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Nurse First Assistant - RNFA - Operating Room - OR
  • Job ID: 89639
  • Job Category: Nursing
  • Specialty Area: OR/Perioperative
  • Primary Shift: Day
  • Work Schedule: Full time, shifts may vary
  • Penn Medicine Entity: Pennsylvania Hospital
  • Location: Philadelphia, PA
  • Address: 800 Spruce St
  • Education Required: Per Position Description
  • Experience Required: Per Position Description
  • Employment Type: Full-Time Regular


Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.

Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?

Position Description:
The Registered Nurse First Assist (RNFA) is an advanced practice nursing role in the operating room that functions in an expanded nursing role, while coordinating patient care through the perioperative continuum. The RNFA utilizes principles of biological, physical, behavioral sciences, clinical observation, and communication theory to identify the surgical patient's optimal outcome. The RNFA will independently coordinate to provide quality, patient centered care, through established clinical practice standards, and will be accountable for evaluating patient responses based on implemented interventions. The RNFA will serve as a resource and role model for expert, clinical practice and focus on expanding the knowledge and skills of others within their entity.

Accountabilities Include:
• Effectively collaborates and applies innovative, systems thinking and engages in systematic, evidence-based problem solving and decision making to promote effective changes within a complex care delivery system supporting the vision of Penn Medicine.
• Minimizes the risk of harm to patients, families, providers, and self through system effectiveness and individual performance.
• Engages in the process of cooperation, coordination, and collaboration in an effort to provide for safe, quality outcomes for patients within inter and intra-professional teams.
• Delegates tasks and responsibilities according to regulatory and accrediting agency standards, facility policies and procedures.
• Advocates for a culture of safety for patients and perioperative team members in the workplace.
• Anticipates and prepares for the needs of the surgical team before, during, and after the surgical procedure.
• Communicates and collaborates with other healthcare providers throughout all phases of care regarding assessments, plans of care, discharge planning, and identifying community resources.
• Acquires, interprets, and synthesizes patient data intraoperatively to formulate clinical decisions for an appropriate plan of care.
• Performs duties in accordance with Penn Medicine and entity values, policies, and procedures
• Other duties as assigned to support the unit, department, entity, and health system organization

Minimum Requirements:
• Must have Bachelor's Degree in Nursing (BSN) from an accredited school of nursing, at time of hire.
• Must have more than 15 months relevant professional nursing experience and completion of the Nurse Residency Program, if applicable, at time of hire.
• 2+ years operating room experience required.
• Certificate of completion of a RNFA program that meets the AORN recommended education standards for first assistant programs required.
• RNFA required, CRNFA preferred.
• Must possess active Pennsylvania RN License, at time of hire.
• Must possess active BLS/CPR, as a healthcare provider as per the American Heart Association at time of hire.
• Must possess active ACLS, as a healthcare provider as per the American Heart Association at time of hire.
• CNOR required.

Additional Information:
The Gateway to the OR Program serves as a 6 month orientation to build competent and successful Perioperative Nurses by using basic didactic education that offers the rationale and theory required to provide safe perioperative patient care. The comprehensivecurriculum is designed to provide a more efficient and consistent education to improve the development of new-to-practice nurses and nurses with limited OR experience.

During this program, nurses learn the fundamental principles of operating room nursing through both formalized classroom instruction and clinical experience with a preceptor. At the completion of the program, nurses become key members of the operating roomteam at one of the most respected hospitals in the country.

The program consists of 5 weeks of classroom and skills lab instruction and 12 to 16 weeks of structured clinical experiences in each of the 12 specialty areas. Through lecture, discussion, self-learning modules and clinical experience, nurses develop corecompetencies in:

•Pre-operative assessments
•Basic operating room case prep skills
•Creation and maintenance of sterile fields
•Intra-operative documentation
•Intra-operative scrub and circulating duties
•Correct processing of specimens
•Positioning of patients and equipment
•Safe care and handling of surgical instruments
•Safe use of specialty equipment needed for surgery
•Airway management, anesthesia safety and malignant hyperthermia management

We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.


Penn Medicine http://www.pennmedicine.org/careers/

Live Your Life's Work

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We are an Equal Opportunity and Affirmative Action employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.