ethical care within legal standards of practice; and, • providing consistent and comparable care regardless of the setting., • Function as an RN first assistant during operative and other invasive procedures by, • providing exposure through correct use of instruments, retractors, suction, and sponging techniques., • handling and dissecting tissues in collaboration with the surgeon., • clamping blood vessels, coagulating bleeding points, and ligating vessels in collaboration with the surgeon., • placing drains as directed by the surgeon; and, • suturing muscle, fascia, subcutaneous, and skin in collaboration with the surgeon., • Follow selected surgical patients postoperatively specific to RNFA activities (eg, postoperative rounding, dressing changes) in collaboration with the interdisciplinary team., • Evaluate the patient’s progress toward attaining outcomes., • Transfer care as applicable., • Delegate tasks according to the state Nurse Practice Act and job descriptions., • Document nursing care accurately, completely, and legibly., • Collaborate effectively with other disciplines as applicable., • Participate in quality review and performance improvement projects., • Participate in the performance appraisal process., • Use problem-solving and conflict resolution skills to foster effective work relationships with team members., • Serve as an educator, mentor, consultant, and resource to peers, colleagues, and others in relation to RNFA activities., • Maintain regulatory, credentialing, and privileging requirements required for practice as an RNFA., • Participate in ongoing educational and competency verification activities applicable to RN and RNFA activities., • Act as a patient advocate and maintain privacy and confidentiality of individuals and health information.