Position Description

Operating Room RNFA- Registered Nurse (Days, 8HR - Operating Room Unit / #2659)
Location Valley Presbyterian Hospital
Department Operating Room
Shift 8 Hour- Days
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Employment Status:
Full Time (72-80 Hours Per Pay Period)
Job Category:


  • The Operating Room RNFA is responsible for a variety of tasks that lead to a high level of customer satisfaction in the most cost-effective manner with respect and dignity.  Under the supervision of the Director of Surgical Services and OR Manager, the Operating Room Registered Nurse First Assistant assesses, plans, implements and evaluates the care of both inpatients and outpatients in accordance with individual needs, physician orders, Hospital policy and standards of patient care.  The RNFA functions as a First assist under the direct supervision of a physician. Must be able to fulfill the essential functions of the position, and follow Hospital policy and standards of patient care. Receives general instructions on all assignments and in accordance with the standards, policies, and practices of Valley Presbyterian Hospital.  These services further the mission of Valley Presbyterian Hospital, which is to provide high quality, cost effective healthcare for the people in the communities we serve.   


  • At least two years previous surgical nursing experience in acute care setting or completion of an OR Resident training program.  


  • Completion of the RNFA program. Possesses capabilities as determined by the Director of Surgical Services or by the OR Manager.


Current licensure with the California Board of Registered Nursing

Current BLS certification

ACLS, PALS and CNOR, RNFA certification preferred

Must successfully complete and maintain LA City Fire Card certification at the time of hire or within the first 30 days of employment

DUTIES AND RESPONSIBILITIES (These are the essential job functions for this position. The essential functions of this job include, but may not be limited to those listed in this job description. Employees hired for this position must be able to perform the essential function of this job without imposing significant risk of substantial harm to the health or safety of themselves or others):

  1. Adheres to established Hospital/departmental policies and procedures, objectives, Performance Improvement Program, Infection Assessment and Improvement Program, legal, safety, environment control standards and Patient’s Bill of Rights.

  2. Performs thorough preoperative assessment, plans age specific nursing interventions and evaluates the care of all patients undergoing surgical procedure.

  3. Under the direct supervision of the physician, the RNFA assists in performing surgical procedures.

  4. Assesses and monitors room during surgical procedures.

  5. Demonstrates proper handling and documentation of specimen collection.

  6. Demonstrates safe use of electrosurgical units and other equipment.

  7. Is able to suture, assist in transcribing post op orders into patient chart.

  8. Identifies, assures availability, and prepares appropriate supplies and equipment based on identified surgical procedures.

  9. Educates patients and family members appropriately.

  10. Transports patients safely.

  11. Provides care appropriate to the age of the patients served.

  12. Demonstrates proper technique in Personal Protective equipment.

  13. Demonstrates proper use of surgical equipment.

  14. Provides comfort and support for patients. Demonstrates sensitivity to patient's care and privacy.

  15. Demonstrates an understanding of organizational structure and utilizes appropriate channels of communication.

  16. Demonstrates a positive cooperative manner when dealing with all members of the health care team.

  17. Demonstrates an understanding of the approaches to and methods of Performance Improvement.

  18. Collaborates with licensed staff to identify own career and educational needs.

  19. Performs other related duties as assigned or requested.

The following job accountabilities are not unique to this particular job but are common to all jobs at VPH:

Complies with VPH policies and procedures on customer satisfaction and service excellence.  Demonstrates professionalism and cultural sensitivity in coordinating activities and communicating with all customers, peers, and the community at large.  Conducts self in a professional, respectful and courteous manner during all interactions.  Works effectively and collaboratively with others toward common goals.


Communicates accurately, honestly, supportively and in a timely manner with department and interdepartmental team members.  Demonstrates effective business writing and oral communication skills, handwriting is clear and legible.


Participates in operational aspects of the department, and maintains/participates in performance improvement activities within the department.


Participates in all departmental specific training, Environment of Care (injury/illness prevention, fire/life  safety, hazardous materials, emergency preparedness, utilities management, medical equipment management, safety and security management), infection control (standard precautions, TB Exposure Control Plan, Bloodborne Pathogen Exposure Control Plan).


Demonstrates knowledge of and follows safety practices.  Understands the importance of safety, including patient safety in the work place.  Maintains a safe environment for self and others.

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