RN First Assistant Team Leader - Full-time

Education:
Graduate of an accredited school of Nursing with expectation of BSN within 3 years of entry into position. BSN preferred. Completion of an accredited course in RN first assisting comparable to the requirements identified in the Maryland Board of Nursing Declaratory Ruling.

Licensures/Certifications:
* Current registration with the Maryland State Board of Examiners of Nurses as a Registered Nurse.
* Healthcare Provider (CPR Certification).
* ACLS preferred
* Current CNOR certification.
* CRNFA certification preferred

Experience:
Minimum of 5 years diversified Perioperative nursing experience: both scrubbing and circulating proficiency.

Skills:
* Advanced knowledge of anatomy, physiology, surgical interventions, surgical techniques and surgical hazards.
* Advanced knowledge and skill in handling surgical instrumentation, in aiding in exposure, retraction, hemostasis, suctioning, tissue handling including dissecting, cutting, suturing, tying, stapling and stab wound.
* Analytical ability to conduct pre-operative and post-operative patient assessment, to evaluate physical and laboratory findings and to conduct patient teaching appropriate to age, background, psycho-social needs, medical/physical condition of the surgical patient. Ability to communicate effectively and appropriately with surgical patients and their significant others to enlist their involvement and cooperation in the entire treatment process.
* Advanced skill in organizing assignments and activities of others and problem solving for the overall benefit and smooth operation of the OR.
* Ability to perform effectively in stressful and emergency situations with behaviors that are unique to functioning as a first assistant.

Principal Duties and Responsibilities:
Performs pre-operative and post-operative patient assessment and teaching. Involves appropriate parties (i.e. patient's family or guardian, outside agencies) in the assessment, treatment and continuing care of the patient as needed.
Clinical Competency-Collaborates with the surgeons and healthcare team in performing safe operations with optimal outcomes for the patients. The RNFA practices perioperative nursing and must have acquired the necessary knowledge, skills, and judgment specific to clinical practice.
Teamwork - Communicates effectively and works cooperatively with others. Has respect for and understanding of clinical disciplines. Uses an integrated approach toward patient outcomes.
1. Demonstrates effective communication skills.
2. Delegates patient care activities to other healthcare team members and redirects unit activities a patient acuity and census changes.
3. Using evidence based practice model to works with a multidisciplinary team to implement practice changes and other initiatives in a positive and productive manner.
4. Assists the clinical partner/charge nurse by coordinating the staff and surgery schedule and handling day-to-day issues with positive outcomes.
5. Assists as needed with the staffing schedule coverage to meet daily department needs.
6. Assists with room set-up, opening supplies and room turn-over to promote and maintain efficiency and productivity.
7. Helps with lunches and breaks. Assists with patient positioning and safe transport of patient to the PACU. Assists staff to indentify learning needs and helps to educate and train as needed. Acts as a preceptor. Will assist in the training and orientation of new staff into the OR including RN's, Surgical Techs, RNFA's, and PA's.
8. Collaborates with the team in keeping costs under control and controls wastage in the room with regard to supplies; promotes maximum productivity.
9. Assists team leader, clinical partner, charge nurse in updating and developing physician preference cards.
Quality/Best practices - Utilizes standards, guidelines, and pathways for care delivery. Incorporates data and information to continuously improve care and practice to enhance outcomes.
1. The RNFA acts as a leader or participates in quality improvement process. Actively identifies variances and explores alternatives to care or practice.
2. Evaluates staff on practice delivery and recommends additional education if needed. Assists with implementation of practice initiatives.
* Professional development- Ensures improvements in practice settings by assuming responsibility for self-development in life-long learning. Provides direction and guidance to others regarding practice, serves as a resource, preceptor, and mentor. Leadership skills demonstrated in decision making and problem solving
* Recognizes safety hazards and initiates appropriate corrective action.
* Applies principles of asepsis and infection control skillfully.
Demonstrates compliance with established polices/procedures while delivering care and delegated functions
* Displays an understanding and awareness of, performs all duties in accordance with the Hospital's Mission and Vision Statements
* Acts as shift resource and monitors and reviews work performance of assigned staff.
* Facilitates a learning environment for assigned staff; assists and guides staff in performing their direct care responsibility.
* Ensures smooth transition to next shift by reporting patient care issues, concerns with staffing of first assists', and items requiring follow-up to the next shift charge nurse.
* Assist the Clinical Director in fostering a positive work environment as evidenced by staff morale and turnover rate.
* Participates in recruitment and retention activities.
* Interviewing of new staff
* Provides RNFA work, vacation and call schedule in a timely to the Clinical Director for approval prior to entering schedule into AtStaff.
* Provides daily RNFA assignments based on the patient, surgeon, and RNFAs need.
* Acts as liaison with contracted surgical groups for PRN staffing (Intralign),
* Assists with maintenance of employee competencies.
* Monitors and reviews work performance of first assist staff.
* In collaboration with the Clinical Nurse Specialist, Clinical director and staff, identifies, plans, and participates in educational programs based on unit and organizational needs.
* Utilizes conflict resolution strategies to address and document operational and interpersonal issues as they arise in collaboration with the Clinical Director.
* Provides feedback and has the ability to complete performance review process for first assists.
* Provides RNFAs group input to Clinical Director.
* Collaborates, plans and posts monthly RNFA meeting schedule,
* Provides education/orientation/training as needed

All roles must demonstrate GBMC Values:

Respect

I will treat everyone with courtesy. I will foster a healing environment.

• Treats others with fairness, kindness, and respect for personal dignity and privacy

• Listens and responds appropriately to others' needs, feelings, and capabilities

Excellence

I will strive for superior performance in every aspect of my work. I will recognize and celebrate the accomplishments of others.

• Meets and/or exceeds customer expectations
• Actively pursues learning and self-development
• Pays attention to detail; follows through

Accountability

I will be professional in the way I act, look and speak. I will take ownership to solve problems.

• Sets a positive, professional example for others
• Takes ownership of problems and does what is needed to solve them
• Appropriately plans and utilizes required resources for various job duties
• Reports to work regularly and on time

Teamwork

I will be engaged and collaborative. I will keep people informed.

• Works cooperatively and collaboratively with others for the success of the team
• Addresses and resolves conflict in a positive way
• Seeks out the ideas of others to reach the best solutions
• Acknowledges and celebrates the contribution of others

Ethical Behavior

I will always act with honesty and integrity. I will protect the patient.

• Demonstrates honesty, integrity and good judgment
• Respects the cultural, psychosocial, and spiritual needs of patients/families/coworkers

Results

I will set goals and measure outcomes that support organizational goals. I will give and accept help to achieve goals.

• Embraces change and improvement in the work environment
• Continuously seeks to improve the quality of products/services
• Displays flexibility in dealing with new situations or obstacles
• Achieves results on time by focusing on priorities and manages time efficiently

Pay Range

Final salary offer will be based on the candidate's qualifications, education, experience and alignment with our organizational needs.

COVID-19 Vaccination

All applicants must be fully vaccinated against Covid-19 or obtain a GBMC approved medical or religious exemption prior to starting employment at GBMC Healthcare, to include Gilchrist and GBMC Health Partners.

Equal Employment Opportunity

GBMC HealthCare and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.