RN, First Assistant RNFA Evening Shift

Position: RN, First Assistant RNFA, Full-time, Evening Shift
Job Description

Full-time, Evening Shift. $20,000 hiring bonus, paid over 3 years, and relocation assistance available.

Adventist Health Sonora has been one of the area's leading healthcare providers since 1900. We are comprised of a 72-bed hospital, 30 medical offices, comprehensive cancer care and a vast scope of award-winning services located throughout Tuolumne and Calaveras counties and the surrounding areas. Sonora is known for its friendly hometown charm, vast outdoor experiences and lively downtown. The allure of Sonora's close-knit community is complimented by its proximity to Yosemite National Park, as well as just a quick drive to Lake Tahoe.

Adventist Health Sonora Accreditations/Awards:

• Acute Stroke Ready Hospital Certification from The Joint Commission
• Blue Cross and Blue Shield designation as a Blue Distinction® Center for Spine Surgery
• "A" Hospital Safety Grade from The Leapfrog Group (Spring 2025, Fall 2024)
• Antimicrobial Stewardship Honor Roll from the California Department of Public Health Healthcare-Associated Infections Program
• Blue Zones Project Approved™ Worksite
• Top 100 Rural and Community Hospital from The Chartis Center for Rural Health (2023)

Job Summary:

Organizes and facilitates the patient while in the Operating Room (OR). Coordinates the overall care of patient between surgeon, anesthesiologist and room staff. Functions as a first assistant during surgical incision, excision, and repair of pathology throughout the perioperative period on procedures for which privileges have been granted. Participates in preoperative assessment and planning for selected surgical patients in collaboration with the healthcare team members in the preoperative location.

Regularly demonstrates subject matter expertise regarding medication, treatment and patient care standards.

Job Requirements:

Education and

Work Experience:

• Bachelor's Degree in Nursing (BSN):
  Preferred
• Two years' perioperative nursing experience:
  Preferred

Licenses/Certifications:

• Registered Nurse (RN) licensure in the state of practice:
  Required
• Registered Nurse First Assistant (RNFA) certification in the state of practice:
  Required
• Certified Registered Nurse First Assistant (CRNFA) certification in the state of practice:
  Preferred
• Cardiopulmonary Resuscitation (CPR) or Basic Life Support (BLS OR HS-BLS OR RQIBLS) certification:
  Required
• Certified Nurse Operating Room (CNOR) certification:
  Required
• Pediatric Emergency Assessment, Recognition and Status (PEARS)/Pediatric Advanced Life Support (PALS OR HS-PALS OR RQIPALS) certification:
  Preferred
• Association of perioperative Registered Nurses (AORN) membership:
  Preferred

Essential Functions:

• Performs circulating and scrubbing duties. Verbally confirms surgical site/side before induction of anesthesia. Accurately performs all sponge, needle, sharp and instrument counts at appropriate time and according to department policy. Handles and dissects tissues in collaboration with the surgeon. Clamps blood vessels, coagulates bleeding points, ligates vessels, and performs other procedures in collaboration with the surgeon. Sutures muscle, fascia, subcutaneous, and skin tissue in collaboration with the surgeon.
  
  Places drains as surgically indicated. Assists with cannulation and decannulation procedures, if indicated.
• Assists with transferring the patient to and from the operating room, positioning, prepping and draping. Provides patient with safe and aseptic environment by applying the principles of aseptic technique. Takes corrective action to rectify breaks in aseptic technique. Inspects sterile items before opening and maintains sterility of items during delivery to sterile field. Obtains and interprets patient data to determine appropriate diagnostic and therapeutic procedures, as needed.
  
  Develops and implements action plan for practice changes to enhance patient outcomes.
• Maintains appropriate traffic patterns and personnel around the sterile field. Applies appropriate methods and parameters of sterilization/disinfection. Observes for general cleanliness of the Operating Room and takes appropriate action to amend, as necessary. Prepares instruments according to physician preference and scheduled…