Title: Registered Nurse First Assistant

Location: Long Beach, CA

Department: Surgery Services

Status: Full-Time

Shift: Days/10 hrs.

Pay Range: $69.32 - $97.90

MemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups – consisting of over 200 sites of care, and more than 2,000 physicians throughout Orange and Los Angeles Counties. We are committed to increasing access to patient-centric, affordable, and high-quality healthcare; your personal contributions are integral to MemorialCare's recognition as a market leader and innovator in value-based and other care models.

Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration, and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation, and teamwork.

Position Summary:

To provide safe, cost-effective patient care through the health experience, according to established standards utilizing the nursing process, within the scope of practice of Registered Nursing.

The Registered Nurse First Assistant (RNFA) is a perioperative registered nurse who functions in an expanded role, or as a first assistant. The RNFA works closely and assists under the supervision of the surgeon in providing quality, efficient, continuous and cost-effective care during the patient's hospitalization.

The RNFA is a member of the surgical team. The RNFA practices in collaboration with, and under the direction of the surgeon during the intra-operative phase. The RNFA utilizes the nursing process and AORN nursing practice standards. The RNFA functions as an Operating Room circulator or RN scrub when not assigned to the RNFA role. Responsibilities include directing unlicensed employee activity, synthesizing patient information, assessment of patients, planning of care/intervention, teaching patients/family, implementation of treatment plan/MD orders, and evaluation of care rendered. The RNFA utilizes knowledge of patient age, cultural diversity, and psychosocial or spiritual needs into the patient’s plan of care. The RNFA contributes to the promotion of quality nursing care through performance improvement processes that demonstrate positive outcomes in patient care. In addition, the RNFA collaborates with other professional disciplines to ensure safe and effective patient care delivery and achievement of desired patient outcomes.

Essential Functions and Responsibilities of the Job:

·Utilizes the nursing process and AORN standards as a framework for the management of patient care.

·Demonstrates leadership and serves as a link between the surgical suite and the rest of the hospital to provide continuity of care during the intra-operative phase of surgery.

·Delegates to licensed and unlicensed personnel.

·Demonstrates the ability to utilize effective critical thinking skills.

·Prioritizes essential functions to focus on the needs of the surgical patients.

·Provide physicians with assistance during surgery or complicated medical procedures.

·Demonstrates knowledge of the clinical information system and applies principles to patient documentation.

·Follow company policies, procedures and directives

·Contributes to an effective and safe working environment.

·Serves as a role model and mentors new staff members.

·Advocates for the sedated or anesthetized surgical patient.

·Demonstrates knowledge and understanding of patient privacy rights. Maintains confidentiality of all medical, financial and other sensitive material in printed, electronic or verbal form, which may jeopardize the privacy of patients and or employees.

·Demonstrates the ability to use good customer service skills by managing and acknowledging patient family-significant other expectations.

·Demonstrates the ability to integrate knowledge of job specific competencies.

·Demonstrates knowledge of surgical anatomy, physiology, and operating room technique.

·Provides exposure through appropriate use of surgical instrumentation, suctioning, and sponging technique.

·Handles, and dissects tissues in collaboration with surgeon, following the standard procedure “Tissue Manipulation Intraoperative”.

·Assists surgeon with coagulation, following the standard procedure “Hemostasis Intraoperative”.

·Sutures muscles, fascia, subcutaneous and skin tissue in collaboration with surgeon, following the standard procedure “Wound Closure Intraoperative”.

·Demonstrates the ability to function in the role of the Operating Room circulator or scrub when not assigned to the RNFA role.

·Ability to be at work and be on time.

·Ability to interact in a positive and constructive manner.

·Ability to prioritize and multitask.

·Assists supervising surgeon in performing surgeries in an operating room setting

·Meets population specific competencies

·Comply with OSHA, HIPAA, and other regulatory entities

·Attends required meetings and participated in committees as requested

·Participates in professional development activities and maintains professional affiliations

·Responsible for maintaining credentials in an active status

·Works with the management team to practice efficiently and effectively

·Documentation is complete accurate and timely and reflects patients’ plan of care

·Provides leadership and clear direction to all members of the healthcare team to support the care plan while maintaining responsibility and accountability for the management of patient care

·Provides psychosocial, spiritual, and cultural needs to patients, families, and significant others

·Demonstrates continued development of clinical expertise and current knowledge of the healthcare trends and education related to nursing practices

·Participates in processes that improve the standards of care and practice in the delivery of nursing services

·Supports sustainment of magnet culture

·Other duties as assigned

*Placement in the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications. In addition to base pay, there may be additional compensation available for this role, including but not limited to, shift differentials, extra shift incentives, and bonus opportunities. Health and wellness is our passion at MemorialCare—that includes taking good care of employees and their dependents. We offer high quality health insurance plan options, so you can select the best choice for your family. And there’s more...Check out our MemorialCare Benefits for more information about our Benefits and Rewards.

Minimum Requirements / Work Experience

·       The RN must be able to comply with every other weekend work commitment as well as be available to work and be scheduled any day of the week.

·       Minimum 2 years’ experience as an operating room nurse, and Current perioperative nursing (CNOR) certification and Documented completion of a CNOR approved formal Registered Nurse First Assistant Training Program and completion of required hours of preceptorship (this requirement shall not apply to those RNFAs who have practice prerogatives as of December 31, 2004)

Education / Licensure / Certification 

·       BSN degree completed

·       Current license to practice as a Registered Nurse in California.

·       Completion of unit orientation and clinical competency validation.

·       Current California RN license required

·       Completion of accredited RNFA program

·       BLS, ACLS, and PALS certification as required per specific department