Mercy Health

  • RN - First Assistant, Operating Room, Full-time

    Requisition ID
    2019-787269
    Category
    Nursing
    Position Type
    Full Time
    Shift(s)
    To Be Determined
    Department
    Operating Room Complex
    Location
    US-OK-Oklahoma City
  • Overview

    We’re a Little Different

     

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

     

    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. We have opportunities for nurses who are inspired to pioneer new models of care and want to transform the healthcare experience. Work with advanced technology and innovative procedures. Be state of the art, and never stop exploring. We’re expanding to help our communities grow, offering an exceptional opportunity to join our team.

     

    Position Qualifications:

     

    Education: Graduate of an accredited nursing program

    Licensure: Active RN licensure in the State of Oklahoma

    Experience: Must have a minimum of perioperative nursing experience.
    Certifications: CNOR Must have or be working toward CRNFA.
    Other: Demonstrates continued competence in assisting and in perioperative nursing.

    Preferred Certifications: Certified Registered Nurse First Assistant.

     

    We’ll Support You at Work and Home

     

    Getting respect doesn’t come easy in healthcare. 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. 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.

     

    **If you are selected for an interview, you will receive an email invitation (from a Montage email address) to self-schedule.  Please ensure the email provided on your application is checked regularly.**

    Responsibilities and Qualifications

    The RNFA will utilize the nursing process in perioperative practice at a level of advanced practice.


    1.1 A thorough assessment of the patient's data will include physical, emotional, developmental, social, intellectual, cultural, and spiritual information. The assessment will be documented on the patient’s record during the preoperative phase.
    1.2 The RNFA will organize the patient data and identify Nursing Diagnoses, and formulate a perioperative nursing care plan in collaboration with the RN circulator or other perioperative nurses.
    1.3 The RNFA implements and coordinates the implementation of the care plan by performing nursing interventions and coordinates the nursing care throughout the patient's entire perioperative experience.
    1.4 The RNFA evaluates care and continuously reassesses patient data noting the degree to which the assessment, nursing diagnosis, outcomes, and nursing interventions have been correct.
    1.5 The RNFA will continue and contribute to the patient's evaluation and care through discharge of the patient. The RNFA will work in collaboration with other RN's in area where the RNFA's expertise can contribute to the patient's care planning and outcomes.

    The RNFA will apply principles of asepsis and infection control. RNFA has advanced knowledge in principles of wound healing, wound classification system, microbial transmission, and understanding of microorganisms of surgical importance. The RNFA serves as a resource to other perioperative staff members.


    2.1 Strictly adheres to principles of aseptic technique
    2.2 Understands barriers to microbial transmission
    2.3 Monitors for breaks in aseptic technique.
    2.4 Recognizes normal body defenses and identifies risks and compromised defenses.
    2.5 Keeps current on practices and techniques in the above area by reading reports, journals, and attendance to advanced educational offerings.

    The RNFA is aware of the appearance of various tissues and structures as they become visible during dissection techniques. The RNFA can anticipate expected locations of tissue planes, neurovascular bundles, and visceral structures. Understand the physiological consequences associated with manipulation or destruction of normal anatomy. For each surgical intervention within the RNFA experience and practice, the RNFA will:


    3.1 Have knowledge of anatomy involved
    3.2 Demonstrate understanding important nursing interventions related to the particular intervention such as positioning, skin prep, draping, special suture requirements, and special instrument and equipment needs.
    3.3 Identify unique first assisting requirements.
    3.4 Plan for wound closure in collaboration with surgeon.
    3.5 Plan for special postoperative needs for the patient.
    3.6 Determine methods of evaluating patient outcomes and document.

    The RNFA has a working knowledge of methods of providing wound exposure.


    4.1 The operative procedure, stage of operation, physical characteristics of the patient, types of tissue, location of tissue, anatomy, pathophysiology, and fragility of the tissue are considered when planning and implementing would exposure techniques.
    4.2 the RNFA uses manual and retraction instruments appropriately and properly.
    4.3 The RNFA improves visualization of site with proper and appropriate suctioning techniques to avoid tissue trauma or aspiration injury.
    4.4 The RNFA improves visualization with appropriate and proper sponging techniques.

    The RNFA has a working knowledge of methods of providing homeostasis. Utilizes the following techniques appropriately and properly:


    5.1 Manual homeostasis.
    5.2 Instruments for homeostasis including hemostats, clips, and vascular devices.
    5.3 Chemical agents such as gelatin sponge, collagen sponge, oxidized cellulose, microfibrillar collagen, and topical bovine thrombin.
    5.4 Electrosurgery
    5.5 LASER surgery

    The RNFA has a working knowledge of wound closure.


    6.1 Performs or assists suturing techniques: continuous, interrupted, subcuticular, simple, purse string, retention, figure-8, staples, skin closure tapes, knot-tying techniques.
    6.2 Plans appropriately for suture materials and needle types.

    The RNFA has knowledge and awareness of potential complications and injuries that can occur to patients undergoing surgery. The RNFA assesses and uses appropriate interventions to prevent or, as needed, react to complications or injuries. The RNFA is knowledgeable regarding monitoring techniques, normal parameters, implications of abnormal values, and necessary interventions in the following areas:


    7.1 Homodynamic complications.
    7.2 Metabolic complications
    7.3 Cardiac Complications

    The RNFA maintains the following credentials:


    8.1 CNOR
    8.2 ACLS
    8.3 6 additional hours of education above requirement for RN job code. Education hours will be in area directly applicable to the RNFA role in the OR.

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