Provides assistance to the surgical team during the intra-operative phase of surgical care for the Northwest Region Ambulatory Surgery Centers. Works in collaboration with the surgeon and health care team in the performance of surgical procedures, including assessment, planning, directing, providing and evaluating advanced nursing care.

Practice standards of performance: Collaborates with the surgical team on plan of care. Coordinate and communicate with circulator regarding equipment and implant needs for case, assist in obtaining. Practice standards of performance: Provides knowledge based technical assistance to the surgeon and operating room team during the operative procedure according to AORN standards, licensure, state regulation and facility/practice protocols, including: Use of instruments and medical devices. Providing surgical exposure. Handling and/or cutting tissue. Providing hemostatis, clamp, cut, and ligate tissue as directed by the surgeon. Suturing as directed by the surgeon. Practice standards of performance: During Anesthesia emergence, bring stretcher into room. Help transfer patient to stretcher. Remain in room for turnover unless specific instructions for Post-op care required in PACU. Assessment Standard of Performance & Planning: Communicates information so that continuity of care is maintained. Obtains and demonstrates the skills and knowledge needed to provide appropriate population based and culturally sensitive care to patients and families through education, training and experience. Practice standards of performance: Function as an assistant in all surgical specialties at the direction of the attending surgeon. Performs RNFA responsibilities in accordance with the Nurse Practice Act of the State of Oregon, institutional policies and procedures of Kaiser Permanente and the AORN Position Statement on RN First Assistants. Demonstrate RNFA specific clinical skills. Review and update skills checklist on an ongoing basis as specified by policies of Kaiser Permanente. Assists with room preparation and opening of supplies in collaboration with the circulating nurse and scrub person. Check image capture machine and films NOTE: Notify Team Lead or designee if films/MRIs etc. Assists in patient transport to the operating room and transfer to the operating room table. Sets up ESU, lights, suction for the sterile field. Monitors free counted items on the sterile field. Assists with instrumentation and equipment as requested. Assists with room tear down and turn over in collaboration with the circulating nurse and scrub person. Assist in maintaining a safe environment and promoting efficiency in surgical procedures. Available for breaks and lunch relief, local monitor, scrub and circulate as needed. One (1) year of recent experience, within the last two (2) years, as an RNFA or successful completion of a CCI recognized RNFA course and agreement from ASC. License, Certification, Registration

~ Registered Nurse License (Oregon)

~ Nurse Operating Room Certificate

Meets all qualifications of an RNFA as outlined in AORN Position Statement.

Two (2) to five (5) years of practice as an RNFA. Ability to assist on all cases performed within Surgical Services.