RN, First Assistant RNFA Evening Shift

Job Description

Full-time, Evening Shift. $20,000 hiring bonus, paid over 3 years. Relocation assistance available. Adventist Health Sonora has been one of the area's leading healthcare providers since 1900. We are comprised of a 72-bed hospital, 30 medical offices, comprehensive cancer care and a vast scope of award-winning services located throughout Tuolumne and Calaveras counties and the surrounding areas. Sonora is known for its friendly hometown charm, vast outdoor experiences and lively downtown.

The allure of Sonora’s close‑knit community is complemented by its proximity to Yosemite National Park, as well as just a quick drive to Lake Tahoe.

General Surgeons and Experts in General Orthopedics, Sports Medicine, Joint Replacement, and Specialized Treatments for Hand Conditions have vast knowledge and training in all aspects of the body and a wide range of surgical techniques. They understand how various parts of the body interact with each other, which provides versatility when performing an operation. They are skilled at performing a variety of procedures, including:

• Abscess drainage
• Appendectomy
• Breast biopsy and other biopsies
• Gastric bypass, colectomy, and other G.I. tract surgeries
• Hernia repair, abdominal, and groin
• Mastectomy
• Skin cancer excision
• Skin and soft tissue surgery
• Splenectomy
• Tracheostomy
• Arthroscopic surgery for knees and shoulders
• Complex hand surgery
• Joint injections
• Pediatric orthopedics
• Procedures for carpal tunnel and other hand conditions
• Robotic assisted surgery
• Sports medicine and rehabilitation
• Total joint replacement and revision surgeries

• 6 surgical suites
• Orthopedics, Spine, GYN, ENT, Urology, Vascular
• Robotic surgeries utilizing;
• da Vinci Xi Robotic Surgical System
• ROSA Surgical Assistant

• Acute Stroke Ready Hospital Certification from The Joint Commission
• “A” Hospital Safety Grade from The Leapfrog Group (Spring 2025, Fall 2024)
• Antimicrobial Stewardship Honor Roll from the California Department of Public Health Healthcare-Associated Infections Program
• Blue Zones Project Approved™ Worksite
• Top 100 Rural and Community Hospital from The Chartis Center for Rural Health (2023)

Organizes and facilitates the patient while in the Operating Room (OR). Coordinates the overall care of patient between surgeon, anesthesiologist and room staff. Functions as a first assistant during surgical incision, excision, and repair of pathology throughout the perioperative period on procedures for which privileges have been granted. Participates in preoperative assessment and planning for selected surgical patients in collaboration with the healthcare team members in the preoperative location.

Regularly demonstrates subject matter expertise regarding medication, treatment and patient care standards.

Education and

Work Experience:

• Bachelor's Degree in Nursing (BSN):
  Preferred
• Two years' perioperative nursing experience:
  Preferred

• Registered Nurse (RN) licensure in the state of practice:
  Required
• Registered Nurse First Assistant (RNFA) certification in the state of practice:
  Required
• Certified Registered Nurse First Assistant (CRNFA) certification in the state of practice:
  Preferred
• Cardiopulmonary Resuscitation (CPR) or Basic Life Support (BLS OR HS-BLS OR RQIBLS) certification:
  Required
• Certified Nurse Operating Room (CNOR) certification:
  Required
• Pediatric Emergency Assessment, Recognition and Status (PEARS)/Pediatric Advanced Life Support (PALS OR HS-PALS OR RQIPALS) certification:
  Preferred
• Association of perioperative Registered Nurses (AORN) membership:
  Preferred

• Performs circulating and scrubbing duties. Verbally confirms surgical site/side before induction of anesthesia. Accurately performs all sponge, needle, sharp and instrument counts at appropriate time and according to department policy. Handles and dissects tissues in collaboration with the surgeon. Clamps blood vessels, coagulates bleeding points, ligates vessels, and performs other procedures in collaboration with the surgeon. Sutures muscle, fascia, subcutaneous, and skin tissue in…