RN First Assist

By | January 25, 2023

RN First Assist

RN First Assist

Primary Location Wailuku, Hawaii

Job Number 1068300

Date posted 05/05/2022


Direct postoperative patient care is provided. carries out preoperative nursing assessments, provides intraoperative care, and evaluates the care provided to surgical patients afterwards using the nursing process as the basis for practice. Possesses expertise in perioperative nursing practice and is qualified to serve in the roles of scrub, circulator, and first or second assistant. Under the direction and supervision of the surgeon, the assistant helps the surgeon with the procedure by doing assisting tasks that will help the surgeon ensure the success of the surgery patient. The presence of the surgeon in the operating room qualifies as supervision.


Essential Duties:

Exhibits expertise in perioperative nursing practice and is capable of acting as a scrub or circulator prior to, during, and after surgery while using nursing diagnoses and nursing processes to deliver care.
offers continual, personalised nursing care planning. evaluates results and modifies plan as necessary to meet patient needs.
supervises and plans the activities of additional team members and support employees as necessary.
acts as a teacher, coach, preceptor, or in some other educational or training capacity for others. participates in the process of peer evaluation.
ensures continuity of care by working with the medical staff, including the anesthesiologist, surgeon, scrub, and circulating personnel. Plans perioperative routines that will provide the patient a choice in the surgical outcome.
uses departmental flow sheets, forms, etc. to record the nursing process and care actions.

Demonstrates knowledge of and proficiency with asepsis and infection control principles. understanding of the classification system for wounds and wound healing principles.
has an aptitude for spotting risks to patients' or staff's safety and takes appropriate preventive or corrective action. records any instances of poor patient care and alerts the appropriate staff members.
participates in monitoring and assessing the department's quality of care.
Uses instruments, supplies, and equipment necessary for providing care with technical proficiency.

participates in discharge planning and inpatient instruction as necessary.
Practices that adhere to all organizational, departmental, and the Hawaii Nurse Practice Act as well as the standards of practice and position statements of the Association of Perioperative Registered Nurses (AORN).
demonstrates efficiency and effectiveness when providing emergency patient care or in a unit setting.
shows an aptitude for working in harmony and efficiency as a team member.
Interpersonal and communication skills are used to solve problems, settle disputes, and foster productive interpersonal relationships.
shows an understanding of surgical anatomy, physiology, operative technique, and the flow of events relating to particular operative procedures for which RNFA provides assistance.

demonstrates proficiency in tissue handling, provides the proper exposure, employs instruments with expertise, performs suturing methods, and aids in hemostasis to provide intraoperative care to surgical patients.
helps with patient positioning, skin preparation, and draping processes as well as the verification of the surgical site.
shows off their manual dexterity. provides hemostasis using electrocautery, surgical clips, clamping and tying of vessels, and suctioning of the operative field.
keeps the surgical area dry while retracting tissue to provide the surgeon exposure. use retractors and equipment while being mindful of tissue brittleness.
demonstrates the ability to close surgical wounds by layer (fascia, subcutaneous, and skin tissues), under the direction and supervision of the surgeon, and gives suitable tissue approximation.

helps the process to be completed by stabilizing the drains, treating the wound, and applying dressings. Helps apply casts, splints, and other immobilization devices as necessary.
acts as a second assistance when necessary by holding retractors, supplying exposure, and sucking.
dressings are applied to wounds.
uses tools and medical equipment as directed by the surgeon.


Read also employees expected conduct for this job


Basic Qualifications:
  • Minimum three (3) years' experience as a perioperative nurse in scrub and circulating roles.
  • Graduate of an accredited school of nursing.
  • Graduate of an RNFA program that meets the AORN recommended education standards for RNFA programs meeting Competency & Credentialing Institute's criteria of program acceptability.
License, Certification, Registration
  • Valid Hawaii RN license (must meet education requirement(s) for Hawaii State licensure).
  • Certified Nurse Operating Room (CNOR) by the National Certification Board Perioperative Nursing (CBPN).
  • Current BLS for Healthcare Provider CPR or CPR/AED for the Professional Rescuer certification.
Additional Requirements:
  • Demonstrated ability to scrub proficiently in two to three surgical services.
  • Demonstrated ability to function in First Assisting role.
  • Demonstrated knowledge of and skill in adaptability, change management, interpersonal relations, oral communication, quality management, and teamwork.
Preferred Qualifications:
  • N/A
Primary Location: Hawaii,Wailuku,Maui Memorial – Wailuku Tower
Scheduled Weekly Hours: 40
Shift: Day
Workdays: Mon, Tue, Wed, Thu, Fri, Sat, Sun
Working Hours Start: 07:30 AM
Working Hours End: 04:00 PM
Job Schedule: Full-time
Job Type: Standard
Employee Status: Regular
Employee Group/Union Affiliation: S03|AFSCME|UNAC-HGEA
Job Level: Individual Contributor
Department: MAUI MEMORIAL MEDICAL CENTER – Operating Room-1 – 3601
Travel: No

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