The University of Maryland Medical System
Registered Nurse First Assist $20,000 sign on bonus
The University of Maryland Medical System, Baltimore, Maryland, United States, 21276
Registered Nurse First Assist - $20,000 Sign-On Bonus
Full-timeShift: DayLocation: UMMC Midtown CampusPosition Type: ExemptThe University of Maryland Medical System is a 14-hospital system with academic, community, and specialty medical services reaching every part of Maryland and beyond. UMMS is a national and regional referral center for trauma, cancer care, Neurocare, cardiac care, women’s and children’s health, and physical rehabilitation. UMMS is the fourth largest private employer in the Baltimore metropolitan area and one of the top 20 employers in the state of Maryland.Perioperative nursing is a specialized area of practice. Registered nurses practicing as first assistants in surgery are functioning in an expanded perioperative nursing role. First assisting responsibilities are further refinements of perioperative nursing practice and are executed within the context of the nursing process. Responsibilities may vary depending on patient populations, practice environments, service provided, and institutional policy.Principal Responsibilities and TasksThe following statements describe the general nature and level of work performed by individuals in this classification. They are not exhaustive lists of all job duties performed.Clinical Practice/Care DeliveryUnder the direct supervision of a surgeon, assists with surgical procedures and patient care in the operating room in accordance with established nursing protocols and policies. Observable duties may include:Assisting with positioning, prepping, and draping of the patient.Tissue handling including making incisions, retracting, dissecting, tying, ligating, stapling, suturing, and providing hemostasis.First assisting with endoscopic or open procedures specific to the surgical service assigned.First or second assisting with all general surgical, thoracic, and vascular surgical procedures as assigned.Installation of femoral arterial lines, radial artery lines, and femoral venous lines as required.Chest tube insertion.Wound closure and readiness of the patient for the post-operative phase of the procedure.Defibrillation (external) of the patient as needed.Assisting with emergency procedures and resuscitation as needed.Acts as an assistant for robotic procedures as required by assigned service.For Robotic Procedures:The RN First Assist must have completed a Robotic First Assist training program followed by observation by a proctor for 10 training cases.Once training is complete, the RN First Assist may under the direct supervision of the attending surgeon:Set up and connect system components.Drape and position arms.Balance and calibrate endoscope and camera.Inspect setup for functionality and defects.Place trocars when the attending surgeon is present in the surgical field providing direct supervision.Place and exchange instruments in the robotic arms.Insert instruments into the trocars.Removal, exchange, cleaning, and re-introduction of endoscope.Steps to safely and quickly move the system components in an emergency.Proper cleaning, disinfection, and sterilization of reusable instruments, accessories, and endoscopes.Troubleshooting.Minimum Requirements:Current licensure as a Registered Nurse with the Maryland State Board of Examiners of Nurses.Current certification in Basic Cardiac Life Support is required.Current CNOR certification from the National Certification Board of Perioperative Nursing is required.A minimum of two years of experience as a Registered Nurse is required; certification as a RNFA is preferred.Successful completion of a recognized planned program of instruction designed for the Registered Nurse Surgical First-Assistant.Didactic instruction of at least 50 hours, including pre-operative and post-operative assessment, evaluation of physical and laboratory findings, patient pain management, and patient and staff teaching.Clinical instruction and experience of a minimum of 200 hours assisting in major surgical procedures.The surgeon preceptor(s) written documentation of the registered nurse’s competency in the intraoperative surgical first assistant role.All your information will be kept confidential according to EEO guidelines.
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Full-timeShift: DayLocation: UMMC Midtown CampusPosition Type: ExemptThe University of Maryland Medical System is a 14-hospital system with academic, community, and specialty medical services reaching every part of Maryland and beyond. UMMS is a national and regional referral center for trauma, cancer care, Neurocare, cardiac care, women’s and children’s health, and physical rehabilitation. UMMS is the fourth largest private employer in the Baltimore metropolitan area and one of the top 20 employers in the state of Maryland.Perioperative nursing is a specialized area of practice. Registered nurses practicing as first assistants in surgery are functioning in an expanded perioperative nursing role. First assisting responsibilities are further refinements of perioperative nursing practice and are executed within the context of the nursing process. Responsibilities may vary depending on patient populations, practice environments, service provided, and institutional policy.Principal Responsibilities and TasksThe following statements describe the general nature and level of work performed by individuals in this classification. They are not exhaustive lists of all job duties performed.Clinical Practice/Care DeliveryUnder the direct supervision of a surgeon, assists with surgical procedures and patient care in the operating room in accordance with established nursing protocols and policies. Observable duties may include:Assisting with positioning, prepping, and draping of the patient.Tissue handling including making incisions, retracting, dissecting, tying, ligating, stapling, suturing, and providing hemostasis.First assisting with endoscopic or open procedures specific to the surgical service assigned.First or second assisting with all general surgical, thoracic, and vascular surgical procedures as assigned.Installation of femoral arterial lines, radial artery lines, and femoral venous lines as required.Chest tube insertion.Wound closure and readiness of the patient for the post-operative phase of the procedure.Defibrillation (external) of the patient as needed.Assisting with emergency procedures and resuscitation as needed.Acts as an assistant for robotic procedures as required by assigned service.For Robotic Procedures:The RN First Assist must have completed a Robotic First Assist training program followed by observation by a proctor for 10 training cases.Once training is complete, the RN First Assist may under the direct supervision of the attending surgeon:Set up and connect system components.Drape and position arms.Balance and calibrate endoscope and camera.Inspect setup for functionality and defects.Place trocars when the attending surgeon is present in the surgical field providing direct supervision.Place and exchange instruments in the robotic arms.Insert instruments into the trocars.Removal, exchange, cleaning, and re-introduction of endoscope.Steps to safely and quickly move the system components in an emergency.Proper cleaning, disinfection, and sterilization of reusable instruments, accessories, and endoscopes.Troubleshooting.Minimum Requirements:Current licensure as a Registered Nurse with the Maryland State Board of Examiners of Nurses.Current certification in Basic Cardiac Life Support is required.Current CNOR certification from the National Certification Board of Perioperative Nursing is required.A minimum of two years of experience as a Registered Nurse is required; certification as a RNFA is preferred.Successful completion of a recognized planned program of instruction designed for the Registered Nurse Surgical First-Assistant.Didactic instruction of at least 50 hours, including pre-operative and post-operative assessment, evaluation of physical and laboratory findings, patient pain management, and patient and staff teaching.Clinical instruction and experience of a minimum of 200 hours assisting in major surgical procedures.The surgeon preceptor(s) written documentation of the registered nurse’s competency in the intraoperative surgical first assistant role.All your information will be kept confidential according to EEO guidelines.
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