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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.
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