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Trinity Health Registered Nurse - Surgery, First Assist in Mishawaka, Indiana

Employment Type:Full timeShift:Day Shift


Why Saint Joseph Health System?

Saint Joseph Health System is a not-for-profit, multi-hospital health system located in North Central Indiana.

Our system includes:

  • Mishawaka Medical Center: 254-bed acute-care hospital located in Mishawaka

  • Plymouth Medical Center: 58-bed acute-care hospital located in Plymouth

  • More than 85 providers in the Saint Joseph Physician Network located across the Saint Joseph and Marshall counties

  • Community Health Centers and additional points of access

  • St Paul's is a 316 suite campus for independent living, assisted living, rehabilitation, memory care, long-term nursing care and numerous senior activities located in South Bend

  • Holy Cross is a 168 suite campus for rehabilitation and wellness and skilled nursing programs located in South Bend

  • Trinity Tower with 84 affordable senior apartments located in downtown South Bend

  • VNA Home Care is our home care agency that helps transition patients from the hospital to home and back to their regular daily activities

  • Saint Joseph PACE provides care and services to seniors with chronic care needs allowing them to maintain their independence in their homes for as long as possible (transportation provided)

At Saint Joseph Health System, our values give us strength. That character guides every decision we make - even when those decisions are complicated, costly or hard. We honor our mission to care for every man, woman and child who needs us by investing in technology, people and capabilities that allow us to set the standard for quality care.

About the Job:

Our Registered Nurse First Assist functions as a peri-operative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal patient outcomes through application of the advanced knowledge, judgment, and skills specific to the expanded role of RNFA. First assisting behaviors are further refinements of peri-operative nursing practice and are executed within the context of the nursing process. These behaviors include certain delegated medical functions that can be assumed by the RN who is qualified to practice as an RNFA.

What You Will Do:

  • Actively demonstrates the organization’s mission and core values, and conducts oneself at all times in a manner consistent with these values.

  • Knows and adheres to all laws and regulations pertaining to patient health, safety and medical information.

  • Preoperative – The RNFA facilitates the safe positioning of the patient according to the surgeon's preference, patient's anatomical and physiological limits and surgical procedure to be performed. A preoperative introduction visit may be done to assess the surgical site to better aid in positioning. Assists circulator and anesthesia provider in preparation of the patient to include but not limited to: Foley catheter placement, tourniquet application, placement of intravenous catheters, cricoid pressure application and other procedures as needed.

  • Intraoperative – The RNFA performs specific tasks according to individual surgeon preference utilizing appropriate techniques including, but not limited to: incision and layered closure of surgical sites, providing exposure, achieving hemostasis by means of injection, manual, and topical methods and application of appropriate energy sources, manipulation and dissection/removal of tissues, aides in implanting, securing and/or removal of devices and drains and applying appropriate dressing material specific to procedure.

  • Postoperative – The RNFA applies any other specific dressing material such as splints or casts, assesses skin integrity, assists in transfer of the patient and follows the patient to recovery if needed or directed by surgeon.

  • Specialty Procedures – The RNFA who has appropriate training also performs, under surgeon supervision, other procedures including but not limited to: vein and graft harvesting and graft and implant preparation

  • Practices performance improvement standards and promotes staff participation in PI activities.

  • Evaluates the patient’s response to care delivered and the level of outcome achievement.

  • Applies theoretical knowledge of asepsis, wound healing, infectious diseases process, surgical anatomy and physiology, safety issues and operative techniques for surgical procedures on which he/she assists.

  • Demonstrates clinical nursing expertise as described in the job description for Registered Nurse.

  • Additional Duties – The RNFA performs additional duties as delegated by the surgeon or facility in cooperation with state and local policy.

  • Performs other related duties as assigned or as workload or staffing variations require.

What We Are Looking For:

Education: Graduate of an accredited school for professional nursing. BSN preferred. MSN or Certification of specialty preferred. Completion of an RNFA program that is equivalent to one academic year of formal, post-basic nursing study and meets the Association of Operating Room Nurses (AORN) standards for RN first assistant education programs.

Licensure/Certification: RN Indiana license. Certification in peri-operative nursing (CNOR). RNFA Certification within 2 years of completion of RNFA program or 2 years of notification of those currently practicing as an RNFA.

Experience: RN for a minimum two years experience in Surgery.DaVinci experience highly preferred.

Other Job Requirements:

  • Knowledge of operating room and patient safety procedures.

  • Uses initiative and creativity in fulfilling the professional role. Functions as a teacher, consultant, and leader.

  • Work is substantially complex and varied and requires the selection and application of technical and detailed guidelines. Analytical ability is needed to gather and interpret data where results/answers can be found after analysis of several facts.

  • Requires independent judgement to identify, select and apply the most appropriate of available guidelines and procedures as well as interpret precedent.

  • Skilled in effective participation on surgical team, in safety and infection control procedures and in equipment maintenance.

  • Remains flexible to the unit's needs and changing situations.

  • Assigned hours within your shift, starting time, or days of work are subject to change based on departmental and/or organizational needs.

    Trinity Health's Commitment to Diversity and Inclusion Trinity Health employs about 133,000 colleagues at dozens of hospitals and hundreds of health centers in 22 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.Trinity Health's dedication to diversity includes a unified workforce (through training and education, recruitment, retention and development), commitment and accountability, communication, community partnerships, and supplier diversity.