Surgical First Assist - Casual

North Ottawa Community Health | Grand Haven, MI

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Posted Date 8/14/2022


General Definition and Scope of Job

The Registered Nurse First Assistant is an allied health professional, who is an integral part of the OR team providing surgical care to patients. They are responsible for the direct patient care of pediatric through geriatric patient populations. RNFA’s address the cultural, psychosocial, physical and general aspects of care related to the surgical environment. They utilize the nursing process in the perioperative setting and collaborate with other health care providers in a coordinated manner throughout the process of caring for the patient undergoing operative or other invasive procedures. Under the direction of the Surgeon, the primary responsibility of the RNFA is to carry out functions that assist the surgeon through out the surgical procedure, applying demonstrated knowledge of safe perioperative nursing practice, human anatomy, and surgical procedures assuring optimal outcomes for the patient. The RNFA participates in performance improvement activities for the department as well as the hospital as a whole. They possess a positive attitude and teamwork is essential. Exceptional customer service to patients is required. The RNFA is accountable to practice in accordance with the Michigan Public Health Code Act 368 of 1978, Article 15 (Health Occupations), part 172 (Nursing) and NOCHS Professional Nursing Practice Handbook.

What are the Minimum Skills, Experience and Educational Requirements?

  • Current RN licensure in the State of Michigan, BSN required.
  • Current BLS, ACLS, and PALS certification.
  • Certified within 2 years of employment at NOCHS as RNFA.
  • Completion of a (A.O.R.N. approved) course in RN first assisting, with current CNOR status or CNOR eligible.
  • Proficient in perioperative nursing practice as both scrub and circulator for a minimum of five years.
  • Ability to successfully complete the general orientation.
  • Ability to successfully complete the unit competency inventory/staff development plan..
  • Able to read, write, and speak the English language effectively.
  • Ability to multi-task and keep area organized.
  • Computer knowledge and experience.

What are the Critical Demands of the Job?

  • Ability to lift floor to waist level – 15 lbs.
  • Ability to lift waist level and above – 10 lbs.
  • Ability to carry objects up to 50 lbs.
  • Ability to push/pull up to 100 lbs.
  • Manual dexterity and mobility.
  • Excellent communication and interpersonal skills.
  • Frequent and prolonged standing and walking – 80% of day.
  • Frequent bending, twisting, reaching overhead, and reaching forward.
  • Accepts responsibility for personal and professional growth.
  • Effective work relationships with hospital staff, management, and medical staff
  • Capable of working independently and making judgments based on assessment and critical thinking skills.
  • Maintains confidentiality of patient and organizational information.
  • Ability to delegate appropriately.
  • Works under the direction of surgeon at all times

What are the Working Conditions?

  • Work performed in a pleasant, progressive, acute care environment committed to family centered care.
  • Must be able to move from one task to another in an efficient manner.
  • Must be able to use time efficiently.
  • Unpredictable mealtimes. Breaks and lunches are scheduled around patient needs.
  • Potential for exposure to blood borne pathogens or other infectious diseases.
  • Must be able to tolerate wearing protective gear (including, but not limited to, barrier gloves, moisture impervious lab coats, protective eyewear, and face shields).
  • Workload may be unpredictably high at times.

North Ottawa Community Hospital is an 81-bed, acute care hospital located in Grand Haven, Michigan on the shores of Lake Michigan. We are a community health care system with a variety of inpatient, outpatient and support service. Affiliate organizations strengthen our seamless delivery of care, by transforming us into a health care delivery system.


  • RN First Assist or better

Licenses & Certifications

  • Advanced Cardiac Life
  • PALS
  • CNOR
  • Basic Life Support (CPR)
  • RN License
Job Type
Part Time

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