RN First Assistant - ACC Irvine Operating Room
Listed on 2026-10-05
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Nursing
Operating Room Nurse, Surgical Assistant, Healthcare Nursing
Who We Are
UCI Health is one of California's largest academic health systems and the clinical enterprise of the University of California, Irvine. Established on July 1, 1976, UCI Health has grown into a 1,461-bed health system that includes UCI Health
- Orange, UCI Health
- Irvine, four Community Network hospitals and a growing network of ambulatory care centers across Orange and Los Angeles counties.
Position Summary
The RN First Assistant (RFNA) functions in an expanded perioperative nursing role that works collaboratively with the surgeon and other health care team members to achieve optimal patient outcomes. The RNFA adheres to standardized procedures, directly assists under the surgeon’s direction, and may provide advanced assistance and further refinements of perioperative nursing practice requiring delegated medical functions having completed the advanced training, education, skills, judgment, and RFNA certification.
Provides comprehensive care and nursing management and is responsible for the delivery of safe, effective, and quality patient-family centered care through the continuum of perioperative care. Functions as an RNFA during operative and other invasive procedures as defined by the privileges that have been granted. This includes preoperative assessment, intraoperative performance of surgical first assistant techniques, and postoperative patient management of surgical patients in collaboration with the healthcare team members.
Coordinates the overall care of patient between surgeon, anesthesiologist, and room staff. Does not perform the function of circulating or scrub nurse while functioning as the RNFA. Maintains practice in accordance with organizational standards, scope of practice, credentials, privileges, experience, education, and competency verification.
Required Qualifications
- Successful completion of an RNFA program that meets the “AORN standards for RN first assistant education programs” with continued maintenance of the certification
- Strong ability to read, write, and verbally communicate effectively in English
- Required to work under Standardized Procedures for medical functions and be approved by the IDP and Credentials Committees
- Prior to assisting with robotic surgery, completion of the da Vinci ® system didactic and practical skills training session covering the robotic system components and its proper use is required
- Must possess the skill, knowledge and abilities essential to the successful performance of assigned duties
- Minimum two (2) years diversified clinical experience as a perioperative registered nurse
- Minimum one (1) year experience as a Registered Nurse First Assistant (RFNA)
- Knowledge of surgical anatomy, physiology, and operative techniques relative to operative procedures
- Demonstrated organization, critical and rational thinking, multitasking and ability to synthesize information and think through issues, directions and objectives calmly and logically
- Demonstrated excellent customer service skills
- Demonstrated cognitive, psychomotor, and skills and ability for accountability and responsibility for identifying and meeting the needs of perioperative patients
- Demonstrated ability to work effectively in a high-stress, fast-paced environment
- Demonstrated ability to function independently as a RN in the operating room as needed
- Demonstrated ability to determine appropriate course of action in complex situations
- Demonstrated ability and experience in identifying and meeting the needs of perioperative patients
- Current unrestricted Registered Nurse licensure in the State of California
- Bachelor of Science in Nursing
- Ability to work variable shifts including evenings, nights, weekends, and holidays
- Ability to maintain a…
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