Covenant Health

Registered Nurse First Assistant, Surgery

Full Time, 80 Hours Per Pay Period, Day Shift

Parkwest Overview:

Parkwest Medical Center, Covenant Health’s flagship facility in West Knoxville, combines world-class cardiac expertise with the warmth of home in serving a vibrant East Tennessee community. Since 1973, Parkwest has grown into the region’s largest hospital in the area, offering advanced services like an all-digital catheterization lab, comprehensive breast health, emergency, and critical care. It’s consistently ranked among Tennessee's top 10 hospitals by U.S. News & World Report and earns national recognition as a Top 100 Heart Hospital, as well as an “A” safety grade from Leapfrog. As part of Covenant Health, the region’s largest employer, Parkwest Medical Center, marries cutting-edge technology with compassionate, community-centered care, earning accolades for cardiology, stroke, surgical excellence, and patient safety. 

To learn more about Parkwest Medical Center and our units, visit Covenant Health Parkwest Medical Center Opportunities.  

Position Summary:

The RN First Assistant II (CRNFA) is a registered nurse with specialized education and nationally recognized certification. The development of specific technical skills enables the CRNFA to assist the surgeon with specific intraoperative procedures that are beyond the scope of practice for registered nurses without CRNFA education and training. The CRNFA may provide direct patient care to patients using the nursing process and intraoperatively functions interdependently with the surgeon and applies knowledge, skill and judgment necessary to assist the surgeon in performing a safe operation that yields optimal results for the patient.

• Collaborates with other health team members to develop, coordinate and implement a perioperative plan of care unique to individual patient needs.
• Maintains the dignity of the patient while assuming the responsibility of patient advocate.
• Skillfully applies principles of asepsis and infection control.
• Has excellent knowledge of surgical anatomy, physiology and operative technique specific to the surgical procedure to work in collaboration with the surgeon.
• Recognizes safety hazards and initiates appropriate preventative and/or corrective actions to ensure a safe environment for the patient and the surgical team throughout the perioperative experience.
• Participates in the performance of positioning, prepping and draping of the patient.
• Preparation and administration of medications perioperatively; as directed by the surgeon and anesthesiologist.
• Provides exposure through appropriate use of instruments, retractors, suctioning and sponging techniques.
• Handles and dissects tissue in collaboration with the surgeon.
• Clamping blood vessels, coagulating bleeding points, ligating vessels and other procedures in collaboration with the surgeon to achieve hemostasis.
• Sutures muscle, fascia, subcutaneous and skin tissue in collaboration with the surgeon.
• Places drains as surgically indicated.
• Application of surgical dressings.
• Possesses knowledge of and works within appropriate regulatory guidelines and legal constraints.
• Practices according to recognized standards of nursing practice and the AORN “Standards of perioperative professional performance.”
• Participates in the orientation of new personnel; serve as educator, mentor, consultant and resource to colleagues and other healthcare personnel.
• Responsible for following through specific work projects or studies assigned by supervisor.
• Analyze and evaluate services rendered to improve quality of patient care given.
• Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested.
• Performs other related duties as assigned.

Minimum Education:           

None specified; however, must be sufficient to meet the standards for achievement of the below indicated license and/or certification as required by the issuing authority. Also must have completed a recognized RNFA certification program.

Minimum Experience:         

Five (5) year’s perioperative nursing experience. 2500 hours Surgeon supervised clinical practice in First Assistant Role.

Licensure Requirement:      

Must hold current RN license and current RNFA license. CPR, CNOR and CRNFA certifications are required.