The RN First Assistant position is a surgery based advanced practice clinical position which includes direct patient care activities. The RN First Assistant practices under the direct supervision of the surgeon during the first assisting phase of the perioperative role. The RN First Assistant may function as a circulator or scrub nurse when not first assisting.
Essential Job Duties:
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions
- Demonstrates expert clinical knowledge and skill in the specialization of the unit or initiative.
- Provides for the coordination of patient care throughout the continuum for areas of responsibility.
- Serves as an expert clinician, acting as a clinical resource for the staff.
- Works collaboratively with other disciplines in problem analysis and resolution for pathways, protocols and patient care delivery.
- Expertly organizes and reprioritizes patient care activities based on subtle and overt and/or environmental changes. Assists others in prioritizing care.
- Expertly demonstrates the ability to assess the patient's/family's learning needs, readiness to learn, learning style, and presence of barriers to learning.
- Expertly provides direct patient care to patients and families in a culturally, developmentally and ethically appropriate manner.
- Demonstrates expert skill in managing complex patient/family scenarios.
- Develops complex plans of care that address the physical, psychosocial, spiritual and learning needs of the patient/family.
- Consistently sites and utilizes current literature and professional standards to guide clinical practice. Conducts Medline searches to keep current and up-to-date.
- Minimum of three to five years as a registered nurse in a care setting applicable to the service/initiative. Minimum of three years of experience in specialty related field. Demonstrates expert clinical skills as validated by peer review, performance appraisal and supervisor/manager recommendation. Membership in applicable specialty is expected.
- Bachelors in Science in Nursing
Completion of an accredited educational program for RN First Assistants as described by Maryland State Board Declaratory Ruling which includes 50 hours of didactic instruction and 200 hours of clinical instruction. Adherence to credentialing requirements of AAMC as stated in the nursing bylaws. Certification by the American Operating Room Nurse's Association (CNOR).
Working Conditions, Equipment, Physical Demands:
There is a reasonable expectation that employees in this position will not be exposed to blood-borne pathogens.
Physical Demands -
Medium work. Exerting up to 50 pounds of force occasionally, and/or up to 30 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects.
The physical demands and work environment that have been described are representative of those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions in accordance with the Americans with Disabilities Act.
The above job description is an overview of the functions and requirements for this position. This document is not intended to be an exhaustive list encompassing every duty and requirement of this position; your supervisor may assign other duties as deemed necessary.