RN Job In Lodi, California
Registered Nurse First Assistant – Surgery Dept.Next Steps... Apply Now
DEPARTMENT: Perioperative Services (Surgery)
TITLE: Registered Nurse First Assist (RNFA)/RN-Circulating
SUMMARY: Provides professional nursing care by utilizing the nursing process to care for patients in the surgical unit. Coordinates care planning with other disciplines involved in patient care in relationship to the Surgery Department. Demonstrates competency in the care of children, adolescents, adults, and geriatric patients. This position is required to be on paid standby as assigned.
EDUCATION, TRAINING, AND EXPERIENCE:
1. Current and valid licensure as a Registered Nurse in California.
2. Minimum of three years experience in the operating room.
3. BCLS, ACLS, and PALS.
4. Certification from NIFA and/or CSN accredited school of Nursing RNFA programs.
5. CNOR Certification.
1. Bachelor of Science in Nursing.
2. AORN membership.
3. Certification in IV insertion and therapy
MAJOR DUTIES AND RESPONSIBILITIES:
1. Functions in the role of an RNFA and flexes to an RN Circulator as needed.
2. Utilizes safe tissue retraction for different operative sites; good eye/hand coordination with laparoscopic instruments; first assisting multi-layered wound closure techniques; instrument tying techniques; two-handed deep tying; and figure-of-eight stitches for hemostasis.
3. Performs circulating and scrubbing duties according to department policy. Verbally confirms surgical site and side before induction of anesthesia. Accurately performs all sponge, needle, sharp and instrument counts at appropriate time and according to department policy. Demonstrates proper use of instruments, equipment, suturing and stapling devices. Properly identifies all specimens according to departmental policy. Prepares instruments according to physician preference and scheduled procedure. Follows departmental policy for wearing personal protective equipment for all procedures. Adheres to schedule and calls for pre-op of next patient.
4. Performs initial nursing assessment to include proper identification of patient, completion of preoperative checklist, history and physical, surgical consent, labs, NPO status, and other preoperative assessments and documents all findings.
5. Plans individualized patient care based on disease specific, age related and age appropriate needs of the patient. Based on the nursing process, develops individualized patient care plan. Reviews surgeons
preference card and makes alterations to individualized plan of care. Ensures routine and special equipment is ready, available and functioning properly. Anticipates and selects appropriate supplies necessary to safely position and care for the patient. Implements plan of care by demonstrating necessary skills and knowledge to provide care for patients according to unit specific competencies. Performs safe administration of medications by checking patient’s allergies prior to administering any medications or treatments; documents appropriately. Confirms consent with surgeon and documents appropriately. Remains calm, professional and effective in emergency situations.
6. Demonstrates ability and appropriate technical skills when administering treatments and procedures in accordance with physician’s orders and nursing policy and procedures, in a timely manner.
7. Meets teaching needs of patient and family by providing information to patient and significant others relative to surgical intervention through the pre-, intra- and post-operative patient care. Develops and implements a teaching plan identifying special educational needs, including age-specific needs of patient and family.
8. Meets teaching needs of new employees and students by serving as a preceptor for competency-based orientation of staff/students. Functions within limits specified by the Nurse Practice Act and Title 22.
9. Provides patient with safe and aseptic environment by applying the principles of aseptic technique. Takes corrective action to rectify breaks in aseptic technique. Inspects sterile items before opening and maintains sterility of items during delivery to sterile field. Maintains appropriate traffic patterns and personnel around the sterile field. Applies appropriate methods and parameters of sterilization and disinfection; and observes for general cleanliness of the OR and takes appropriate action to amend, as necessary.
10. Maintains a clean, neat, and safe unit environment for patients and staff according to department policy. Ensures that supplies and equipment necessary for patient care are stored in an organized and efficient manner.
11. Maintains general professional conduct and standards to include patient confidentiality, current license, CPR, annual department competency checklist, attends staff meetings, practices guidelines of infection control and standard precautions, understands and follows safety policies and participates in quality improvement activities.
12. Demonstrates accurate patient information documentation on perioperative record according to policy. Demonstrates neatness and legibility. Charges accurately for the use of supplies and equipment according to policy. Accurately uses computer system.
13. Demonstrates leadership and interpersonal skills. Leads patient care team, delegates appropriately and coordinates care of assigned patients. Directs care provided by assigned staff members and provides them with meaningful feedback. Keeps department supervisor informed or pertinent information involving patient care, physician relations and personnel issues. Communicates effectively, maintains adaptability, supports unit team and resolves problems. Supports and maintains customer services.
1. Conducts hospital and department business in an ethical and lawful manner, and willing to report any knowledge of real or potential fraud or abuse according to the Lodi Health Compliance Code of Conduct.
2. Will not use or disclose individually identifiable health information of patients over and above that which is minimally required to perform your assigned position responsibilities.
The Surgery Department occupies the middle section of the north side of the second floor of Lodi Memorial Hospital. The unit provides surgical service to both inpatients and outpatients for surgical care. The unit is open for scheduled procedures 0645-1730, Monday through Friday. Emergency hours of service are 24 hours a day, seven days a week. The area includes six operating rooms. The following specialties utilize the Surgery Department: ENT, General Surgery, Urology, Orthopedic, OBGYN, Plastic Surgery, Podiatry, Ophthalmology, Dental and Thoracic. In the working environment of the Surgery Department, there may be potential for exposure to communicable diseases, contaminated blood and body fluids, and hazardous materials.
Must exhibit trunk and extremity mobility and strength to handle objects and people safely in the activities of holding, carrying, pushing, transferring and pulling. Must be able to lift a maximum of 65 pounds safely.
Duties and responsibilities may be added, deleted or changed at any time at the discretion of the Director or designee, formally or informally, either verbally or in writing.
Lodi Health is a private, not-for-profit health system that strives to improve the quality of life in the community it serves - both in and beyond its walls. As a non-profit, unaffiliated health system, Lodi Health is able to reinvest in talent, technology and physicians to ensure patients receive quality and very personal care.
Since April of 1952 when the Lodi Memorial Hospital's doors first opened, until today, Lodi Health has evolved to meet the changing community's need. In 1952, there were 14,000 residents in Lodi. Today there are 65,000, and the area served beyond Lodi's boundaries has grown to more than a quarter million people.
Over the last 63 years, a lot has changed at Lodi Memorial Hospital. New buildings and wings have been erected. New technologies, like robotic-assisted surgery, have been introduced. Quality physicians and dedicated nurses have worked round the clock. Lodi Memorial Hospital became Lodi Health to encompass all of its services that provide the quality health care you need with the compassion and personal attention you want from the first day of your life and every day thereafter.
Our vision is to be the first choice for health care by providing the highest level of quality, care access, wellness and affordability through partnerships with patients, staff, physicians and the community we serve.
Now, Lodi Health is pleased to join the Adventist Health family, which allows for even greater service in Lodi and its surrounding communities.