Registered Nurse First Assist at AdventHealth

Date Posted: 2/28/2021

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Job Description



AdventHealth Hendersonville                                                                            100 Hospital Drive Hendersonville NC  28792

Top Reasons to Work at AdventHealth Hendersonville

  • Join a family of caregivers who provide whole person care; body - mind - spirit, to people living in communities across Western North Carolina.
  • AdventHealth Hendersonville offers the uncommon compassion of a hometown community hospital powered by the support of a national healthcare system enabling it to provide services, technologies and facilities to meet the whole health needs of our community.
  • Faith based organization that extends Christ's healing ministry to every person, every time.
  • Co-workers who feel like family and together deliver on our Service Standards of Keep Me Safe, Love Me, Make it Easy and Own it.
  • As a part of the more than 1,100 team members who make up AdventHealth Hendersonville, you will enjoy competitive salaries, exceptional benefits and opportunities for growth and leadership development. 


Full Time, 40 hours per week

You Will be Responsible for:

• All essential functions must be performed. Reasonable accommodations may be made to enable individuals with qualified disabilities to perform the essential functions.

• Accepts responsibility by initiating the incident reporting mechanisms when indicated.

• Adheres to AORN recommendations and practices standards.

• Adheres to guidelines for RNFA and functions within those guidelines.

• Adheres to job description for operating room RN. (See job description)

• Assists with pre-and postoperative assessment of the patient.

• Assists with the orientation of new employees.

• Assume unit responsibility when delegated to do so by the nursing manager or director.

• Assures appropriate traffic control in the Operating Room.

• Assures patients right for privacy, safety and confidentiality at all times. 

• Performs surgical counts per policy.

• Prepares Operating Room set up.

• Participates in the in-service education programs by: attending in-service education meetings, participating in the orientation and continuous on the mob training experience of nursing personnel, participating in OR department education programs, and evaluating own performance and striving to improve.

• Precepts new students/nurses as needed.

• Functions in the peri-operative nursing practice as both a FA, scrub and circulating nurse.

• Maintains knowledgeable of surgical anatomy, physiology and operative technique related to the operative procedures in which the RN assists.

• Uses proper procedure in the tissue handling, providing exposure in the operative field, use of instrumentation, suturing, and provision of hemostasis  

• Promotes and contributes positively to intra and interdepartmental relations.

• Recognize abnormal diagnostic laboratory data, blood gas values, radiologic data and know the implied significance of each.

• Recognizes emergency situations and reacts efficiently and appropriately.

• Updates preference cards as needed.

• Utilizes appropriate channels of communication when initiating change, reporting information or concerns.

• Other duties as assigned.


What You Will Need:

Associate Degree or Bachelor's Degree in Nursing required

Graduate of an accredited RN First Assistant program at a college or university required.

Current License as a Registered Nurse required.

BLS certification required.

Completion of an approved RNFA required

CNOR certification required

CRNFA certification required

Credentialing and Clinical Privileging through medical staff process required 

Two years of previous OR Nurse Circulator experience preferred

One year of previous RNFA experience preferred 

Job Summary

This specifically trained nurse assists the surgeon in performing surgical procedures. Responsibilities include the planning, administering and/or supervising the nursing activities on the operative patient. Maintains a safe and aseptic environment during surgery. Responsible to adhere to the Adventist Health System Corporate Compliance Plan, and to all the rules and regulations of all applicable local, state and federal agencies and accrediting bodies.

In addition, the RN first assistant in surgery collaborates with the surgeon in performing a safe operating with optimal outcome for the patient. The RNFA practices peri-operative nursing and must have acquired the necessary specific knowledge, skills and judgment. The RNFA practices under the supervision of the surgeon during the intra-operative phase of the peri-operative experience. The RNFA does not concurrently function as a scrub nurse. The RN First Assistant may be scheduled to function in the scrub or circulating role when not assigned to FA duties.

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

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