About City of Hope
City of Hope, an innovative biomedical research, treatment and educational institution with over 6,000 employees, is dedicated to the prevention and cure of cancer and other life-threatening diseases and guided by a compassionate, patient-centered philosophy.
Founded in 1913 and headquartered in Duarte, California, City of Hope is a remarkable non-profit institution, where compassion and advanced care go hand-in-hand with excellence in clinical and scientific research. City of Hope is a National Cancer Institute designated Comprehensive Cancer Center and a founding member of the National Comprehensive Cancer Network, an alliance of the nation’s leading cancer centers that develops and institutes standards of care for cancer treatment.
The Registered Nurse First Assistant (RNFA) is a perioperative registered nurse who functions in an expanded role or an Advanced Practice Registered Nurse (APRN) functioning as a first assistant.
To carry out the functions that will assist the surgeon in performing a safe operation with optimal results for the patient. The RNFA practices peri-operative nursing and is therefore responsible for independent nursing behaviors of peri-operative assessment and post-operative evaluation of care
works in collaboration with the surgeon and other healthcare team members to achieve optimal patient outcomes;
has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice;
intraoperatively practices at the direction of the surgeon
Key Responsibilities include:
Assess the health status of the patient in order to develop an individualized plan of care by collecting, categorizing, and interpreting data (physical and psychosocial) from documented information, observation, patient/family interview and other health care team members.
Assess the patient including nursing diagnosis, patient goals and nursing interventions necessary to achieve goals of care
Implement nursing care to provide optimal individualized patient outcome
Instruct the patient and family to assist the patient in the achievement of optimal health status
Document nursing activities to provide a permanent record, for continuity of care, quality improvement and professional accountability
Identify the patient to ensure the patient, procedure and operative site correspond
Plan, supervise and assist with the transfer of the patient to protect the patient and personnel from injury
Position the patient to provide access to the operative site while maximizing patient safety and comfort
Establish and maintain a surgically clean environment to reduce the potential for infection by applying the principles of the potential for infection by applying the principles of antisepsis, decontamination, disinfection, sanitation, sterilization and environmental monitoring
Establish and maintain a safe environment to protect the patient and the health care team by monitoring the patient (physiologically and psychologically) and the environment and by implementing safety procedures
Establish and maintain a sterile field to reduce potential for infection by teaching and supervising the application of principles of aseptic technique and continual monitoring of the sterile filed
Coordinate support services need during surgery by anticipating and communicating patient and surgical team needs
May function as a RN Circulator and/or Scrub Nurse
Performs other related duties as assigned or requested.
Basic education, experience and skills required for consideration:
Three years of experience in peri-operative nursing
Demonstrated proficiency in the scrub and circulating roles
Demonstrated knowledge and skill in applying principles of aseptic technique
Demonstrated knowledge of surgical anatomy, physiology and operative technique related to first assisting
Demonstrated ability to perform effectively and harmoniously as a member of the operative team
Demonstrated ability to recognize safety hazards and to initiate appropriate preventive and corrective action
Demonstrates skill in the following intra-operative nursing behaviors:
Ability to work under pressure
Excellent oral/written communication and organizational skills
Using instruments and medical devices
Providing surgical site exposure
Handling and/or cutting tissue
Knowledge of word and excel. Strong electronic health record navigation skills.
Ability to work variable shifts and take call
Successful completion of additional educational preparation specific to the role of RNFA including a supervised clinical component
RNFA certification plus California RN License, BCLS, ACLS
Preferred education experience and skills:
CRNFA certification, CNOR Professional Organization Membership-AORN
Shift: Day, 10 hours
Job Status: Full-Time, 40 hours per week
This position is represented by a collective bargaining agreement
This shift is eligible for a shift differential.
Certification pay may apply
To protect the health of patients and staff and to comply with new State of California mandates, City of Hope staff are required to show proof of full vaccination by September 30, 2021. Compliance is a condition of employment.
City of Hope is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, or status as a qualified individual with disability.
Posting Date: Aug 11, 2021
Job Field: Nursing
Employee Status: Regular
Shift: Day Job
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