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Education Level

Education Details

Required/
Preferred

Graduate from an approved school of nursing program.

Successful completion of a program in Surgical First Assisting.

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HRTMS Job Description Management

NI-RNFA

J o b D e s c r i p t i o n

JOB INFORMATION
Effective Date:	6/19/2025
Entity:	Illinois
Job Code:	NI-2376AC
Job Title:	NI-RNFA
Exemption Status:	Non-Exempt
JOB SUMMARY
The registered nurse first assistant is a Registered nurse with technical skills to assist the surgeon with specific intraoperative procedures. Working under the direction of a physician, the RNFA may provide direct care to patients using the nursing process preoperatively, intraoperatively and postoperatively. Other nursing duties as assigned. Participates in continuous quality improvement activities and educational experiences in support of departmental and divisional nursing philosophy and objectives, as well as, Health System initiatives. Works with other healthcare team members to achieve optimal patient outcomes. Complies with regulatory agency guidelines.

MAJOR RESPONSIBILITIES

•	Collaborates with other health team members to develop, coordinate and implement a preoperative plan of care unique to individual patient needs. Maintains 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 to work in collaboration with the surgeon. Preparation and administration of medications perioperatively, as directed by the surgeon and anesthesiologist.
•	Provides exposure and tissue dissection through appropriate use of instruments, retractors, suctioning and sponging techniques. Handles and dissects tissues in collaboration with the surgeon.
•	Clamping blood vessels, coagulating bleeding points, ligating vessels and other procedures in collaboration with the surgeon to achieve haemostasias. Sutures muscle, fascia, subcutaneous and skin tissue in collaboration with the surgeon
•	Places Drains as surgically indicated. Assists with cannulation and decannulation procedures. Evaluates outcomes of nursing care and ensures continuity of care by communicating pertinent patient information to the healthcare team.
•	Recognizes safety hazards and initiates appropriate preventative and/or corrective actions to ensure a safe environment for the patient and surgical team throughout the perioperative experience. Facilitates surgical flow, recognize and remove obstacles to timely case performance. Participates in Time-Out, WHO surgical safety checklist and patient hand-off communication.
•	Performs all of the essential functions of an Perioperative Registered Nurse

ALL DUTIES AND REQUIREMENTS MUST BE PERFORMED CONSISTENT WITH THE UW HEALTH PERFORMANCE STANDARDS.

Age Specific Competency (Clinical jobs only)
X	Clinical	Provides age and culturally appropriate assessment/screening, interpretation of clinical and laboratory data and develops and implements age appropriate interventional and plans of care including education within the parameters of his/her position responsibilities and licensure.

JOB REQUIREMENTS

Work Experience
Experience	Experience Details	Required/ Preferred

Illinois Licenses & Certifications
Licenses/Certification Details	Time Frame	Required/ Preferred
Current Illinois RN license.		Required
Certified in Perioperative Nursing (CNOR) within 3 years.		Required
BLS and ACLS, certification.		Required
CRNFA.		Preferred

Required Skills, Knowledge, and Abilities
•	Successful completion of annual clinical, age and job specific competencies and skill verification tools required.
•	Ability to effectively communicate orally and in writing in a caring, considerate and concerned manner.
•	Willingness to accept responsibility.
•	Ability to direct ancillary and assistive staff and organize work assignments.
•	Leadership skills.

PHYSICAL REQUIREMENTS/WORKING CONDITIONS

Physical Demands
A thorough completion of this section is needed for compliance with legal standards such as the Americans with Disabilities Act. The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
Physical Demand	Continuous Over 70%	Frequent 40% - 69%	Occasional 15% - 39%	Rarely Up to 15%
Standing	X
Walking	X
Climbing		X
Bending	X
Crouching	X
Pushing / Pulling	X
Carry		X
Fine Hand / Eye Coordination		X
Color Discrimination	X
Hearing Ability	X
Lifting / Lowering 1 -15 lbs.	X
15 - 30 lbs.	X
30 - 50 lbs.		X


Over 50 lbs.	UW Health does not require, nor does it expect that its employees lift more than 50 lbs unassisted. Objects in excess of 50 lbs should be lifted or moved with mechanical means or through a team lift. Employees in patient care areas are expected to utilize mechanical lifts and adhere to the "Use of Mechanical Lifts (Liko)" policy in the Patient Services Policy and Procedure Manual.

Physical Demands
While performing the duties of this job, the associate is required to work within the selected working environments.
Physical Demands	Continuous Over 70%	Frequent 40% - 69%	Occasional 15% - 39%	Rarely Up to 15%
Concentration on Detail	X
Attention Span of 1 + Hours on a Task				X
Ability to Remember Multiple Tasks	X
Oral Communication	X
Written Communication	X

Physical Demands
Physical Demands	Continuous Over 70%	Frequent 40% - 69%	Occasional 15% - 39%	Rarely Up to 15%
Exposure to Blood and Body Fluids	X
Exposure to Toxins, Cytotoxins, Poisons		X
Exposure to Extreme Heat, Cold, Temp Fluctuations			X
Exposure to Hazardous Chemicals		X
Exposure to Radiation		X
Other - Working with patients in crisis who may be volatile and potentially violent.		X

Note: The purpose of this document is to describe the general nature and level of work performed by personnel so classified; it is not intended to serve as an inclusive list of all responsibilities associated with this position.