Operating Room RN First Assist

Location

North Carolina Specialty Hospital
3916 Ben Franklin Blvd
Durham, NC 27704, USA

North Carolina Specialty Hospital (NCSH) is a private, physician‑owned medical center that opened its doors in 1926. The hospital’s commitment to growth and continuous improvement has helped it maintain a number of high rankings in both quality measures and patient satisfaction. NCSH offers surgical specialties in orthopedics, ophthalmology, ear, nose and throat, sports medicine, oral, plastic, podiatry, general surgery, interventional radiology, pain management, and reconstructive surgery, among others.

• Award‑Winning Hospital for Specialty Surgery
• 5 Star CMS rating for patient experience
• Positive work culture
• Comprehensive Medical, Dental, Vision Insurance, Life and Disability Insurance
• Paid Time Off
• 401(k) Employer Match
• Tuition Assistance

The RN First Assist 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, provide second assist when needed, and serve as first assist to surgeons.

• Provide preoperative patient management in collaboration with other healthcare providers, including evaluations, plan of care communication, and collaboration.
• Perform intraoperative surgical first assisting, including instrument handling, exposure, tissue handling or cutting, homeostasis, and suturing.
• Manage postoperative patient care in collaboration with other HCPs during the immediate postoperative period.
• Provide CRNFA experience and skill to the operating surgeon and comprehensive nursing management during the perioperative phase.
• Apply age‑specific standards, policies, procedures, and guidelines for adolescents, adults, and geriatric patients, including medication administration and care during altered states of consciousness.
• Incorporate cultural and developmental needs into the plan of care, collaborating with patient/family in a culturally appropriate manner.
• Demonstrate excellent communication, organization, and decision‑making skills.
• Maintain concentration and prioritization amid interruptions to ensure patient safety.
• Document patient care in the patient record per established standards.
• Participate in and promote Universal Protocol and time‑out procedures for every procedure.
• Collaborate with multidisciplinary team members—surgeons, physician assistants, anesthesia providers, SPD staff, radiology, and other OR team members—to plan and deliver optimal patient outcomes.
• Engage in performance improvement activities, including data collection, analysis, and participation in the development of patient care delivery systems, standards, policies, procedures, and problem‑solving teams.

• BSN required with completion of an RNFA program that includes didactic and supervised clinical practice, based on AORN’s core curriculum for RNFAs.
• Certified Registered Nurse First Assist (CRNFA) licensure from the North Carolina Board of Nursing required.
• Certified Nurse Operating Room (CNOR) required.
• BLS from the American Heart Association (AHA) required.
• ACLS & PALS from the AHA preferred; must obtain within 6 months of hire if not currently active.
• Three (3) years of experience in perioperative nursing required.
• Clinical knowledge of technology and treatment applications, scrubbing circulating skills, effective communication both verbally and written, and the ability to educate/train staff to comply with AORN standards.

Our employees are critical to our success and we value their contributions. North Carolina Specialty Hospital offers a competitive compensation and benefits package and an opportunity to grow and develop your career in an environment that values employee ideas and diversity. Equal Opportunity Employer – Minorities/Women/Protected Veterans/Disabled. We maintain a drug‑free workplace and require pre‑employment drug screening and background check.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.