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- Seeks out additional educational opportunities to increase current clinical expertise related to various surgical procedures.
- Maintains proficiency in the roles of the RN circulator, scrub, 1st and 2nd assistant roles.
- Promotes clinical and professional leadership growth within the department.
- BSN, CNOR, RNFA certificate
- Prior experience preferred
- PREOPERATIVE PREPERATION OF THE PATIENT
- Verbally check with the patient (patient name, surgeon,
- Visually checks the ID band, chart, surgery schedule and bed tag.
- Display a professional and courteous manner while reassuring
- Respect the patient's confidentiality.
- Routinely inspects the surgical site to insure that a proper shave
- Routinely verify any patient allergies and changes the prep
- Display knowledge of the surgeon's preferences and prepare
- Ready to insert the catheter and/or perform the skin prep when
- Following skin preparation, checks that there is no pooling of fluids beneath the patient or near the Bovie pad.
- KNOT TYING
- EXPOSURE OF INCISIONAL SITE
- KNOWLEDGE OF EQUIPMENT AND INSTURMENTATION
- Selects appropriate instrument according to need and
- Operates instrumentation in a smooth, safe, and efficient manner to
- CUTTING SUTURE
- WOUND CLOSURE
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rnfa - operating room - Canton, OH , USA, United States - Aultman Health Foundation
Description
PURPOSE OF POSITION
As defined by the AmericanCollege of Surgeons (ACS), the Surgical First Assistant provides aid in exposure, hemostasis, and other technical functions that will help the surgeon carry out a safe operation with optimal results for the patient.
RESPONSIBILITIES & EXPECTATIONS
Job Requirements
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, disability, or veteran status.
Preoperative Duties Performed to Assist the Surgeon for Maximum Patient Care, Safety, and Economy of Time
STERILE TECHNIQUE:
A. Perform the appropriate preoperative skin scrub for the particular procedure
and circumstance.
B. Demonstrate the understanding of aseptic technique and sterile vs.
non-sterile areas.
C. Display surgical conscience for the safety of the patient, other employees
and themselves.
D. Wear appropriate barriers as outlined in the Infection Control Manual for
protection against blood and body contamination of patient and self.
B
Properly identifies the patient:
efficiently with the OR team, performing duties in an efficient and safe
manner, proceeding smoothly throughout the day.
D.Collect and properly display the appropriate x-rays.
E.Properly measure patients for intra-operative procedures.
F.Review patient chart.
G.Assist anesthesia under direct supervision, if time permits.
H.Properly bi-valve any cast that needs to be removed, having patient
safety in mind at all times.
I.Position the patient properly, being aware of and padding areas that
require special protection, making adjustments for surgeon's preferences.
J.Prepare and properly perform surgical preps and urethral catheter insertions.
surgeon's preference.
supplies needed.
INTRA-
OPERATIVE:
The Ability to First or Second Assist Any Surgeon on Any Case With Minimum Difficulty
Knots are square, secure and they approximate the tissue, do not slip, and have
the correct number of knots required for that particular tissue.
b.
Is familiar with tensile strength using appropriate tension for the
type of suture.
c.
Demonstrates dexterity and knowledge of one handed and two handedties,
surgeon's knot, and instrument ties in a smooth and efficient manner.
Demonstrates skill and knowledge of maintaining hemostasis by proper use of
pressure, clamps, ties, suture ligatures, clips or electrocautery according to
surgeon's preference.
b.
Provides and maintains the proper exposure necessary to perform the
operative procedure while protecting vital organs, tissues and other structures.
c.
Sponges and suctions at the appropriate time without interfering with the flow
of the surgery in order to allow a clear and unobstructed view of the
operative field.
Demonstrates the proper use of equipment in a smooth, safe, and
efficient manner.
b.
Demonstrates proper use of instrumentation at the field:
c.
Practices care and economy in the use of equipment and materials.
When cutting suture, the assistant demonstrates promptness, proper
handling of scissors, and safe cutting techniques.
b.
Assistant displays ability to adjust cutting length to various suturesand doctor's preference.
Assistant closes the proper anatomical layers with the appropriate type
of suture and stitch according to the surgeon's preference.
b.
Demonstrates knowledge of suture material, various types of stitches,
and properly closes the incision in a smooth and efficient manner
