RN, First Assistant-Ambulatory Surgery
Company: Kaiser Permanente
Location: Happy Valley
Posted on: January 10, 2026
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Job Description:
Description: Job Summary: Provides assistance to the surgical
team during the intra-operative phase of surgical care for the
Northwest Region Ambulatory Surgery Centers. Works in collaboration
with the surgeon and health care team in the performance of
surgical procedures, including assessment, planning, directing,
providing and evaluating advanced nursing care. Essential
Responsibilities: Practice standards of performance: Pre-operative:
Performs pre-operative assessment and evaluation if required.
Collaborates with the surgical team on plan of care. Coordinate and
communicate with circulator regarding equipment and implant needs
for case, assist in obtaining. Practice standards of performance:
Intra-operative: Provides knowledge based technical assistance to
the surgeon and operating room team during the operative procedure
according to AORN standards, licensure, state regulation and
facility/practice protocols, including: Use of instruments and
medical devices. Providing surgical exposure. Handling and/or
cutting tissue. Providing hemostatis, clamp, cut, and ligate tissue
as directed by the surgeon. Suturing as directed by the surgeon.
Practice standards of performance: Post-Operative: Apply post-op
splints and/or braces. During Anesthesia emergence, bring stretcher
into room. Help transfer patient to stretcher. Remain in room for
turnover unless specific instructions for Post-op care required in
PACU. Assessment Standard of Performance & Planning: Communicates
information so that continuity of care is maintained. Communicates
with patient, family and other staff in a professional and
courteous manner. Obtains and demonstrates the skills and knowledge
needed to provide appropriate population based and culturally
sensitive care to patients and families through education, training
and experience. Provides continuous reassessment through the intra
operative period. Utilizes knowledge of type of procedure to plan
for appropriate set up. Practice standards of performance: Function
as an assistant in all surgical specialties at the direction of the
attending surgeon. Performs RNFA responsibilities in accordance
with the Nurse Practice Act of the State of Oregon, institutional
policies and procedures of Kaiser Permanente and the AORN Position
Statement on RN First Assistants. Practice within limitations of
preparation and experience. Demonstrate RNFA specific clinical
skills. Review and update skills checklist on an ongoing basis as
specified by policies of Kaiser Permanente. Assists with room
preparation and opening of supplies in collaboration with the
circulating nurse and scrub person. Have available patient
X-rays/MRIs. Check image capture machine and films NOTE: Notify
Team Lead or designee if films/MRIs etc. are not available. Assists
in patient transport to the operating room and transfer to the
operating room table. Assists in patient positioning. Assists in
patient preparation, i.e., prepping, catheterization, clipping, as
necessary. Participates in briefing/time out and debriefing.
Assists in patient draping. Sets up ESU, lights, suction for the
sterile field. Monitors free counted items on the sterile field.
Observes for breaks in sterile technique and takes appropriate
action as necessary. Assists with instrumentation and equipment as
requested. Applies dressings and secures drainage tubes. Assists
with patient transfer and positioning post operatively. Assists
with room tear down and turn over in collaboration with the
circulating nurse and scrub person. Assist in maintaining a safe
environment and promoting efficiency in surgical procedures.
Available for breaks and lunch relief, local monitor, scrub and
circulate as needed. Basic Qualifications: Experience Two (2) years
of intra-operative scrubbing and circulating experience. One (1)
year of recent experience, within the last two (2) years, as an
RNFA or successful completion of a CCI recognized RNFA course and
agreement from ASC. Education N/A License, Certification,
Registration Registered Nurse License (Oregon) Advanced Cardiac
Life Support Basic Life Support Nurse Operating Room Certificate
Additional Requirements: Meets all qualifications of an RNFA as
outlined in AORN Position Statement. Preferred Qualifications: Two
(2) to five (5) years of practice as an RNFA. CRNFA Certification
preferred. Ability to assist on all cases performed within Surgical
Services.
Keywords: Kaiser Permanente, Corvallis , RN, First Assistant-Ambulatory Surgery, Healthcare , Happy Valley, Oregon
