Operating Room RN First Assist

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

• Award Winning Hospital for Special Surgery
• 5 Star CMS rated facility for patient experience
• Positive Work culture
• Career growth opportunities
• Comprehensive Medical, Dental, Vision Insurance, Life and Disability Insurance
• Paid Time Off
• 401k 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 2nd assist when needed, and first assist the surgeons.

• Provide preoperative patient management in collaboration with other healthcare providers, including, but not limited to: preoperative evaluations, communicate/collaborate regarding the patient plan of care.
• Intraoperative surgical first assisting, including, but not limited to: using instruments/medical devices, providing exposure, handling and/or cutting tissues, providing homeostasis, and suturing.
• Postoperative patient management in collaboration with other HCPs in the immediate postoperative period.
• Provide CRNFA experience and skill to the operating surgeon during the operative procedure and comprehensive nursing management of care during the perioperative phase.
• Demonstrate appropriate application of age‑specific standards, policies, and procedures and guidelines in caring for adolescent, adult, and geriatric patients: follow age‑specific standards in administering medications based on patient age; follow age‑specific standards of care during altered states of consciousness related to analgesia, conscious sedation or anesthesia; use age‑specific standards, policies and procedures and guidelines to perform treatments and procedures that are routine for unit/clinic based on patient age.
• Incorporate cultural and developmental needs into plan of care: in collaboration with the patient/family, and in a developmentally and culturally appropriate manner, implement the plan of care; demonstrate competency in the provision of nursing care according to established standards of nursing practice and in a developmentally appropriate manner.
• Demonstrate excellent communication skills, high organization, and excellent decision‑making skills.
• Demonstrate ability to concentrate on many detailed requests despite numerous interruptions and the ability to prioritize tasks to maintain patient safety.
• Provide documentation of patient care in the patient record according to established standards of nursing care.
• Participate and promote Universal Protocol and time‑out procedure in every procedure.
• Demonstrate ability to work with a multidisciplinary team including surgeons, physician assistants, anesthesia providers, SPD staff, radiology and all other OR team members to plan for the care of the patient and to provide for the optimal outcome for the patient. The OR RN is a patient advocate and assesses patient needs through the peri‑operative experience and adjusts the plan of care accordingly while communicating the same with all team members.
• Participate in performance improvement activities which include collecting, analyzing data to identify quantifiable measures to maintain quality and the promotion of desired outcomes. Also participate in development of patient care delivery systems, standards, policy and 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…