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Providence Health & Services Registered Nurse (RN) First Assistant - Surgery in Tarzana, California


Providence is calling a Registered Nurse (RN) First Assistant - Surgery (Full time/Day shift) to Providence Tarzana Medical Center in Tarzana, CA.

We are seeking a Registered Nurse (RN) First Assistant - Surgery reporting to the Nurse Manager, this position will be responsible for assisting the primary surgeon pre, intra, and post operatively with organized instruction and supervised practice. Acts in absence of qualified physician.

In this position you will:


  • Promote patient, physician and employee satisfaction by personal example, treating all contacts with respect

  • Support and participate in activities that foster customer service

  • Communicate and follow the organizational chain of command for notification of patient care/service issues, when appropriate


  • Maintain required applicable licensure, certification and education

  • Attend and successfully complete general and department orientation, in-service programs and the annual key competencies and mandatory update requirements

  • Participate actively in department staff meetings

  • Demonstrate mastery of verbal and written communications

  • Develop and implement based on patient assessment, individualized patient care plans in accordance with standards of nursing practice

  • Provide care that considers physical, psychosocial, spiritual and cultural needs of patients

  • Complete initial assessment per policy and ongoing re-assessments as warranted by patient's condition

  • Evaluate patient outcomes on an ongoing basis and prioritizes patient care, modifying the care plan as needed

  • Document care provided in the patient care record in accordance with policies and procedures

  • Safely and competently administer pharmacotherapeutics, adhering to medication policies, procedures, practices and standards and monitor and document the resultant outcomes based upon the patient’s response to treatment. Initiate, regulate and otherwise manage Intravenous Therapy

  • Utilizing a case management approach, the nurse plan, guide, direct, coordinate and collaboratively incorporate the overall aspects of patient care across the continuum

  • Assess and respond appropriately to ensure patient safety based on the physical environment, equipment and the patient’s behavior

  • Demonstrate critical thinking and the ability to provide care in emergency situations and follows established emergency procedures and practices

  • Nurse ensure involvement of patient and/or family in decision making process, as it relates to patient care, end of life and ethical issues

  • Provide individualized teaching to patient/families and document effectiveness

  • Demonstrate competence in the clinical knowledge, skills required, and technology utilized in the department

  • Assist in coordination of student clinical experience

  • Demonstrate willingness & ability to float to areas within their scope of practice as necessary

  • Demonstrate knowledge of age specific care, including but not limited to, identifying the need for additional safety measures, physiological normal values/readings; and assessing skin integrity, behavior, motor skills and/or activities that place patients at risk as well as communicate effectively in a clear, concise, understandable manner. Applicable for the populations Infant, Pediatric, Adult, and Geriatric

  • Comply with the Medical Center’s policies and procedures regarding:

  • Crash cart check

  • Narcotic reconciliation

  • 24 hour chart check

  • 24 hour Medication administration Record (MAR) checks when applicable

  • Perform procedures in the first assistant role under the direct supervision of the surgeon

  • Assist the surgeon during specific procedures. Perform other functions during surgery

  • Assist with closure of fascial, subcutaneous and skin. May perform these actions independently, as directed by the surgeon and assist the surgeon with all other suturing and closures

  • Assist with the positioning, prepping, and draping of the patient. May perform these actions independently, if directed by the surgeon

  • Maintain manually controlled retractors in the position set by the surgeon. Anticipate retraction needs with knowledge of surgeon’s preferences and anatomical structures. Pack sponges, or lap pads into body cavities to hold tissues or organs out of operative field

  • Apply electrocautery tip to clamp or vessel in a safe and knowledgeable manner, as directed by the surgeon, sponge and utilize suctioning techniques to remove fluids from the operative site

  • Utilize surgical instruments to clamp bleeding vessels, as directed by surgeon. Place ligation clips or other occluding devices on blood vessels or tissues

  • Maintain knowledge of basic knot tying techniques to include: two-handed tie, one- handed tie and instrument tie

  • Demonstrate competence in the clinical knowledge, skills required, and technology of the department employed in the care of patients in the unit

  • Perform closure of layers by correctly approximating the layers which provided access to the operative site and approximating the skin edges when utilizing skin staples or suture

  • Perform intraoperative tissue manipulation by: using surgical instruments and suture material; exposing and retracting tissue; clamping and severing tissue; grasping and fixating tissue with screws, staples and other devices; drilling, reaming and modifying tissue

  • Assist the surgeon at the completion of the surgical procedure by: affixing and stabilizing all drains; cleaning the wound and applying dressings; assisting with the application of casts, splints, special dressings and abduction devices

  • Remove sutures and/or skin staples/clips during intraoperative phase at surgeon’s request


Required qualifications for this position include:

  • Successful completion of a course in RN First Assisting

  • Current CA RN license

  • Current National Certification (CNOR)

  • Current BLS-HCP

  • EKG recognition and clinical implications course

  • Current LA City Fire Card within 30 days of hire

  • 3 years experience in peri-operative nursing practice as both scrub and circulator

Preferred qualifications for this position include:

  • Bachelor's Degree in Nursing

  • National Certification (CRNFA)

About the hospital that you will serve.

Providence Tarzana Medical Center is a 245-bed not-for-profit medical center that serves the San Fernando Valley, offering high quality specialty services, including: heart and vascular care, orthopedics, oncology and senior services. Recognizing the special health care needs of women and children, our Women’s Pavilion & Resource Center provides women’s health and maternity care in once central location. The hospital specializes in pediatrics and has one of the largest neonatal intensive care units in the San Fernando Valley. Providence Tarzana has a reputation for clinical excellence and sophisticated technology with a personal touch. Providence Health & Services cares about the people and the lives that we touch each and every day. We are continually driven by the caring tradition of our heritage – the foundation of our Mission and core-values – to embrace respect, compassion, justice, excellence and stewardship. With a rich past reaching back more than 65 years in Southern California, and 150 years in total, Providence Health & Services today celebrates unprecedented growth, recognition for top quality health care, a vibrant employee culture where new ideas are encouraged and a drive to help the underprivileged - all with an eye toward the future.

We offer a full comprehensive range of benefits - see our website for details

Our Mission

As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.

About Us

Providence Health & Services is a not-for-profit Catholic network of hospitals, care centers, health plans, physicians, clinics, home health care and services guided by a Mission of caring the Sisters of Providence began over 160 years ago. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Schedule: On Call

Shift: Variable

Job Category: Surgical Services (Intraop)

Location: California-Tarzana

Req ID: 246363