RNFA

Platinum Medical Staffing is a local staffing agency in Maryland. We are seeking a Registered Nurse First Assistant (RNFA) with 2+ years of experience in the operating room. Applicants must be certified RNFA
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Position: RNFA

Position Summary
The RNFA will assist in operations under the supervision of surgeons, performing duties such as incisions, suturing, instrumentation, patient positioning, and intra‑operative monitoring. The RNFA may, in accordance with state laws, help surgeons to make incisions, close surgical sites, place catheters, clamp or cauterize vessels, and apply dressings.

• Verify identity of patient or operative site.
• Monitor and maintain aseptic technique throughout procedures.
• Cover patients with surgical drapes to create and maintain a sterile operative field.
• Coordinate or participate in positioning of patients using body‑stabilizing equipment.
• Maintain an unobstructed operative field with retractors, sponges, suctioning and irrigation.
• Prepare and apply sterile wound dressings.
• Apply sutures, staples, clips or other materials to close skin, fascia or subcutaneous layers.
• Discuss with surgeon the nature of procedure, operative consent, exposure methods, and any patient‑advanced directives.
• Determine availability of necessary equipment or supplies for operative procedures.
• Clamp, ligate or cauterize blood vessels to control bleeding using hemostatic clamps or electrocautery.
• Assess skin integrity after procedure to evaluate damage from positioning.
• Assist with patient resuscitation during cardiac arrest or other life‑threatening events.
• Inspect sterile or non‑sterile surgical equipment, instruments or supplies.
• Pass instruments or supplies to surgeon during procedure.
• Monitor patient intra‑operative status (position, vitals, volume and color of blood).
• Assist in insertion, positioning or suturing of closed‑wound drainage systems.
• Assist members of surgical team with gowning or gloving.
• Gather, arrange or assemble instruments or supplies.
• Coordinate with anesthesia personnel to maintain patient temperature.
• Adjust and maintain OR temperature, humidity or lighting per surgeon’s specifications.
• Assist in applying casts, splints, braces or similar devices.
• Transport patients to the operating room.
• Remove patient hair or disinfect incision sites to prepare patient for surgery.
• Incise tissue layers in lower extremities to harvest veins.
• Postoperatively inject subcutaneous local anesthetic to reduce pain.
• Insert or remove urinary bladder catheters.
• Assist in volume replacement or autotransfusion techniques.
• Maintain scheduling communications with internal and external parties.
• Perform other duties as assigned.

• Minimum two (2) years’ experience in an ambulatory or surgical setting.
• Ability to function in a high‑stress, physically demanding environment.
• Knowledge of healthcare regulations and preventative measures (HIPAA, infection control).
• Exemplary customer service experience and strong client relationships.
• Excellent oral and written communication skills.
• Manual dexterity, precision and arm‑hand steadiness.
• Empathy with patients and ability to maintain confidentiality.

The employee must use hands and fingers, stand, walk, sit and reach with hands and arms, and lift or move up to 25 pounds. Specific vision requirements include close and distance vision and ability to adjust focus. Noise level is usually low to moderate.

Please submit all job applications through our online portal at .

Note:

This job description is not exhaustive. Employees may be required to perform additional duties. The company is an Equal Opportunity Employer and complies with ADA regulations.

Compensation: $50.00 - $55.00 per hour