Registered Nurse RN First Assist Labor and Delivery

Banner Medical Group

Those who have joined the Banner mission come from all walks of life, united by the common goal: Make health care easier, so life can be better. If changing health care for the better sounds like something you want to be part of, we want to hear from you!

As a Registered Nurse, Labor & Delivery, we offer a customer-focused and friendly work environment with career growth opportunities. You'll have the opportunity to work directly with patients and with an engaged group of physicians and staff. If you are ready to be challenged, work in a positive environment and contribute to making a change in people's lives, then we are the perfect team for you.

Location: 5555 W Thunderbird St Glendale, AZ

Schedule: 36/hrs week

At Banner Medical Group, you'll have the opportunity to perform a critical role in the community where you practice. Banner Medical Group provides both primary and specialty care throughout the communities in which Banner Health operates. We do this in a variety of settings - from smaller group practices like our Banner Health Clinics in Colorado and Wyoming, to large multi-specialty Banner Health Centers in the metropolitan Phoenix area. We currently have more than 1,000 physicians and more than 3,500 total employees in our group and are seeking others to enhance our ability to deliver our nonprofit mission of providing excellent patient care.

Position Summary

Under the direct supervision of a surgeon, this position assists in performing surgical procedures. This position is responsible for assessing, analyzing plans, intervening in and evaluating the comprehensive care of the perioperative patient. This position is accountable for utilizing clinical expertise in performing comprehensive assessments throughout the surgical case as well as during the immediate pre and post-operative period.

Core Functions

• Provides specialty focused nursing as a First Assistant in surgical patient cases. Evaluates patient needs throughout the surgical period and makes recommendations for treatment, implements interventions, and evaluates outcomes.
• Contributes to society through activities that lead to excellent patient outcomes through timely, effective, efficient, equitable, and safe care. Actively participates in the improvement of national nursing quality indicators and outcomes. Such activities may include participating in professional organizations.
• Assesses patient physical, psychological, social, spiritual, educational, developmental, cultural and discharge planning needs. Reviews patient history and physical with patient/family and assures completion within appropriate timeframe. Reviews available information obtained by other health care team members. Reviews diagnostics and laboratory data and reports abnormal results to the physician(s) and other appropriate caregivers. Completes assessment and reassessments according to patient need and as outlined in policy.
• Formulates a plan of care, including the discharge plan, utilizing assessment data and patient, family and health team input. Initiates a plan of care based on patient-specific needs, assessment data and the medical plan of care. Goals for patient are realistic, measurable and developed in conjunction with the patient/family. Considers the physical, cultural, psychosocial, spiritual, age specific and educational needs of the patient in the plan of are. Plans care in collaboration with members of the multidisciplinary team. Reviews and revises the plan of care to reflect changing patient needs based on evaluation of the patient's status.
• Implements the plan of care through direct patient care, coordination, delegation and supervision of the activities of the health care team. Provides care based on physician orders and the nursing plan of care, in compliance with policies and procedures, standards of care, and regulatory agency requirements. Delegates appropriately, and provides nursing supervision in the provision of care to patients by other licensed nurses and other personnel. Promotes continuity of care by accurately and completely communicating to other caregivers the status of patients for whom care is provided.
• Evaluates the patient's and family's response to care and teaching, and revises the plan of care as needed. Evaluates patient progress towards goals and expected outcomes in collaboration with other health care team members. Evaluates patient's response and the effectiveness of patient teaching.
• Documents assessment, planning, implementation and evaluation in the patient record. Documentation is legible, timely and in accordance with policy. Documentation reflects objective/subjective data, nursing interventions and patient's response to treatment. Notes physician orders accurately and in a timely manner.
• Provides care based on the best evidence available and may participate in research activities within clinical practice. Participates in unit or facility shared leadership. Interacts and participates in the education, role development, and orientation of facility personnel, patients, students, families and visitors. Promotes/supports growth of others through precepting and mentoring when appropriate.
• Serves as a First Assistant to a Surgeon in the operating room. Interacts with all levels of staff in a variety of departments, surgeons, physicians, patients, families and external contacts, such as employees of other health care institutions, community providers and agencies, concerning the health care of the patient. Interacts with other health care providers in numerous settings in order to report and ask for or clarify information. Also works with clergy to provide spiritual support. Synthesizes and prioritizes data from multiple sources to provide support for the human response of the patient and family to changes in health status.

Minimum Qualifications

Must possess a current, valid RN license in state of practice, temporary RN license in state of practice, or compact RN licensure for current state of practice. BLS certification is required. Additional certification or continuing education may be required based on area of practice. Minimum of three (3) years perioperative services experience. Knowledge and level of proficiency in scrub and circulating roles. Skilled in applying principles of asepsis and infection control. Knowledge of surgical anatomy and physiology. Skilled in maintaining composure in difficult situations. Skilled in reacting appropriately during surgical situations within the scope of practice. Certification for ACLS, TNCC and AORN preferred. Certified Registered Nurse First Assistant certification preferred. Additional related education and/or experience preferred.