RN FIRST ASSIST - OPERATING ROOM - PER DIEM

Become part of the Beebe team - an inclusive team positioned in a vibrant, coastal community. Enjoy a fulfilling career as you support the health of our patients and a team focused on excellence.

This individual is a clinically competent, registered, professional nurse who has demonstrated expertise in the perioperative field. He/she effectively delivers perioperative care to the surgical patient through the nursing process of assessment, planning, intervention, implementation, and evaluation.  Has completed RN First Assist training.

• Demonstrates competency in performance of scrub/surgical routines and aseptic technique--utilizes proper scrub, gown and gloving technique for self, surgeon, and assistant; ongoing monitoring of asepsis in all roles--scrub, circulator, and assistant; anticipates needs of surgeon; consistently recognizes sequence of procedures in all roles--scrub, circulator, and assistant; passes instruments correctly; appropriate review and preparation for assigned procedures.
• Understands and utilizes established guidelines for operation of autoclaves and steris units--performs daily A-Test/Biological tests as required; performs proper care, handling, and assembly of instruments for processing; ensures complete/thorough documentation of all flash and steris cycles as per protocol.
• Accepts personal accountability for proper handling, judicious use, and optimum care of all department supply, instrument, and equipment inventory.
• Utilizes the nursing process throughout the perioperative setting per patient assessment--collecting, interpreting, recording, and communicating pertinent data relevant to patient care in surgery; care planning--utilization of collected data to plan appropriately for intraoperative nursing care; implementing--provides direct patient care to meet physical and psychological needs; evaluating care--continuously evaluates patient response to nursing intervention and modifies care plan to achieve desired outcome.
• Demonstrates and conveys theoretical knowledge and skills related to perioperative nursing care--understands the "why" concept as well as the "how" process.
• Thorough/Accurate/Complete documentation of intraoperative patient care.
• Understands / Demonstrates / Conveys knowledge related to proper intraoperative patient positioning--universal skin care precautions; prevention of nerve damage; prevention of pressure related skin breakdown.
• Assists with completion and accuracy of surgical sponge, sharps/miscellaneous items, and instrument counts as per established policies and guidelines.
• Assists with maintenance of up-to-date preference sheets in conjunction with Resource RNs and department Nurse Managers.
• Effectively demonstrates critical thinking, prioritization of duties, and time management skills throughout the perioperative arena.
• Maintains accuracy with patient charge process, cost efficient usage of case supplies, and ensures all pertinent data is provided to post case data personnel to facilitate a time efficient billing process.
• Strives to ensure efficiency in turn around time between procedures--readily available; communication with OR Desk/Charge RN and/or department Nurse Manager; gross cleaning of body fluid spills to confine contamination throughout the procedure; prioritization of case completion process; assists with room clean up tasks as necessary; prioritizes case set up process toward maximum efficiency.
• Initiate appropriate intraoperative behaviors unique to first assisting: provide hemostasis to reduce potential for fluid volume deficit by clamping and/or legating vessels using ESU, direct pressure, applying chemical agents that promote coagulation and other means as directed by the surgeon; provide exposure of the operative site through appropriate use of retractors, other instruments, and through suctioning and sponging; use surgical instruments skillfully in ways consistent with their design and purpose as directed by the surgeon.Accreditation/Regulatory Compliance

• Completed RN First Assist Training

"Essential:
* Experience In Hospital Or Acute Care Setting
* Clear Communication Skills Both Written And Verbal
* Able To Keep Confidential Information Regarding Patients, Team Members
* Able To Withstand Crisis Situations
* Has Skills To Provides Customer Service To Patients, Team Members And Visitors
* Knowledge And Experience With Electronic Health Records
"

Essential:
* RN - Registered Nurse
* BLS - Basic Life Saving certification
Nonessential:
* CNOR - Certified Nursing - OR

Essential:
* RN Diploma/RN Graduate Program