RNFA, Full Time, Rotating Shift

Registered Nurse First Assistant

Located in Templeton amongst the oak trees, Adventist Health Twin Cities has been serving northern San Luis Obispo County since 1977. Comprised of a 122-bed acute care facility, our team provides exceptional care in emergency medicine, orthopedics, obstetrics, digestive disorders, wound care, and various medical, surgical and outpatient services. Locals enjoy weekly farmers markets in downtown Templeton, farm-to-fork dining, beautiful landscapes for hiking and biking, and beach days just fifteen minutes away at Cambria and Morro Bay.

Job Summary:

Perform the professional functions of a Registered Nurse in assessing, planning, implementing, and evaluating the care of patients. Coordinate, manage, provide and delegate patient care. Responsible for meeting the established Standards of Nursing Practice, and promoting cooperation among the health care team. In addition, the Registered Nurse shall meet personal accountabilities as defined in the Tenet Standards of Conduct, Service, People, Quality, Growth and Cost. Assist under the direction of the primary operating surgeon in the perioperative care of the patients undergoing a surgical experience. The RNFA functions within the policies and guidelines established by the facility and reports directly to Director of Perioperative Services. The RNFA is an expanded role of the registered nurse and is accountable for exemplifying leadership and professionalism in the implementation of the role. This position is represented by CNA.

Job Requirements:

Education and Work Experience:

• Graduate of a school of nursing: Required
• Certification of completion of an approved didactic RNFA course: Required
• Three years scrub and circulate experience in an acute care facility: Required
• Annual surgeon review: Required

Licenses/Certifications:

• Current RN license in state of practice: Required
• Basic Life Support (BLS) certification from approved vendor per AH policy: Required
• Advanced Cardiovascular Life Support (ACLS) certification from approved vendor per AH policy: Required
• Certified Nurse, Operating Room (CNOR): Required
• Pediatric Advanced Life Support (PALS) certification from approved vendor per AH policy: Preferred
• Current Professional Liability insurance: Required
• Registered Nurse (RN) license in state of practice: Required
• Professional Liability Insurance (PLI): Required

Facility Specific License/Certifications:

• Basic Life Support (BLS) certification from approved vendor per AH policy: Required
• AHA-ACLS or ARC-ALS: Required

Essential Functions:

• Assures patients personal needs are met. Assist in reducing noise level of nursing unit. Participates in the Standards of Conduct.
• Shows a commitment to co-workers. Works as a team to assure all patients have their needs met. Maintains patient, co-worker, and hospital privacy.
• Documentation is clear, concise, and legible. Delivers a clear, concise report. Completes all assigned quality monitors as directed by department manager. Follows infection control guidelines. Obtains history/physical assessment according to unit specific nursing protocol for all age groups. Reviews medical history, physical examination, and all available assessment data. Identifies abnormal diagnostic data and reports to appropriate person. Provides information needed to begin discharge planning in a timely manner, and to the appropriate personnel. Recognizes sings and symptoms of cardiac or respiratory distress, or other impending emergencies. Demonstrates knowledge and ability to effectively function in Code Blue and other emergency situations. Accurately administers and charts medications according to hospital policies and procedures using patient's 6 rights. Implements and /or assists others in implementation and documentation of planned education. Assesses patient's educational needs. Demonstrates intraoperative competency as an RNFA: manual dexterity, suturing and litigating, providing hemostasis, exposing the surgical site, position, prepping and draping.
• Assist in the development and education of new staff members. Attends and participates in staff meetings. Completes education, training, and competencies for department specific skills. Successfully adapts to changes in the unit, environment, and work flow.
• Assures all patient charge items are charged and documented correctly. Utilizes department resources appropriately. Minimizes incidental overtime.
• Performs other job-related duties as assigned.

Organizational Requirements:

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.