Registered Nurse First Assistant (RNFA)

Who We Are

We are a community built on care. Our caregivers and supporting staff extend compassion to those in need, helping to improve the health and well-being of those we serve, and provide comfort and healing. Your community is our community.

Our Story

We started out as a small operation in California. In May 1969, we acquired four hospitals, some additional care facilities and real estate for the future development of hospitals. Over the years, we've grown tremendously in size, scope and capability, building a home in new markets over time, and curating those homes to provide a compassionate environment for those entrusting us with their care.

We have a rich history at Tenet. There are so many stories of compassionate care; so many "firsts" in terms of medical innovation; so many examples of enhancing healthcare delivery and shaping a business that is truly centered around patients and community need. Tenet and our predecessors have enabled us to touch many different elements of healthcare and make a difference in the lives of others.

Our Impact Today

Today, we are leading health system and services platform that continues to evolve in lockstep with community need. Tenet's operations include three businesses - our hospitals and physicians, USPI and Conifer Health Solutions.

Our impact spreads far and deep with 65 hospitals and approximately 510 outpatient centers and additional sites of care. We are differentiated by our top notch medical specialists and service lines that are tailored within each community we serve. The work Conifer is doing will help provide the foundation for better health for clients across the country, through the delivery of healthcare-focused revenue cycle management and value-based care solutions.

Together as an enterprise, we work to save lives and can accept nothing less than excellence from ourselves in service of our patients and their families, every day.

Registered nurse first assistant behaviors in the perioperative arena include but are not limited to preoperative patient management in collaboration with other health care providers, intraoperative performance of surgical first assistant techniques, postoperative patient management in collaboration with other health care providers in the immediate postoperative period and beyond. Functions intraoperatively as a first assistant at surgery only and not concurrently as a scrub person or circulator.

Welcome to Hi-Desert Medical Center, where you’ll benefit from:

A 59-bed acute primary care facility offering you and your family first-rate health care close to home

A wide range of quality inpatient and outpatient diagnostic, treatment and rehabilitation services, home health and hospice services, and a variety of community outreach programs

A dedicated team of quality, caring, health care professionals

Position Summary

Provides circulating and/or scrub nurse services in the operating room during surgical procedures and assists the surgical team as needed in any other capacity, according to established procedures.

Primary Duties

• Performs pre-operative surgical nursing care management. Performs nursing physical assessments, educates the of the patient and offers emotional support and evaluates patient needs.
• Performs intra-operative nursing behaviors collaborating with the surgeon and other health care professionals for an optimal outcome. Assists the anesthesiologist when applicable, patient positioning, prepares skin and draping. Provide wound exposure and appropriate handling of tissue. Assists in controlling blood loss and suturing.
• Performs post-operative duties appropriately. Assists in the safe delivery of patient to the recovery room. Communicates to appropriate healthcare professionals and family members.
• Ability to provide a safe environment for patients requiring surgical procedures..
• Demonstrates proficiency in scrubbing and circulating for surgical procedures.
• Provides instruction to patients entering the surgical suite. Explains procedures to patients thoroughly, provides assistance when necessary, monitors patients’ comfort, and alleviates anxiety during procedures.
• Demonstrates ability to supervise ancillary staff in the management of the surgical suite. Able to direct transportation of the patient, management of supplies and cleaning of the OR suite through ancillary staff as necessary.
• Communicates appropriately and effectively with co-workers, patients and the public, both verbally and in writing as necessary for work assignment.
• Participates in QI activities for the surgical suite.
• Demonstrates competence in the care of infant, pediatric, adolescent, adult and geriatric patients (when /if assigned to these patients) relative to determining each patient’s age-related and other physical, psychological and cultural needs and carrying patient care activities.
• Performs other duties as assigned.
  
  

QUALIFICATIONS

Physical demands:

• Moderate physical effort (lift/carry up to 25 pounds)
• Occasional prolonged standing/walking
• Occasionally lifts supplies/equipment
• Occasional reaching, stooping, kneeling, crouching
  
  

Working Conditions:

• Contact with patients under wide variety of circumstances
• May be exposed to infections and contagious diseases
• Regularly exposed to the risk of blood borne diseases
• Occasional exposure to unpleasant patient or unit elements
• Occasional pressure due to multiple calls and inquiries
• Subject to varying and unpredictable situations
  
  

Minimum Education/Certification/Experience:

• Associate’s Degree or Diploma from accredited nursing program
• California Registered Nurse
• BLS
• ACLS, PALS within 90 days of hire.
• Sufficient previous clinical experience as a First Assist
  
  

Tenet complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.

Education:

Required: Diploma or ADN required. Successful completion of an RNFA program that meets the AORN standards for RN first assistant education programs.

Preferred: BSN.

Experience:

Required: 1 year assisting experience.

Preferred: 3 years circulating experience.

Certifications:

Required: RN, BLS, and CNOR.

Preferred: CRNFA.

Physical Demands:

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Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.

, $58.52 - $93.93 hourly **Individual wages are determined based upon a number of factors including, but not limited to, an individual’s qualifications and experience.,

Physical Demands:

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Registered nurse first assistant behaviors in the perioperative arena include but are not limited to preoperative patient management in collaboration with other health care providers, intraoperative performance of surgical first assistant techniques, postoperative patient management in collaboration with other health care providers in the immediate postoperative period and beyond. Functions intraoperatively as a first assistant at surgery only and not concurrently as a scrub person or circulator.