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QUALIFICATIONS: Required: BSN or BS degree. Minimum 2 years clinical experience in perioperative nursing. Current license as a registered professional nurse in the state of Illinois. CNOR (Certified Nurse Operating Room) eligible. Didactic portion of RNFA course completed or completion of didactic portion of an accredited Surgical Assist course. Cardio-Pulmonary Resuscitation recognition (healthcare provider level). Desired: ACLS. CNOR. AORN membership. ESSENTIAL FUNCTIONS: The registered nurse first assistant: certification pending, exemplifies the seven attributes of an NMH nurse, and reflects the mission, vision, and values of Northwestern Memorial Corporation, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The RNFA is a registered professional nurse who has completed an approved RNFA course and/or accredited Surgical Assist course, and functions as a first assistant during surgical procedures in order to assist the surgeon. The RNFA is directly supervised by the surgeon, and performs functions specifically identified and consistent with training received. Works in collaboration with the surgeon and health care team to achieve optimal patient outcomes. Practices at the direction of the surgeon and does not concurrently function as a scrub person. Demonstrates clinical expertise and in-depth knowledge in direct patient care activities. Integrates theoretical knowledge base and clinical expertise in decision making. Recognizes safety hazards and initiates appropriate corrective action. Performs preoperative patient assessment and teaching as required. Applies principles of asepsis and infection control in a skillful manner. Applies knowledge of surgical anatomy, physiology, and operative technique relative to operative procedures. Performs positioning, prepping, and draping of the patient, including placement of urinary drainage catheter. Provides homeostasis by clamping blood vessels, coagulating bleeding points, ligating vessels, and by other means as directed by the surgeon. Provides exposure through appropriate use of instruments, retractors, suctioning, and sponging techniques. Handles tissue as directed by the surgeon during the operative procedure. Performs wound closure as directed by the surgeon; sutures the subcutaneous tissue, and skin. Applies surgical dressings. Assists with transfer of the patient from the operating room. Assist with room turnover. Practices within limitations of preparation and experience. Will function in the scrub / circulator role when RNFA role is not needed. Maintains surgical participation log. Requirement: Physical ability to lift, push, pull and move at least 35 lbs. Maintains RNFA / RNSA / CNOR certification. Maintains competency consistent with AORN's competency statements. Demonstrates the following professional attributes: Exemplifies a professional image in appearance, manner and presentation. Is an advocate for patients and their significant key others, co-workers, the community, and the nursing profession. Consistently demonstrates accountability. Serves as subject matter expert / resource for OR staff members. Participates in formal and informal education of RNFA students, nursing and non-nursing personnel. Integrates research and recognized expert sources into practice & education of others. Demonstrates effective interpersonal skills and ability to work collaboratively with others. Assumes a leadership role in professional activities. Collaborates with management in problem solving and decision making. Serves as a role model for "Patients First". Patient care/age specific responsibilities and qualficiations for: child 3-12 years, adolescence 12-18, early adult 18-29, young adult 29-40, middle adult 40-64, geriatrics 64 and older. Participates in departmental quality monitoring program. Incorporates recommends changes into practice. AA/EOE.
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