RN First Assistant Advanced - Open Heart

• Practices within established RNFA guidelines of AORN, anticipates and plans for steps in the surgical procedure and responds to emergency situations promptly and appropriately.
• Utilizes critical thinking in making independent judgments and maintains responsibility and accountability for the knowledge of conditions of assigned patients.
• Demonstrates an expert and advanced knowledge base of surgical procedures and the anatomy/physiology pertinent to it as an extension to the procedural physician in the operative setting.
• Develops an individual plan of care using a collaborative approach with the health care team.
• Assumes a leadership role for the care team in conjunction with the procedural physician in the execution of the procedure and throughout the procedure.
• Delegates and provides direction for other healthcare providers and holds them accountable for their involvement in the plan of care.
• Skillfully applies principles of asepsis and infection control. Maintains the integrity of sterile field. Drapes operative areas. Ensures these principles are applied to the entire operative setting and operative team.
• Preparation and administration of medications preoperatively, as directed by the surgeon and anesthesiologist.
• Assume responsibility in advanced surgical assisting skills such as providing exposure, tissue handling, suturing, providing hemostasis and using surgical instruments and equipment under the direct supervision of the procedural physician.
• Able to skillfully and expertly handle and manipulate endoscopic equipment.
• Provides exposure through appropriate use of instruments, retractors, suctioning, and sponging techniques.
• Handles and dissects tissues in collaboration with the surgeon.
• Clamping blood vessels, coagulation bleeding points, ligating vessels and other procedures in collaboration with the surgeon to achieve hemostasis.
• Independently sutures muscle, fascia, subcutaneous, and skin tissue in collaboration with surgeon.
• Places drains as surgically indicated.
• Assists with cannulation and de-cannulation procedures.
• Assists in delivery of primary health care services and patient care management.
• EVH skills: identify vein, dissection and removal of vein, preparation of vein

• Promptly completes documentation to assure an accurate legal record of patient's care.
• Demonstrates knowledge that patient and workplace safety is a priority by preventing errors, accidents, infections and reporting potential or actual concerns immediately.
• Delivers high quality care utilizing the nursing process while demonstrating knowledge and clinical skills of the specialty required on assigned unit in accordance with established policies, procedures and standards of care.
• Provides education to the care team to improve operative processes to achieve better patient outcomes, ensure patient and team safety and to improve effectiveness and efficiency.
• Takes an active role in STS, NCDR, GWTG data review and participates in action planning for improvement of scores and outcomes.

• Continues personal and team professional development. Is involved in professional activities that enhance nursing practice by sharing knowledge through networking and research and participates in developing this in the team.
• Delivery of continuing education, assessing educational needs and presenting in-service activities as assigned.
• Responsible for planning and initiating projects related to process improvement, professional growth, leadership and quality improvement within department on an ongoing basis.
• Collaborates with other team members to develop, coordinate and implement a perioperative plan of care unique to individual patient needs.
• Ability to work as a team member.
• Collaborates with perfusion, anesthesia, CVICU, Cardiac Step-down unit, cath lab, main OR on patient care and processes.
• Participate in the on-call schedule- RNFA call for vein harvesting, and RN call to meet team needs, Twenty hour call is shared between a limited number of team members therefore call expectations will be up to or exceeding 185 days per year.
• Balance team and individual responsibilities: be open and objective to other's views, give feedback, contribute to positive team goals, and put the success of the team in forefront.

Find it here.

Discover the job, the career, the purpose you were meant for. The supportive and inclusive team where you can thrive. The place where growth meets balance - and opportunities meet flexibility. Find it all at Carle Health.

Based in Urbana, IL, Carle Health is a healthcare system with nearly 16,600 team members in its eight hospitals, physician groups and a variety of healthcare businesses. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet designations, the nation's highest honor for nursing care. The system includes Methodist College and Carle Illinois College of Medicine, the world's first engineering-based medical school, and Health Alliance. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: human.resources@carle.com.