11 Be sure to click the blue page icon on the right-side to view Facility and Unit specific details about the position. Summary of Primary Function The Registered Nurse First Assistant is responsible for the delivery of patient care utilizing the nursing process through data collection and assessment identifying and determining the priority of patient's/ resident's/ client's problems/needs and evaluating the process and outcome of nursing care.
The RNFA collaborates with the surgeon in performing invasive or operative procedures in a safe manner with optimal outcomes for the patient whom protective reflexes or self-care abilities are potentially compromised. The RNFA must in collaboration with the patient family and health care team members possess and apply knowledge of the procedure and patient's intraoperative experience throughout the patient's continuum of care addressing their physiological psychological sociocultural and spiritual needs in relationship to their age and ability to respond.
Essential Job Functions Collects health data on a systematic and continuous basis through clinical interaction records assessment and consultation with the health care team members demonstrating consideration of growth and developmental needs. Formulates nursing diagnosis based on health status data and establishes patient care goals based on nursing diagnosis. Demonstrates through clinical interaction with patients knowledge of patient and family educational needs.
Demonstrates anatomy and physiology particular to the requirements of the surgical procedure. Develops a plan of care that prescribes nursing actions to achieve patient goals. Implements nursing actions in transferring the patient according to the prescribed plan.
Creates and maintains a sterile field. Performs sponge sharps and instruments counts. Administers drugs and solutions as prescribed.
Monitors and controls the environment. Performs decontamination functions. Provides equipment and supplies based on the patient's needs and physician's preferences.
Physiologically monitors the patients during surgery. Evaluates patient outcomes and measures effectiveness of nursing care. Continuously reassesses all components of patient care based on new data.
Performs nursing and first assisting actions that demonstrate accountability including performance improvement. Enhances growth and development through in-services education educational process and learning opportunities including but not limited to pediatrics adolescents adult and geriatric patients. Performs functions under the direct supervision of the physician and/or resident in the operating room.
Retracts during operating procedure. May clamp cut and tie bleeders. May utilize cautery as directed by physician.
Demonstrates competency and skill when suturing fascia subcutaneous tissue and skin suction surgical wound. . May instill irrigation solution under the direction of the physician. The above is intended to describe the general content and functions of this job.
It is not to be constructed as an exhaustive list of all duties or responsibilities. Employees may be required to perform other job-related duties as required by their supervisor subject to reasonable accommodation. The job description is subject to continual revisions as needed for patient care.
Certifications BLS Basic Life Support - American Heart Association Current RN license in State of Ohio CRNFA (Preferred) Education Associate of Nursing nursing (required) OR Diploma in Nursing (required) Bachelors of Science nursing (preferred)