Staff Nurse - RN - Surgical First Assistant jobs in Fresno, CA

Job Summary
                                                                                                                                                                          

Provides direct patient care. Addresses the psychosocial, physical and general aspects of care related to the surgical environment. Communicates with surgeon and anesthesiologist continuously and as needed about patient condition. Assists surgeon during operative and invasive procedures. Assists with the maintenance of surgical equipment and inventory. Participates in performance improvement activities. Assesses operating room for equipment functioning and readiness, obtains supplies for individual cases and ensures all appropriate needs of surgical operating team are met. Monitors, positions and assists patient during procedure.

Reasonable Accommodation Statement
                                                                                                                                                                          

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of the position without compromising patient care.

Minimum Education and Work Experience
                                                                                                                                                                         

• Completion of an accredited registered nursing program.
• Two years of nursing experience and/or training preferred.

Required Skills
                                                                                                                                                                          

• Ability to communicate effectively with surgeons and surgical team members.
• Thorough knowledge of surgical service line.
• Ability to maintain collaborative working relationships to ensure a positive and productive work environment.
• Ability to plan and prioritize work with frequent interruptions.
• Ability to provide exceptional customer service.
• Effective verbal and written communication skills.
• Knowledge and proficiency of hospital information technology applications.

Required Licenses/Certifications
                                                                                                                                                                          

• Current California Registered Nursing License.
• ACLS and BLS required.

Minimum Standards
                                                                                                                                                                         

1.  Time & Attendance (see FSH Time & Attendance Policy)
2.  Professional Appearance (see FSH Dress Policy)
3. Staff meetings (90%)
4. Annual Requirements

• Mock Code Blue (min. 2 per year if applicable)
• PPD/TB Screen
• Annual Competencies
• Flu Vaccine
• License/Certifications
• Compliance Training

Essential Functions
                                                                                                                                                                         

• Ensures Pre-op Checklist is complete (H&P present, informed consent signed, test results present, surgical site identified, etc.) before patient is taken into surgical suite.
• Accurately records, handles and labels specimens; demonstrates care of specimens.
• Observes behavioral and physiologic changes due to medications, takes appropriate actions and documents.
• Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age appropriate care to the patient population served.
• Able to interpret data about the patient's status in order to identify each patient's age specific needs and provide care needed by the patient group.
• Assessment and reassessment of the patient is clearly and concisely communicated in charting and assure documentation meets current standards, policies and procedures and is completed within shift.
• Demonstrates competence in preparing and cleaning of OR suites before and between cases and after terminal cleaning, based on patients infection class.
• Demonstrates thorough knowledge of location, care and operation of all surgical equipment, is able to direct and assist in maintenance and handling of special equipment and instruments.
• Carries out established techniques for safe administration of medications and parenteral fluids, as per hospital policies and procedures.
• Preps patient, positions patients safely, pads and protects bony prominences and assure is draped according to procedure
• Carries out medical and surgical asepsis during all procedures.
• Demonstrates knowledge of anesthetic drugs, actions and side effects.
• Follows the five (5) medication rights and reduces the potential for medication errors.
• Effectively communicates with the physician in accounting for all sponges, needles and instruments during and after the procedure and documents in the appropriate area.
• Is able to open sterile supplies and set up for procedure.
• Gives thorough report of patient’s intraoperative condition to PACU nurse. Other duties as assigned.
• Other duties as assigned.

Physical Demands
                                                                                                                                                                         

• Close Vision- (clear vision at 20 inches or less)
• Lift up to 10 pounds- 1/3 to 1/2 of time
• Lift up to 25 pounds- 1/3 to 1/2 of time
• Lift up to 50 pounds- up to 1/3 of time
• Lift more than 100 pounds- up to 1/3 of time with assistance
• Push/Pull- 1/3 to 1/2 of time
• Reach with hands and arms- up to 1/3 of time
• Sit- up to 1/3 of time
• Stand- 2/3 and more of time
• Talk or hear- 2/3 and more of time
• Use hands to finger, handle or feel- 2/3 and more of time
• Walk- 2/3 and more of time

Work Environment
                                                                                                                                                                          

• Body fluid exposure- Yes
• Fine Dexterity- Both (5-6 hours)
• Fumes or airborne particles- up to 1/3 of time
• Grasping: simple/light - Both (5-6 hours)
• Grasping: firm/heavy- Both (3-4 hours)
• Hearing- Ability to hear alarms on equipment
• Hearing- Ability to hear instructions from physician/department staff
• Repetitive use of foot control- Both (1-2 hours)
• Repetitive use of hands- Both (5-6 hours)
• Risk of electrical shock- up to 1/3 of time
• Risk of radiation- up to 1/3 of time
• Toxic or caustic chemicals- up to 1/3 of time
• Typical noise level- Moderate Noise
• Work near moving mechanical parts- 1/3 to 1/2 of time

Fresno Surgical Hospital 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.