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RN, First Assistant-Ambulatory Surgery

Kaiser Permanente

Healthcare Jobs

RN, First Assistant-Ambulatory Surgery

full-timePosted: Jan 13, 2026

Job 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.

Locations

  • Clackamas, Oregon, United States

Salary

Estimated Salary Rangemedium confidence

110,000 - 180,000 USD / yearly

Source: ai estimated

* This is an estimated range based on market data and may vary based on experience and qualifications.

Skills Required

  • pre-operative assessment and evaluationintermediate
  • collaborating with surgical teamintermediate
  • use of instruments and medical devicesintermediate
  • providing surgical exposureintermediate
  • handling/cutting tissueintermediate
  • providing hemostasisintermediate
  • suturing as directedintermediate
  • applying post-op splints/bracesintermediate
  • continuous reassessmentintermediate
  • knowledge of surgical proceduresintermediate

Responsibilities

  • Performs pre-operative assessment and collaborates on plan of care
  • Coordinates equipment and implant needs
  • Provides technical assistance during operative procedure per AORN standards
  • Assists with patient transfer post-op
  • Communicates for continuity of care
  • Provides culturally sensitive care

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Tags & Categories

pre-operative assessment and evaluationcollaborating with surgical teamuse of instruments and medical devicesproviding surgical exposurehandling/cutting tissueproviding hemostasissuturing as directedapplying post-op splints/bracescontinuous reassessmentknowledge of surgical proceduresHealthcare

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Kaiser Permanente logo

RN, First Assistant-Ambulatory Surgery

Kaiser Permanente

Healthcare Jobs

RN, First Assistant-Ambulatory Surgery

full-timePosted: Jan 13, 2026

Job 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.

Locations

  • Clackamas, Oregon, United States

Salary

Estimated Salary Rangemedium confidence

110,000 - 180,000 USD / yearly

Source: ai estimated

* This is an estimated range based on market data and may vary based on experience and qualifications.

Skills Required

  • pre-operative assessment and evaluationintermediate
  • collaborating with surgical teamintermediate
  • use of instruments and medical devicesintermediate
  • providing surgical exposureintermediate
  • handling/cutting tissueintermediate
  • providing hemostasisintermediate
  • suturing as directedintermediate
  • applying post-op splints/bracesintermediate
  • continuous reassessmentintermediate
  • knowledge of surgical proceduresintermediate

Responsibilities

  • Performs pre-operative assessment and collaborates on plan of care
  • Coordinates equipment and implant needs
  • Provides technical assistance during operative procedure per AORN standards
  • Assists with patient transfer post-op
  • Communicates for continuity of care
  • Provides culturally sensitive care

Target Your Resume for "RN, First Assistant-Ambulatory Surgery" , Kaiser Permanente

Get personalized recommendations to optimize your resume specifically for RN, First Assistant-Ambulatory Surgery. Takes only 15 seconds!

AI-powered keyword optimization
Skills matching & gap analysis
Experience alignment suggestions

Check Your ATS Score for "RN, First Assistant-Ambulatory Surgery" , Kaiser Permanente

Find out how well your resume matches this job's requirements. Get comprehensive analysis including ATS compatibility, keyword matching, skill gaps, and personalized recommendations.

ATS compatibility check
Keyword optimization analysis
Skill matching & gap identification
Format & readability score

Tags & Categories

pre-operative assessment and evaluationcollaborating with surgical teamuse of instruments and medical devicesproviding surgical exposurehandling/cutting tissueproviding hemostasissuturing as directedapplying post-op splints/bracescontinuous reassessmentknowledge of surgical proceduresHealthcare

Answer 10 quick questions to check your fit for RN, First Assistant-Ambulatory Surgery @ Kaiser Permanente.

Quiz Challenge
10 Questions
~2 Minutes
Instant Score

Related Books and Jobs

No related jobs found at the moment.