RN First Assistant

Metro Health | Wyoming, MI

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Posted Date 11/23/2022

RN First Assistant - Operating Room * Days - 40hrs/wk (SIGN-ON BONUS)

Shift: Days

General Summary:

The primary responsibility of this position is to carry out functions that assist the surgeon applying demonstrated knowledge of safe perioperative nursing and assisting optimal outcomes for the patient. Throughout entire surgical process, the surgeon remains responsible for the patient.


  1. Michigan Registered Professional Nurse Licensure required. Certified in Operating Room Nursing (CNOR)
  2. Bachelor of Science in Nursing preferred. If hired after 8/1/2012 you will need to pursue and complete your BSN within 5 years from your date of hire.
  3. Current Basic Life Support (BLS/CPR) provider required.
  4. Certified RNFA based on the AORN core curriculum for the RNFA as its foundation.
  5. Previous surgical experience preferred.
  6. Competence in basic cardiac dysrhythmia interpretation required, will train.
  7. Proficient in perioperative nursing practice as both scrub and circulator nurse for a minimum of five years.
  8. Maintain current professional liability insurance to function as an RNFA
  9. Demonstrate knowledge and skill in applying principles of asepsis and infection control

Essential Functions and Responsibilities:

  1. 1. PROFESSIONALISM – Functions as a role model in his/her specialty, demonstrating competency in clinical judgment, technical skill related to the specialty.
  2. PLANNING – Implements nursing plan of care and physician’s orders. Directs staff in the application of the nursing process.
  3. ASSESSMENT – Assesses the patient’s condition and physical, psychosocial, emotional and physiological needs.
  4. PLANNING – Develops a written plan of care utilizing nursing diagnosis and setting patient outcome goals. Develops appropriate profiles for all surgical procedures specific to each surgeon prior to the case being performed.
  5. IMPLEMENTATION – Implements nursing plan of care according to patient needs.
  6. IMPLEMENTATION – Implements physician profile according to pre-planned profile requests.
  7. EVALUATION – Evaluates the patient’s response to nursing interventions and surgical interventions.
  8. EVALUATION – Evaluates profiles after every procedure and is responsible for corrections of the profile.
  9. IMPLEMENTATION – Performs nursing procedures, assists physicians, and uses equipment following established guidelines.
  10. LEGAL ISSUES – Demonstrates awareness of and adherence to safety and legal requirement established by the Hospital and Department of Nursing. Adheres to policies regarding surgical legalities.
  11. SAFETY ISSUES – Verifies physician privilege list for scheduled procedures in the specialty.
  12. PLANNING – Participates in budgetary planning for equipment and supplies for the specialty service.
  13. QUALITY IMPROVEMENT – Serves on the Quality Improvement Committee.
  14. PATIENT TEACHING – Provides for patient and significant others education based on the cognitive needs of each and defined by patient outcome goal.
  15. DOCUMENTATION – Documentation is concise, accurate and timely on patient record and other documents in the department.
  16. PATIENT/FAMILY RIGHTS – Demonstrates knowledge of and respect for patient’s legal rights and significant others rights including confidentiality.
  17. EMERGENCIES – Performs efficiently in emergency patient situations following established standards, remaining calm, informing appropriate persons, and documenting events.
  18. PROFESSIONALISM – Maintains a current knowledge bas and utilizes standards of care in professional practice.
  19. PROFESSIONALISM – Assumes responsibility for own practice including appearance, attendance, punctuality and flexibility in scheduling.
  20. SELF EDUCATION - Pursues self-directed learning experiences, continuing education, and seeks direction when necessary.
  21. ORGANIZATIONAL SKILLS – utilizes delegation skills and therapeutic use of self to coordinate and organize patient care delivery.
  22. ORGANIZATIONAL SKILLS – Sets priorities in work utilizing effective time management and support personnel to complete assigned work.
  23. PROBLEM SOLVING- Practices effective problem identification and resolution skills as a method of sound decision making.
  24. COMMUNICATION – Utilizes written and verbal communication through designated channel to attain desired patient outcomes as well as unit and hospital goals.
  25. PROFESSIONALISM – Demonstrates professionalism in inter-personal relationships using the Hospitality house Rules.
  26. STAFFING – Remains flexible in staffing patterns and resolution of staffing conflicts. Is a role model in flexibility.

Requisition #: req6059

FTE status: 1

On-call: No

Weekends: No

Job Type
Full time
Sign-On Bonus

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