RN First Assistant; RNFA; Surgical Services; PRN

Additional Information About the Role

Shift Requirements:

• This PRN position is scheduled based on departmental needs and the employee's availability. Candidates should be willing to work as needed and participate in the on-call rotation.
• Standard operating hours are Monday through Friday, 5:00 a.m. to 5:00 p.m. On-call coverage may be required outside of these hours, including evenings, nights, weekends, and holidays.
• Shifts are typically 8 hours in length and may vary based on staffing needs. Examples of shift times include 5:00 a.m. to 1:00 p.m. or 8:30 a.m. to 5:00 p.m..

As part of BJC Health Care, Parkland Health Center offers a unique combination of world-class medicine along with the deep local roots and rich history of its three predecessors – Bonne Terre Hospital (opened in 1911), Mineral Area Regional Medical Center (1952), and Farmington Community Hospital (1969). Parkland Health Center has two locations in St. Francois County, Missouri – a full-service acute care hospital in Farmington as well as a rural emergency hospital in Bonne Terre.

Parkland Health Center provides quality primary and secondary level inpatient and outpatient services to the people of St. Francois County and surrounding areas in southeastern Missouri.

In addition, Parkland’s Farmington campus offers a full continuum of inpatient and medical-surgical and intensive care, obstetrics and emergency services, along with a wide variety of outpatient services including oncology services, an infusion center, a wound care clinic, and the Huckstep Heart and Lung Center. Bonne Terre is a Rural Emergency Hospital providing emergency services and outpatient services including medical observation, lab, radiology, and sleep study.

· The Surgical Services Department provides pre-op and post-op inpatient care to those patients undergoing specialty surgical procedures in the areas of abdominal solid organ transplant, vascular surgery, hepatobiliary, trauma, ear-nose and throat, and orthopedic procedures.

Role Purpose

Performs an expanded perioperative role as a first assistant to surgeons during surgical procedures in the operating room. RNFA works alongside the surgeon to provide direct patient care. Works as a professional colleague with the perioperative team and collaborates with the patient-designated support person, and other health care providers when making decisions to plan care.

Responsibilities

• Delivers intraoperative patient care as the first assistant to the surgeon(s) as a collaborative team member. Pre-operatively performs a focused nursing assessment in reference to planned procedure. Analyzes the assessment data to determine nursing diagnosis. Identifies and communicates desired patient outcomes throughout the perioperative continuum.
• Functions as a member of the surgical team and contribute to the overall efficiency of the peri-operative department. Considers factors related to safety, effectiveness, efficiency, the environments, and the cost in planning, delivering, and evaluating patient care.
• Monitors patients response and modifies plan of care accordingly. Administers Medications according to standard nursing practice. Develops and manages an individual plan of care that directs the intervention(s) of the RNFA. Implements, manages, and coordinates the perioperative plan of care related to RNFA interventions. Evaluates patient progress towards attaining outcomes. Systematically evaluates quality of nursing practice.
• Participates in professional development and life long learning. Seeks out and participates in learning opportunities. Evaluates their practice in context with current professional practice standards, rules and regulations. Contributes to the…