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Registered Nurse First Assist - Orthopedics
Job in
Irvine, Orange County, California, 92713, USA
Listed on 2026-06-02
Listing for:
Kaiser Permanente
Full Time
position Listed on 2026-06-02
Job specializations:
-
Nursing
Operating Room Nurse, Surgical Assistant
Job Description & How to Apply Below
Job Summary
No information available at this time.
Essential Responsibilities- RN First Assistant renders direct patient care as part of the perioperative role by assisting the surgeon in the surgical treatment of the patient.
- The RNFA must have documented knowledge and skills acquired after specialized preparation and formal instruction.
- • Safety of the patient is the primary consideration in selecting a first assistant. When no qualified physician is available, the registered nurse who possesses the appropriate knowledge and technical skills is the best non‑physician to serve as first assistant.
- • The RNFA practices under the direct supervision of the surgeon during the surgical intervention.
- • The RNFA must perform only as first assistant and not concurrently as scrub nurse.
- • Only in extreme emergencies should an RNFA be expected to assist on procedures that present an unusual hazard to life.
- • The RNFA must adhere to institution policies and remain within the scope of practice as stated by the Nursing Practice Act of the State of California.
- • Technical functions: positioning, prepping, draping of the patient; providing retraction, managing instruments; providing hemostasis; performing knot tying; providing closure of layers; assisting surgeon at completion of the procedure; and affixing and stabilizing drains, cleaning the wound, and applying dressings or casts.
Intraoperative Retracting
Intraoperative Hemostasis
Intraoperative Tissue Manipulation
- Meet all requirements of the hospital Non‑physician/Non‑Employee Policy.
- Certified in basic Cardiopulmonary Life Support (BLS).
- Nationally certified operating room nurse through the Association of Operating Room Nurses (AORN).
- Minimum three years of operating room experience in both scrub and circulating roles.
- Proof of successful completion of a structured RNFA course and 20 hours or 10 cases proctoring by the sponsoring surgeon.
- Approval from the surgical sub‑specialty of the sponsoring physician.
- Annual evaluation by hospital staff and sponsoring surgeon for compliance to operating room policies.
- 3‑year recent (within the last 5 years) full‑time operating room experience, including both scrub and circulating roles.
- Successful completion of a structured RNFA course and 20 hours or 10 cases proctoring by the sponsoring surgeon.
- Registered Nurse Operating Room Certificate from Association of Perioperative Registered Nurses or Registered Nurse First Assistant Certificate.
- Registered Nurse License (California).
- Basic Life Support certification.
- Advanced Cardiac Life Support certification.
- N/A
KAISER
TitleRegistered Nurse First Assist - Orthopedics
LocationIrvine, California
Requirement Number1422164
Equal Opportunity StatementExternal hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.
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