Job Description
DescriptionSummary:
The RNFA is a perioperative RN who works in collaboration with the surgeon and
health care team members to achieve optimal patient outcomes. The RNFA must have acquired the
necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice.
Intraoperatively, the RNFA practices at the direction of the surgeon and does not concurrently
function as a scrub nurse.
Responsibilities:
Demonstrates effective management of surgical
patient care delivery by utilizing the nursing process. Completes and documents patient assessments
and reassessments according to policy and procedure. Initiates, updates, and communicates an
appropriate multiÂdisciplinary plan of care base on identified nursing diagnosis and patient needs.
Evaluates patient response to care and documents appropriately.Creates and maintains a sterile field
using principles of aseptic practice. Monitors movement of surgical team in and around the sterile
field. Initiates appropriate corrective action when breaks in technique occur. Demonstrates
knowledge of prepping and draping techniques for various procedures. Performs hand washing
techniques according to established policies.Provides surgical equipment and supplies based on
age-appropriate patient needs. Demonstrates efficient use of time and maintains turnover to a
minimum. Assures all equipment is functioning properly before use and operates equipment according
to manufacturers’ guidelines and CSHS protocol. Participates in the annual skills fair.Performs
sponge, sharps, and instrument counts according to policy. Initiates appropriate corrective action
for incorrect counts. Communicates and documents results of counts. Ensures all instrument count
sheets are completed and returned to the SPD.Monitors and controls the environment to maintain
patient and associate safety by adhering to safety policies, maintaining traffic patterns,
maintaining environmental controls for temperature and humidity, and assisting anesthesia as
needed.Administers and documents medications according to CHSB policy.Demonstrates accountability by
practicing within ethical and legal guidelines. Exercises safe judgment in decision-making.
Demonstrates flexibility and adaptability to changes in nursing practice and remains up to date on
such changes.Delegates tasks and functions according to applicable laws, regulations, and standards,
taking into consideration the competency of the assignee.Participates in associate and
patient/family teaching by identifying teaching needs and readiness to learn. Communicates needs,
determines teaching effectiveness, and documents appropriately.Demonstrates ability to plan and
implement safe patient positioning using knowledge of the physiological effects of various surgical
positions.Demonstrates knowledge of sterilization techniques by determining the appropriate method
of sterilization for instruments and supplies. Operates sterilization equipment safely and according
to policy. Documents necessary patient information and verification of flash sterilization
parameters according to policy.Competently handles specimens accurately and according to policy and
procedure.Participates in and documents the Universal Protocol/Time-Out process according to
policy.Demonstrates accurate inventory management through accurate documentation of supply usage on
the preference sheet and accurate use of the supply and pharmacy pyxis machines.Remains updated to
changes in the surgical schedule to ensure proper instrumentation and supplies are readily available
for use as needed.Exercises safety precautions with high-risk equipment/supplies such as
electrosurgical units, light sources, lasers, and other technology. Follows safety protocols to
minimize risks to patients and associates. Keeps abreast of patient’s condition at all times during
the procedure.Fosters a collaborative environment and recognizes the value of each provider’s
contribution to the comprehensive care of the perioperative patient.Demonstrates competency to
provide the duties and responsibilities as a first assistant including but not limited to using
instruments/medical devices, providing exposure, handling and/or cutting tissue, providing
hemostasis, and suturing. See RNFA/NP Job Description
Requirements:
Education/Skills
Successful completion of an RNFA program that meets the “AORN standards for RN first assistant
education programs” and is accepted by the Competency and Credentialing Institute (CCI).
Experience
At least 5 years of OR experience required including both scrubbing and circulating.Previous OR
experience required for members of the CV team.
Licenses, Registrations, or Certifications
Current RN License in state of employment or compactBLS Certification required.ACLS Certification
required.CRNFA certification.
Work Type:
Per Diem As Needed
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Additional Information:
- Specialty: RN
- Location: 323 East Hawkins ParkwayLongview, Texas 75605
- Contact:
About the Company:
CHRISTUS Health is an international Catholic, faith-based, not-for-profit health system comprised of
more than 600 services and facilities, including more than 60 hospitals and long-term care
facilities, 350 clinics and outpatient centers, and dozens of other health ministries and
ventures.
Sponsored by the Sisters of Charity of the Incarnate Word in Houston and San Antonio and
the Sisters of the Holy Family of Nazareth, the mission of CHRISTUS Health is to extend the healing
ministry of Jesus Christ.
To support our healthcare ministry, CHRISTUS Health employs approximately
45,000 Associates and has more than 15,000 physicians on staff who provide care and support for
patients. CHRISTUS Health is listed among the top ten largest Catholic health systems in the United
States.
EXTENDING THE HEALING MINISTRY OF JESUS CHRIST
We are inspired by our mission, vision and
core values to deliver compassionate, high quality health care, improving the health of the
communities we serve. Above all, we are committed to providing our customers and their family
members with a truly unique healing experience, one that embodies our values and respects the
dignity and worth of each person. Creating a health care system that is truly excellent in all areas
is an ongoing effort.