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Apply Job Type Full-time Description The Certified Surgical First Assistant/ RN First Assistant is responsible for assessing, planning, directing, evaluating and delivering safe appropriate care within the scope of their practice to patients in the Operating Room. The Surgical First Assistant works collaboratively with the OR team members and under the direct supervision of the surgeon in assisting with the performance of the surgical procedure. General Description: Certified Surgical First Assistant: Implements, and evaluates plan of care for each surgical patient. Consistently verifies patient identity with ID band, consent accuracy and identification of surgical site and side. Evaluates patient condition, and other available testing data for areas of concern. Communicates identified issues to appropriate members of the OR team. Participates in surgical "time outs" with OR Team to assure correct Patient, procedure and site prior to start of surgery. Ensures that all medications on the back table are labeled. Scrubs and First Assists on assigned surgical procedures. Displays a comprehensive knowledge of surgical protocols and procedures including but not limited to patient positioning, preps, utilization of cautery, etc. Performs scrub duties for assigned surgical procedures. Displays comprehensive knowledge of surgical procedures, patient care equipment and instrumentation. Follows departmental sterilization protocols and documents accordingly. Utilizes proper aseptic technique, monitors for possible contamination, and makes corrections as needed. Displays a strong surgical conscience. Under the direction of the surgeon: Provides exposure of the operative site through the proper utilization of retractors. Provides hemostasis through the utilization of electrocautery, sponging, suctioning, clamping and placement of suture ligature and clips. Perform knot tying within the surgical field. Provide wound closure by placing suture ligatures in the muscle, subcutaneous and skin and/or apply skin staples. At completion of procedure affix and stabilize drains, clean wound and apply dressing. Handles all supplies, equipment and instruments appropriately at the conclusion of the operative procedure. Utilizes safe patient care and work practice to minimize the potential injury to patients, fellow caregivers, and self. Utilizes PPE in daily practice including eye protection, gloves, cover gowns etc. Monitors and corrects performance of other members of the OR team. Reports safety and environmental hazards to appropriate person. Utilizes proper channels of communication. Ensures that needed supplies and equipment are ready and available. Utilizes supplies appropriately. Minimizes waste. Completes end of day activities by putting away equipment/unused supplies and restocks room supplies, ensuring room readiness for following day or emergency procedures. Pulls cases as time permits. Maximizes effectiveness by planning and organizing daily work activities and consistently focuses on room and patient readiness to ensure a first case start and minimum turnover times. Performs routine housekeeping functions in all areas of the department to facilitate room turnover and to ensure a safe, clean surgical environment. Assists throughout the department when needed to facilitate completion of surgical schedule. Practices safe work routine and Adheres to hospital infection control policies and OSHA and regulatory guidelines. Demonstrates knowledge and skills necessary to respond to hospital and departmental policy to fire drills, codes, etc. Attends 75% of departmental meetings and participates in department quality assurance problem identification and resolution. Helps with development of standards and policies. Acts as a mentor for students and new caregivers. Demonstrates knowledge and skills necessary to respond to hospital and departmental policy to fire drills, codes, etc. Reports on and off duty as scheduled. Takes call as assigned. Performs in the role of Surgical Technologist when not performing duties of Surgical First Assistant. RN First Assistant: Develops, implements, and evaluates plan of care for each patient utilizing the nursing process. Appropriately completes and documents patient assessments. Consistently verifies patient identity with ID band, consent accuracy and identification of surgical site and side. Evaluates patient condition, lab values and other available testing data for areas of concern. Communicates identified issues to appropriate members of the OR team. Conducts and documents surgical "time outs" with OR Team to assure correct Patient, procedure and site prior to start of surgery. (Second time out for cataracts to verify proper lenses.) Safely administers and documents medications according to hospital/pharmacy policy. Ensures that all medications on the back table are labeled. Circulates for assigned surgical procedures. Displays a comprehensive knowledge of surgical protocols and procedures including but not limited to patient positioning, preps, utilization of cautery, etc. Accurately prepares labels and documents specimens. Performs scrub duties for assigned surgical procedures. Displays comprehensive knowledge of surgical procedures, patient care equipment and instrumentation. Follows departmental sterilization protocols and documents accordingly. Completes documentation accurately and timely. Completes a comprehensive report when transferring patient care. Accurately completes charges. Utilizes proper aseptic technique, monitors for possible contamination, and makes corrections as needed. Displays a strong surgical conscience. Under the direction of the surgeon: Provides exposure of the operative site through the proper utilization of retractors. Provides hemostasis through the utilization of electrocautery, sponging, suctioning, clamping and placement of suture ligature and clips. Perform knot tying within the surgical field. Provide wound closure by placing suture ligatures in the muscle, subcutaneous and skin and/or apply skin staples. At completion of procedure affix and stabilize drains, clean wound and apply dressing. Handles all supplies, equipment and instruments appropriately at the conclusion of the operative procedure. Utilizes safe patient care and work practice to minimize the potential injury to patients, fellow caregivers, and self. Utilizes PPE in daily practice including eye protection, gloves, cover gowns etc. Monitors and corrects performance of other members of the OR team. Reports safety and environmental hazards to appropriate person. Utilizes proper channels of communication. Ensures that needed supplies and equipment are ready and available. Utilizes supplies appropriately. Minimizes waste. Completes end of day activities by putting away equipment/unused supplies and restocks room supplies, ensuring room readiness for following day or emergency procedures. Pulls cases as time permits. Maximizes effectiveness by planning and organizing daily work activities and consistently focuses on room and patient readiness to ensure a 0730 first case start and minimum turnover times. Performs routine housekeeping functions in all areas of the department to facilitate room turnover and to ensure a safe, clean surgical environment. Assists throughout the department when needed to facilitate completion of surgical schedule. Practices safe work routine and Adheres to hospital infection control policies and OSHA and regulatory guidelines. Demonstrates knowledge and skills necessary to respond to hospital and departmental policy to fire drills, codes, etc. Attends 75% of departmental meetings and participates in department quality assurance problem identification and resolution. Helps with development of standards and policies. Acts as a mentor for students and new caregivers. Demonstrates knowledge and skills necessary to respond to hospital and departmental policy to fire drills, codes, etc. Reports on and off duty as scheduled. Takes call as assigned. Performs in the role of Operating Room Registered Nurse when not performing duties of Surgical First Assistant. EDUCATION & TRAINING REQUIREMENTS: Certified Surgical First Assistant: High School Diploma or GED Current AHA BLS certification Certification as a Surgical Technologist First Assistant required Two year experience as a surgical first assistant preferred RN Surgical First Assistant: Current BLS (AHA) certification upon hire Current New Mexico or multi-state RN License Certification as a Surgical First Assistant or completed didactic training and acquired remaining clinical hours to complete certification testing within six months of hire. One year previous surgical first assistance experience preferred Note: Job description available upon request All required documents must be presented at time of hire. EXTERNAL APPLICANT: Employment is contingent upon successful completion of pre-employment drug and alcohol testing. GRMC is an Equal Opportunity Employer