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RN FIRST ASSISTANT
Job Title: RN FIRST ASSISTANT
Job Code: 4606
FLSA: N
Job Level: G2
Revised Date: 04/11/2022
Supervisory Responsibility:
General Description of the Job Class
The Certified Registered Nurse First Assistant will support the continuity of care for Perioperative patients. The scope of practice includes preoperative patient care management, intraoperative surgical first assisting and postoperative patient care management. The role will help expedite surgical productivity, support the education of surgical residents, 2nd assist where needed, and first assist the Surgeons when surgical Residents are not available. The RNFA will provide patient care for all ages and/or provide leadership and direction to the perioperative team where needed.
Duties and Responsibilities of this Level
To provide preoperative patient management in collaboration with other health care providers, including, but not limited to: preoperative evaluations, communicate/collaborate regarding the patient plan of care, writing preoperative orders according to established protocols; intraoperative surgical first assisting, including, but not limited to using instruments/medical devices, providing exposure, handing and/or cutting tissues, providing hemostasis, and suturing; postoperative patient management in collaboration with other health care providers in the immediate postoperative period including, but limited to writing postoperative orders/operative notes according established protocols, participating in postoperative rounds, and assisting with discharge planning. To provide a qualified CRNFA to the operating surgeon during the operative procedure and comprehensive nursing management of care during the Perioperative phase. The CRNFA does not concurrently function as the Scrub Nurse.
Required Qualifications at this Level
Education
BSN required, MSN preferred.
Must be a graduate of an accredited school of Nursing. Completion of a RNFA program that includes didactic and supervised clinical practice, is based on AORN's core curriculum for the RNFA.
Experience
3 years of experience in Perioperative Nursing is required.
Degrees, Licensure, and/or Certification
Must have current or compact RN licensure in the state of North Carolina. BLS required. Successful completion of the CNOR and RNFA certification exam required.
Knowledge, Skills, and Abilities
CRNFA must have sound clinical knowledge of technology and treatment applications; must also possess skills to educate/train staff, and complies with AORN education standards for the CRNFA;, and a demonstrated knowledge of the surgeries in which the CRNFA participates. Must have sound clinical OR skills (scrubbing and circulating) and have excellent interpersonal skills and organizational capability.
Distinguishing Characteristics of this Level
The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform job-related tasks other than those specifically presented in this description.
Duke University is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Essential Physical Job Functions
Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.
