CVOR - (RN) First Assistant
Company: Wellstar Health System, Inc.
Location: Alpharetta
Posted on: April 15, 2024
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Job Description:
Facility: Kennestone Hospital
Overview
Within his or her scope of practice, the RN First Assist CVOR
Specialty identifies the patient's surgical needs, prioritizes care
based on continuous assessment, and executes therapeutic physician
orders and therapeutic nursing interventions. He or she is
accountable for outcomes of patient care delivered during the
surgery. The Registered Nurse First Assistant collaborates with the
surgeon in performing a safe operation with optimal outcomes for
the patient and practices under the supervision and direction of
the surgeon during all surgical procedures. The Registered Nurse
First Assistant does not concurrently function as a scrub
nurse.
Responsibilities
Core Responsibilites and Essential Functions
* Initiates assessment based on the patient's presenting problems
or needs and the physician's medical diagnosis.
* Completes on-going assessments during the surgical case.
* Performs therapeutic and surgical interventions as ordered by the
physician.
* Demonstrates correct, appropriate use of related equipment; use,
care and handling of instruments; and use, care and handling of
sterile supplies.
* Assures the operating room is ready for patient use for the
appropriate procedure.
* Applies and monitors the principles of aseptic technique.
* Coordinates the activities of other health care professionals as
necessary.
* Provides complete, accurate documentation appropriate for the
surgery performed.
* Functions as RN circulator and/or scrub if appropriate
competencies are maintained. Employee may not concurrently function
as an RNFA, RN circulator or RN scrub.
* Assists in maintaining correct sponge, needle and instrument
count throughout the surgical procedure. May participate in
counts.
* Prepares the incision site according to established
procedure.
* Assists in identifying, labeling and/or dispatching specimens
from the sterile field to the RN circulator or Laboratory.
* Scrub, gown, and glove self and another team member as
necessary.
* Drapes patient per physician preference.
* Anticipates surgeon's needs and requests additional items from
the RN circulator in time for surgical use.
* Verifies solutions and medications prior to them being dispensed
to the sterile field. Label all solutions and medications
immediately after them begin dispensed to the sterile field
* Applies surgical dressings per protocol and physician
preference
* Assists with room preparation and set up of sterile tables,
cleaning of operating room post-surgery and containment of
contaminated needles and sharps.
* Assists in the orientation and training of new employees.
* Demonstrates knowledge of surgical anatomy, physiology, and
operative techniques appropriate to the surgical procedures to
which providing assistance.
* Provides exposure through appropriate use of instruments,
retractors, suctioning and sponging techniques.
* Although not an exhaustive list, under the direction of the
surgeon, handles tissue; appropriately uses instruments and
equipment; provides hemostasis by clamping, coagulating, and/or
ligating vessels; performs wound closure; places and secures
drains; and assists with cannulation.
* Attends all required in-services and training.
* Performs other duties as assigned, within the skill set and
competency level of the individual.
* Performs the Nursing Process (assessment; diagnosis;
identification of outcomes; planning; implementation and
evaluation) in the performance of clinical care using evidence base
practice, uses analytical/critical thinking and ensuring that care
is individualized; coordinating care through effective partnerships
recognizing that caring is central to achieve optimal patient care
outcomes
* Provides relationship-based patient centered care that is
consistent with population specific characteristics (e.g. age,
gender, disease, etc) in a manner that adapts service delivery to
reflect an understanding of cultural diversity
* Always partners with the patient and significant others (as
appropriate) using such appropriate method for setting and purpose
(e.g., bedside shift report; interdisciplinary rounds; just in time
and planned patient teaching; keeping the patient and significant
others updated and making the patient's goals the focus of the plan
of care.
* Practices using current clinical practice standards.
* Coordinates the delivery and documentation of safe quality
patient care that promotes the professional care delivery model.
This includes, but is not limited to diverse and inclusive
interdisciplinary communication methods (interdisciplinary rounds,
case review, etc); completion of timely documentation and promotion
of a respectful, inclusive clinical environment
* Demonstrates teamwork and collaboration by practicing in a manner
that is fiscally responsible and promotes the recruitment and
retention of all healthcare team members.
* Participates and supports performance improvement inclusive of
all stakeholders, research and research utilization to promote
safe, quality patient care including initiating and/or leading such
activities as well as, promoting an inter/intra-disciplinary
process and actively supports/participates in shared governance at
all levels in the system.
* Completes all initial and ongoing professional competency
assessment, required mandatory education, population specific
education.
* Serves as a preceptor and/or or mentor for other professional
nurses (and staff or students for all disciplines) to ensure that
there is a current and future qualified workforce; modeling the
professional practice of nursing and creating a healthy work
environment
* Promotes Evidence based practice, nursing research and
performance improvement in nursing. Participates in activities such
as value analysis as part of the decision-making process in
evaluating patient care products.
* Upholds all health care system/organizational policies and
procedures and clinical competencies put forth by this job
description and professional association including legal,
regulatory and accreditation requirements and standards ensuring by
way of example, such goals as TJC Patient Safety Goals and WellStar
Health Systems' safety absolutes
* Participates in data collection, poses relevant clinical
questions to advanced evidence-based practice. Consults appropriate
experts and uses appropriate resources and evidence to address
practice questions
* Proactively plans for the care of patients across the care
continuum in the course of giving direct patient care.
* Participates in the development of protocols and procedures when
called upon or through self-initiation in collaboration with care
managers and other members of the health care team to achieve best
practice outcomes (i.e., decrease in re-admission rates; avoidable
days; adverse events; etc).
* Supports efficient and effective use of human and material
resources
Required for All Jobs
Qualifications
Required Minimum Education
Required
Required Minimum Experience
Required Minimum Skills
Required Minimum License(s) and Certification(s)
Additional Licenses and Certifications
Keywords: Wellstar Health System, Inc., Roswell , CVOR - (RN) First Assistant, Healthcare , Alpharetta, Georgia
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