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RN First Assist
At Kaiser Permanente our nurses are leaders, clinicians, researchers, innovators, and scientists who are contributing toward being an industry-leading voice for advancing evidence-based care. Whether supporting the patient directly in our hospitals or clinics, providing care at home, serving our patients through innovative virtual technology, or managing care delivery teams, Kaiser Permanente nurses utilize scientific evidence and our integrated care model to optimize the total health of our members and the communities we serve. We invite nurses who are passionate about nursing excellence, high-quality compassionate care delivery, professionalism, integrity, teamwork and patient and family centeredness to join our teams so that we can continue to sustain and build upon our culture of excellence.
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Job Schedule: Full-time
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Scheduled Weekly Hours:
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Shift: Day
Success Profile
We’re looking for Nurse Leaders who possess the following traits.
- Collaborative
- Compassionate
- Flexible
- Leadership
- Socially Conscientious
- Trustworthy
Benefits
We offer several benefits to our nurses.
Our Culture
At Kaiser Permanente, we cultivate an environment of compassion, integrity, trust, and open communication that helps our teams do their best work. We believe that lifelong learning will expand our knowledge so we can better serve our patients. Our practice is rooted in research and evidence-based care. Our nurses reflect the rich diversity of our members and communities and provide culturally responsive and competent care that promotes understanding of our members needs and preferences. At Kaiser Permanente, nurses are highly skilled professionals who exemplify leadership, critical thinking, and collaborative problem solving and deliver the right care, at the right time, in the right setting.
Hear From Our People
Caitlin
Inpatient Lactation Consultant
As an RN/IBCLC in Maternal Child, I’m meeting families at a pivotal time — I’m there to help launch a new family into the world. Everything I do has the potential to impact a family’s health for generations to come.
Kimberly
Quality Coordinator RN
In Hawaii, your community is your family — or ‘ohana.’ I am able to provide extraordinary patient-centered care to my ohana.
David
Appointment and Advice RN
The location is fantastic. Kaiser Permanente is all over the country. You can pick almost any environment you want — from ocean to mountain to city. You’ll still be able to contribute to our mission of providing high quality health care at a local facility.
Shawn
BSN, RN
I chose Kaiser Permanente because their staff and providers really show that they care about you. Also, throughout my 12 years of working here I’m always learning something new, and I’ve had many opportunities for growth and development.
Kristen
Relief Charge Nurse
Working as a nurse at Kaiser Permanente has allowed me the perfect flexible schedule so that I can volunteer as Girl Scout Leader and room parent for both my children. My kids know that I am a hardworking mother who can provide, as well as a mom who can be present and be there for them – and that means everything to me.
Jazmin
RN, Advice Nurse
Working for Kaiser Permanente has allowed me to take control of my future and make my goals a possibility. I feel that Kaiser Permanente allows me to keep climbing and moving. Having that ability truly makes me feel empowered.
RN First Assist
Provides direct patient care perioperatively. Uses nursing process as foundation for practice when performing preoperative nursing assessments, intraoperative care, and postoperative evaluation of care delivered to surgical patient. Demonstrates proficiency in perioperative nursing practice and able to perform as scrub, circulator, and first or second assistant roles. Assists surgeon with procedure by carrying out assisting functions that will aide surgeon in assuring outcomes for surgical patient under the direction and supervision of surgeon. Supervision shall mean that the surgeon is present in the operating suite.
- Demonstrates proficiency in perioperative nursing practice and able to perform as scrub or circulator preoperatively, intraoperatively, and postoperatively using nursing diagnosis and nursing process to provide care.
- Provides individualized nursing care planning on ongoing basis. Evaluates outcomes, and adjusts plan according to patient needs.
- Supervises and coordinates activities of other team members and ancillary staff as appropriate.
- Participates in education and training of others by acting as teacher, coach and/or preceptor. Participates in peer evaluation process.
- Collaborates with health care team (anesthesia, surgeon, scrub and circulating personnel) to assure continuity of care. Plans regimes perioperatively that will provide patient with optional surgical outcome.
- Documents nursing process and care activities by using departmental flow sheets/forms, etc.
- Demonstrates knowledge and skill in applying principles of asepsis and infection control. Understands principles of wound healing and wound classification system.
- Demonstrates ability to recognize safety hazards associated with patients and/or staff and initiates, as appropriate, preventive or corrective actions. Documents all patients care incidents or adverse occurrences, and reports such to supervisory staff.
- Participates in department quality assurance monitoring and care evaluation.
- Demonstrates technical expertise in use of supplies, equipment and instrumentation required for care delivery.
- Participates in inpatient teaching and discharge planning as appropriate.
- Practices in compliance with Hawaii Nurse Practice Act, Association of Perioperative Registered Nurse (AORN) standards of practice/position statements, and all organizational, departmental policies, procedures and protocols.
- Performs efficiently and effectively in emergency patient care or unit situations.
- Demonstrates ability to perform effectively and harmoniously as member of operative team.
- Uses interpersonal and communication skills to problem solve, resolve conflicts promote effective interpersonal relationships.
- Demonstrates knowledge of surgical anatomy, physiology, operative technique, and knowledge of sequence of events related to specific operative procedures for which RNFA assists.
- Provides intraoperative care to surgical patient by demonstrating skill in tissue handling, providing appropriate exposure, using instrumentation skillfully, suturing techniques and assisting with hemostasis.
- Assists with operative site verification, patient positioning, skin preparation, and draping procedures.
- Demonstrates manual dexterity. Provides hemostasis by use of surgical clips, electrocautery, clamping vessels and tying vessels and suctioning surgical field.
- Provides exposure for surgeon by maintaining dry operative field, retracting tissue. Uses retractors and instrumentation with awareness of tissue friability.
- Demonstrates ability to close surgical wound, at the direction and supervision of surgeon, by layer (fascia, subcutaneous, and skin tissues) and provides appropriate tissue approximation.
- Continues to develop cognitive and psychomotor skills necessary to perform in role of first and second assistant.
- Functions within scope of practice of RN First Assist according to legislative, AORN standards of practice/position statements, organizational and departmental standards.
- Selects appropriate suture/needle/tie according to tissue or vessel type and surgeon preference. Suturing techniques are efficient and effective.
- Assists with surgical site verification, patient positioning, skin preparation and draping procedures.
- Handles tissue appropriately to prevent potential injury.
- Participates in follow-up care and evaluation of patient condition as appropriate.
- Provides retraction by observing operative field at all times, maneuvers instrumentation and surgical field to assure surgeons view.
- Provides hemostatis by use of electrocautery, clamping vessels and suctioning surgical field as directed by surgeon. Demonstrates ability to use hemoclips/ligaclips on vessels as directed.
- Possesses knowledge of suture types, and basic suturing and knot tying techniques.
- Assists with completion of procedure by stabilizing drains, cleaning wound, and applying dressings. Assists with cast application, splints and other immobilization devices as appropriate.
- Functions when required as second assistant by holding retractors, providing exposure, and suctioning.
- Applies dressings to wounds.
- Uses instruments and medical devices at the direction of the surgeon.
- Three (3) years experience as a perioperative nurse in scrub and circulating roles.
- Graduate of an accredited school of nursing.
- Graduate of an RNFA program that meets the AORN recommended education standards for RNFA programs meeting Competency & Credentialing Institutes criteria of program acceptability.
- Registered Nurse License (Hawaii)
- Nurse Operating Room Certificate
- Basic Life Support from American Heart Association
- Demonstrated ability to scrub proficiently in two to three surgical services.
- Demonstrated ability to function in First Assisting role.
- Demonstrated knowledge of and skill in adaptability, change management, interpersonal relations, oral communication, quality management, and teamwork.
- N/A
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Industry Leader
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Ranked among the nation's best
Every hospital that's part of the Kaiser Permanente system earned “high performing” recognition in the latest U.S. News and World Report's annual rankings. That means all 39 of our hospitals are among the top 20% in the nation.
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Awarded for excellence
We're proud that so many of our hospitals have earned Magnet status. It shows our real commitment to outcomes, safety, quality, efficiency, and, most importantly, to our nurses.
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Recognizing nurses during Nurses Month in 2022
We're thanking each one of our 65,000 Kaiser Permanente nurses for everything they've done for us and for the nation. Thank you for choosing to be a nurse and for leading our transformation of care.
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Explore a career in nursing
When you join Kaiser Permanente as a nurse, you'll help us boldly transform care while also building a career that offers more opportunities for you to grow.
Experience nursing excellence
At Kaiser Permanente our nurses are leaders, clinicians, researchers, innovators, scientists, and more. It takes an extraordinary team to offer extraordinary care.
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