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Lahey Health Registered Nurse First Assist - Operating Room in Beverly, Massachusetts

About the Job

Position Summary:

Beverly Hospital, located in Beverly Massachusetts is part of the Lahey Health System. Beverly Hospital is a community hospital and consists of 10 operating rooms at the main campus and 4 operating rooms at the Lahey Outpatient Surgery Center located in Danvers, MA. We provide a wide range of specialties including; orthopedics, GYN, general, vascular, thoracic, spine, pediatrics, cysto, and ENT. The RN First Assistant is responsible for providing safe patient care for patients undergoing operative and other invasive procedures. In this role, you will assume responsibility for the care of the periOp patient including assess, plan, implement and evaluate patient care during the periOp phase of care.

In addition to his/her Registered Professional Nurse responsibilities, the RN First Assistant functions as first assistant to the primary surgeon during operative or other invasive procedures and throughout the perioperative continuum in accordance with scope of practice, credentials, privileges, education, and experience.

Scheduled Hours

Per diem, hours assigned as needed.

About Us

Beth Israel Lahey Health is an integrated system providing patients with better care wherever they are. Care informed by world-class research and education. We are doctors and nurses, technicians and social workers, innovators and educators, and so many others. All with a shared vision for what healthcare can and should be. We are committed to attracting, developing and retaining top talent. We strive to create a diverse and inclusive workplace that reflects the communities in which we work and serve. With a team approach to care, we encourage learning and growth at all levels and offer competitive salaries and benefits.

Equal Opportunity Employer/Minorities/Females/Disabled/Veterans.


Essential Duties & Responsibilities including but not limited to:

  • Administers nursing care within the scope of hospital policies and procedures, Massachusetts state regulations and standards of practice issued by the American Nurses Association.

  • Serves as role model practitioner in compliance with established practice standards, policies, procedures, protocols, guidelines, statutes and regulations as it relates to service specialty. (e.g., DPH, Joint Commission, Fire Code, AORN, OSHA, DEA, etc.)

  • Collaborates and works in a team setting and shares the hospital CREATE values

  • Consistently maintains a courteous, helpful, and professional manner with all interactions with all patients, their families and staff members.

  • Assists co-workers with tasks to help meet the needs of the Perioperative Services to ensure efficiency and patient flow.

  • Acts as an advocate for patients and their families. Delivers care in a manner that preserves/protects patient autonomy, dignity, confidentiality, and rights.

  • Understands the legal implications of charting and documentation of patient care.

  • In emergency/crisis situations, demonstrates effective decision making and prioritizing patient needs to initiate appropriate responses.

  • Participates in the quality improvement/ quality assurance process at the unit level.

  • Checks the operative schedule in advance to preclude any conflicts of RNFA scheduling needs and communicates to Clinical Coordinator.

  • Uses surgical instruments safely and correctly.

  • Applies safe tissue handling, dissection, or cutting techniques based on assessment of tissue location, type, and patient’s health status.

  • Considers anatomical and physiological implications when selecting, placing, and moving retractors to provide surgical site exposure to reduce injury.

  • Demonstrates proficiency in knot-tying techniques and chooses suture material and techniques based on physician preference, density of tissue, support for suture line, potential tissue necrosis, need to evert skin edges, and cosmetic effect.

  • Packs wounds if applicable

  • Implements hemostasis techniques including coagulating bleeding vessels with electrosurgical devices.


Minimum Qualifications:

Education: Graduate of an accredited school of nursing, BSN preferred

Licensure, Certification, Registration: Current MA RN license, BLS required, CNOR preferred , Successful completion of additional education preparation specific to the role of RNFA including a supervised clinical component

Skills, Knowledge & Abilities: Strong communication skills and exceptional patient relation and customer service skills are critical.

  • Experience: At least two-three years of work as an operating room nurse required. Must have demonstrated clinical competency in the appropriate nursing practice as a RN Firsts Assistant. Evidence of this includes: effective communication, ability to problem solve, ability to get along well with others, strong knowledge base for specialty service, and strong passion for nursing practice and drive to delivering the highest quality patient care. Must demonstrate clinical competency in first assisting the surgeon (ie. hemostasis techniques, suturing, retracting etc.)

REQNUMBER: 163529-1A