- Expedites the operative procedure by anticipating the needs of the surgeon.
- Demonstrates advanced knowledge of normal and pathological anatomy and physiology.
- Demonstrates knowledge of emergency situations, organization skills, and professional attitude.
- Assist the operating room team by preparing the OR suite for surgical procedures in a timely manner.
- Practice aseptic and sterile techniques.
- Apply appropriate cleaning techniques in the operating room.
- Participate during the course of the procedure by handing instruments and supplies to the surgeon.
- Anticipate the needs of the surgeon during the course of the procedure.
- Assist with applying the dressing to the incision.
- Clean and restock the room assigned.
- Assist with in-service and training of new personnel.
- Take call as assigned.
- Positioning the Patient The surgeon shall convey the exact position that will give the best exposure for the surgical procedure. The surgical assistant will carry out this order.
- Under the direct supervision of the surgeon: uses appropriate tissue dissection techniques to facilitate an optimum surgical outcome.
- Providing visualization of the operative site by the following: Appropriate placement and securing of retractors with or without padding. Packing with sponges. Digital manipulation of tissue. Suctioning, irrigating, or sponging. Manipulation of suture materials (e.g., loops, tags, running sutures). Proper use of body mechanics to prevent obstruction of the surgeon's view.
- Utilizing appropriate techniques to assist with homeostasis. Permanent
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rnfa - operating room - memorial hospital - Charleston, WV , USA, United States - CAMC Health System
Description
Job Summary
Demonstrate advanced clinical skills to meet needs of patient groups; formulate plans of care that have long range effect on patient care; assist unit staff members to perform advanced skills; act as a role model which facilitates positive behavior in dynamic group setting; recognize need for change in nursing practice and initiate change process on unit; proactive to identify potential legal/ethical/safety issues and implement strategies to prevent problems.
Performs all nursing activities in the pre-operative, intra-operative phase of the surgical procedures, but does not concurrently function as the scrub nurse.
ResponsibilitiesPoints of pressure shall be padded:
elbows, heels, knees, eyes, face, and auxiliary region. Circulation shall not be impaired. (A tourniquet may be required for some procedures.) Nerve damage shall be guarded against.
The temperature of the patient should be discussed with the anesthesia personnel and methods employed to maintain the desired temperature range.
The surgical assistant shall be familiar with common positions as they relate to the surgical procedure and will be able to use the equipment necessary to provide the position.
Competencies will include the following:
1)Fracture Table, 2) Head stabilizer, 3) Body stabilizers, 4) C-arm extensions, 5) Any other equipment needed Upon completion of the procedure, the patient shall be evaluated for any possible damage from positioning, which shall include assessment of the skin. The abnormal condition shall be reported to the surgeon and treatment and documentation shall be carried out.
If established competencies exist, this may include:
Trocar Placement Preparation of
Allografts Saphenous Vein Harvesting:
Endoscopic and Open (Open EXCLUDES Femoral Triangle) (see Institutional Criteria)
Radial Artery Harvesting:
Endoscopic and Open (see Institutional Criteria) Ultrasound Guided Femoral Arterial Line Insertion (see institutional Criteria) Knot Tying Closure of Layers
Knowledge, Skills & Abilities
Patient Group Knowledge (Only applies to positions with direct patient contact)The employee must possess/obtain (by the end of the orientation period) and demonstrate the knowledge and skills necessary to provide developmentally appropriate assessment, treatment or care as defined by the department's identified patient ages.
Competency StatementMust demonstrate competency through an initial orientation and ongoing competency validation to independently perform tasks and additional duties as specified in the job description and the unit/department specific competency checklist.
Common Duties and Responsibilities(Essential duties common to all positions)1. Maintain and document all applicable required education.2. Demonstrate positive customer service and co-worker relations.3. Comply with the company's attendance policy.4. Participate in the continuous, quality improvement activities of the department and institution.5. Perform work in a cost effective manner.6.Perform work in accordance with all departmental pay practices and scheduling policies, including but not limited to, overtime, various shift work, and on-call situations.7.
Perform work in alignment with the overall mission and strategic plan of the organization.8. Follow organizational and departmental policies and procedures, as applicable.9. Perform related duties as assigned.Education
Education:
Formalized Training RNFAExperience: 3 Years Practice in Perioperative Nursing and Practice as both Scrub and CirculatorComments: As of 1/1/2019 all RNFA's must have CNOR.
If you were hired prior to 1/1/2019 in the RNFA position, it will not be required.Experience: 3 Years practice in perioperative nursing and practice as both scrub and circulator
Credentials
Work Schedule: Varies
Status: 72 hrs per pay
Location: Memorial Hospital
Location of Job: US:WV:Charleston
Talent Acquisition Specialist: Lauren R. Lane
