Surgery RNFA

Certified Registered Nurse First Assistant (CRNFA) required

Spire Orthopedic Partners is a growing national partnership of orthopedic practices that provides the support, capital and operational resources physicians need to grow thriving practices for the future. As a Management Services Organization (MSO), Spire provides the infrastructure for administrative operations that allows practices to operate at their highest level, so doctors can focus their efforts on what matters most - patient care. Headquartered in Stamford, Connecticut, the Spire network spans the Northeast with more than 165 physicians, 1,800 employees, 285 other clinical providers and 40 locations in New York, Connecticut, Rhode Island and Massachusetts.

Assists the surgeons with surgery, wound closure and dressing. Facilitates patient and procedure flow through the OR and ensures the provision of high-quality patient care on a day-to-day basis. The Operating Room Nurse First Assist practices within the Patient and Family Centered Care Model and will assess, plan, implement and evaluate care for patients, coordinate ancillary staff and collaborate with interdisciplinary health care team.

Assist Surgeon with surgery, wound closure and dressing

• Surgical tasks include, but are not limited to, opening and closing surgical sites, exposure of the surgical site, harvesting grafts, dissecting tissue, removing tissue, implanting devices, and altering tissues
• Positions the patient per the surgeon's instruction
• Provides visualization of the operative site by ensuring appropriate placement and securing of retractors with or without padding. Packs site with sponges, uses digital manipulation of tissue, suctions, irrigates and uses proper body mechanics to prevent obstruction of the surgeon's view.
• Utilizes appropriate techniques to assist with hemostasis by clamping or cauterizing vessels or tissue, tying or ligating clamped vessels or tissue, applying hemostatic clips and placing local hemostatic agents.
• Participates in volume replacement or auto transfusion techniques as appropriate.
• Closes skin with method per surgeon's directive (suture, staples, etc.).
• Provides assistance in securing drainage systems to tissue.
• Safely and competently administers pharmaco-therapeutics, adhering to medication policies, procedures, practices and standards, and monitors the outcomes based on the patient's response to treatment.
• Demonstrates skill in the use of appropriate equipment.
• Assists the surgeon during specific procedures. Performs other functions during surgery as directed.
• May perform these actions independently, if directed by the surgeon.
• Assists the surgeon at the completion of the procedure by affixing and stabilizing all drains; assisting with the application of casts, splints, special dressings and abduction devices.
• Removes sutures and/or skin staples/clips during intra-operative phase, at surgeon's request.