Mercy Health

  • RN - First Assistant

    Requisition ID
    Position Type
    Full Time
    Cardiovascular Operating Room
  • Overview

    Job Template Header


    ***RNFA not required***


    We’re a Little Different


    Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service.  


    We don’t believe in jobs at Mercy, we believe in careers that match the unique gifts of unique individuals; careers that not only make the most of your skills and talents, but also your heart.


    At Mercy, you’ll feel our supportive community every step of your day, especially the tough ones. We’re a team and love working that way. That team is expanding, and we currently have exceptional opportunities to help our communities grow.


    “Mercy Hospital Rogers has been designated a Top 100 Hospital by IBM/Watson, formerly Truven, for 2019. We are the only hospital in the state of Arkansas receiving this award”



    Provides direct patient care to infant through geriatric patient populations. Functions in the expanded perioperative nursing role as a first assistant. Addresses the psychosocial, physical and general aspects of care related to the surgical environment. Communicates with surgeon and anesthesiologist continuously and as needed about patient condition. Assists with the maintenance of surgical equipment and inventory. Participates in performance improvement activities. Assesses operating room for equipment functioning and readiness, obtains supplies for individual cases and ensures all appropriate needs of surgical operating team are met. Monitors, positions and assists patient during procedure. Maintains departmental equipment and supply needs in conjunction with Supervisor and Materials Management. Coordinates with


    We’ll Support You at Work and Home


    Our foundations are built on dignity and respect. Modern Healthcare Magazine named us as a “top 100 places to work.” We go out of our way to help people feel welcomed. We offer day-one comprehensive health, vision and dental coverage, PTO, and employer-matched retirement funds, even to part-time employees. We’re proud to provide tuition reimbursement to help you grow and learn new skills.


    What Makes a Good Match for Mercy


    Compassion and professionalism go hand-in-hand with us, along with exceptional quality care. Having a positive outlook and a strong sense of advocacy is in perfect step with our mission and vision. We’re also collaborative and are not afraid to do a little extra to deliver excellent care – that’s just part of our commitment. If that sounds like a fit for you as well, we encourage you to apply.



    Responsibilities and Qualifications


    1. Treats patients and their families with respect and dignity, Gives patient explanations and verbal reassurances consistently. Provides patients and families with teaching/education, as necessary. Identifies and addresses psychosocial, cultural, ethnic and religious/spiritual needs of patient and families.


    2. Functions as an RNFA including all phases of perioperative care:

      1. Preoperative

        a. Performs focused preoperative nursing assessments

        b. Collaborates with other health care providers regarding the patient's plan of care.

      2. Intraoperative

        a. Using instruments and medical devices

        b. Poviding surgical site exposure

        c. Handling and/or cutting tissue

        d. Providing hemostasis

        e. Suturing

      3. Postoperative patient management in collaboration with otherhealth care providers in the immediate postoperative       period and beyond such as

       a. Participating in postoperative rounds

       b. Assisting with discharge plannign and identifyign appropriate communitiy resources when neded.


    3. Establishes and maintains effective communication and good working relationships with coworkers for the benefit of the patient. Maintains professionalism at all times. Conducts oneself in accordance with Mercy Service Standards.


    4. Is able to effectively perform all duties as a circulator and RNFA and has a basic knowledge of scrub, perfusion and anesthesia roles.


    5. Utilizes initiative: strives to maintain a steady level of productivity; self-motivated; manages activity and time. Completes tasks specific to CVOR and presents to assist in other areas of OR as appropriate.


    6. Establishes priorities for nursing actions. Coordinates patient care needs with team members. Controls environment. Prepares for potential emergency. Appropriately responds to the patient in an emergency or physically distressful situation.


    7. Demonstrates a willingness to work in collaboration and values the input and skills of all patient care team members. Accepts direction from peers, team members and manager in a positive, cooperative manner.


    8 Demonstrates a willingness to perform duties assigned; both primary and secondary;

    either inside or outside CVOR. Maintains departmental checklist and performs duties

    as assigned.


    9. Utilizes and conserves resources. Uses equipment and resources wisely. Effectively charges for supplies and equipment used. Maintains stock in CVOR, as appropriate.


    10. Ensures that the operating room suite is ready for patient, surgical team, and the surgeon. Anticipates needs of the surgeon. Attentive to surgical field During surgery. Assist anesthesia during induction and line placement, as necessary. 10


    11. Accurately records, handles and label specimens: demonstrates care of specimens.


    12 Completes records appropriately; Documentation meets current standards, policies and procedures. Corrects any errors in a timely manner. Ensures proper documentation on hand before surgical case start (i.e.: H&P, Consents, Pre-op

    checklist, ext.)


    13. Demonstrates competence in performing counts. Follows established policy and procedures for counts. Initiates and documents corrective actions when counts are incorrect. Effectively communicates information to the physician.


    14. Demonstrate knowledge of basic hemodynamic principles and corrective actions. Understands set up, placement, function and proper use of invasive lines (arterial lines, Swan-ganz, CVP, ext.).


    15. Takes call as required (see staffing policy). Takes accountability for being accessible while on call. Responds to callbacks by calling operator when paged and arriving in department ready to work in a timely manner. Effectively manages duties as a team leader, as necessary.



    Because you’re committed to excellence, you understand the importance of being properly prepared for your role at Mercy. That’s why you’ll bring to your role the right set of qualifications:



    Education: Graduate of an accredited school of nursing

    Licensure: Current Registered Nursing licensure in the State of Arkansas

    Preferred Experience: 3 years experience in the operating room


    Certification/Registration: Current BLS and ACLS certification

    Other skills & knowledge:

    Skills as an RNFA in the preoperative setting: focused preoperative nursing assessments, communicating and

    collaborating with other helath care providers regarding patient's plan of care.


    Skills as an RNFA in any surgical setting including using surgical instruments and medical devices, providing surgical site

    exposure, handling and/or cutting tissue, providing hemostasis, suturing.


    Skills as an RNFA in the postoperative period: participating in postoperative rounds, assisting with discharge planning.




    Education: BSN

    Completion of an RN First Assistant Education Program

    Experience: Cardiac and/or Vascular surgery experience preferred

    Certification/Registration: CRNFA, CNOR preferred




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