RN/Registered Nurse First Assistant - Perioperative - HPW - FT - Day

Work Shift:

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advance technology. Capital Health is a five-time Magnet-Recognized health system for nursing excellence and is comprised of 2 hospitals. Capital Health Medical Group is made up of more than 250 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region.

Position Overview:

MINIMUM REQUIREMENTS

Education: Associates degree or graduation from an accredited school of nursing. Completion of First Assistant program and completion of 20 hours or 10 cases of proctoring by the sponsoring surgeon. Nationally certified operating room nurse through the association of operating room nurses (AORN) required "and" must attain CNOR within six months of hire.

Experience: Three years of operating room experience in both the scrub and circulating roles.

Other Credentials: AHA BLS - Healthcare Provider, Registered Nurse - NJ

CPR Requirements:
• Requires ACLS (or must obtain within 6 months of hire date) if assigned to: Critical Care/Intermediate/Telemetry, Emergency Rooms, Pediatrics/Pediatrics Emergency Room, Labor & Delivery, Surgical Services (not to include Perioperative), Interventional Procedures, Observation.
• Requires NRP (or must obtain within 6 months of hire date) if assigned to: Maternity Services, Emergency Room RMC/Deborah
• Requires PALS (or must obtain within 6 months of hire date) if assigned to: Emergency Rooms, Infant Follow-Up, Surgical Services (only PACU & Same Day Surgery), Pediatrics/Pediatric ED. ENPC accepted in lieu of PALs for Adult Emergency Room

Knowledge and Skills:

Special Training:

Mental, Behavioral and Emotional Abilities:

Usual Workday:8 Hours

ESSENTIAL FUNCTIONS
• Assists Physician by performing individualized surgical care management before, during and after surgery. Assists with the positioning, prepping and draping of the patient or perform these independently, if so directed by the surgeon.
• Assists the surgeon with case, including providing retraction of tissue for optimal visualization and appropriate retraction instrument and/or technique, assists in maintaining hemostasis by direct pressure, use and application of appropriate surgical instrument for the task, placement of ties, placement of suture ligatures, application of chemical hemostatic agents, or other measure as directed by the surgeon. Uses electrocautery mono and bi-polar, clamp, ligate, and cut tissue per surgeon's directive.
• Affords the surgeon the best possible exposure of the anatomy incident to the operation. Assists the surgeon in identifying any structure which should not be ligated and keeps these structures from the moves of the surgeon.
• Assists in closure of the incision including tying off bleeders, applying sutures and wound dressing and performs any and all tasks required of him/her by the surgeon incident to the particular procedure.
• Practices correct operating room etiquette. Evaluates and implements the plan of care. Possesses thorough understanding of appropriate instruments pertinent to the surgical case.
• Complies with all relevant statutes, regulations and institutional policies pertaining to the role of the first assistant. Works effectively and in harmony as part of the operative team.
• Applies principles of asepsis and infection control knowledgeably and skillfully.
• Recognizes changes in the patient's condition. Recognizes potential emergency situations or surgical hazards and initiate preventative or corrective measures in a timely manner. Performs proficiently and calmly in all emergencies. Assists with resuscitation of patient during cardiac arrest or other life-threatening events in the operating room.
• Responsible for case preparation to include schedule review, posting slip review to verify necessary equipment to be available and complete along with patient images and other necessary information.
• Working within scope of license, develops and implements nursing plan of care for patients. Communicates the plan of care to patients as prescribed by physician: test results, scheduling of specialized tests and treatment modalities, prescription drug instructions and other patient education. Documents treatment in medical record appropriately.

PHYSICAL DEMANDS AND WORK ENVIRONMENT

Frequent physical demands include:

Occasional physical demands include Sitting, Standing, Walking, climbing (e.g., stairs or ladders), Carry objects, Push/Pull, Twisting, Bending, reaching forward, reaching overhead, Squat/kneel/crawl, Wrist position deviation, Pinching/fine motor activities, Keyboard use/repetitive motion

Continuous physical demands include:

Lifting Floor to Waist 15 lbs. Lifting Waist Level and Above 10 lbs.

Sensory Requirements include: Accurate Near Vision, Accurate Far Vision, Color Discrimination, Minimal Depth Perception, Minimal Hearing

Anticipated Occupational Exposure Risks Include the following: Bloodborne Pathogens , Chemical , Airborne Communicable Disease , Extreme Temperatures , Radiation , Uneven Surfaces or Elevations , Extreme Noise Levels , Dust/Particulate Matter

Offers are contingent upon successful completion of our onboarding process and pre-employment physical. Capital Health will require all applicants (including contractors, travelers and consultants) to have an annual flu vaccine prior to start date, with the exception of individuals with medical and religious exemptions.

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