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Registered Nurse First Assistant, Clarkston, WA


Registered Nurse First Assistant

TriState Health

Nurse

Clarkston, WA

July 16, 2025


Requisition Number: REGIS002751



Full-Time

On-site

Hourly Range: $39 USD to $60.76 USD, DOE

Locations: Hospital

Clarkston, WA 99403, USA



Who We Are

Our Mission: Your Health Is Our First Priority!



Our Vision: We place the healthcare needs of our community first by partnering to bring care beyond our walls through innovative technology and collaboration. We are a regional healthcare leader and employer of choice, delivering the highest quality of care to facilitate health, healing, and wellbeing throughout our community and those we touch.



Our Values: Quality. Compassion. Respect. Collaboration. Innovation.



Where We Live


TriState Health is located in Clarkston, WA, which is nestled within the Lewis Clark Valley. The Lewis Clark Valley is a hidden gem, located at the confluence of the Snake and Clearwater Rivers and at the mouth of Hells Canyon, America’s deepest river gorge. With a mild climate and a four-seasons environment, the valley offers a wide variety of year-round family friendly happenings. Spend time boating on the river, hiking, skiing at nearby resorts, savoring delicious wines and cuisines, attending sporting events, and more! Enjoy life at your pace, your way, in the beautiful Lewis Clark Valley.



Job Summary:



TriState Health is seeking a full-time RNFA to work in collaboration with the surgeon and other health care team members to promote and restore optimal patient outcomes. Under the general direction of the Operating Room Supervisor; Peri-operative director; or designee, the RNFA remains responsible for the delivery of professional, safe, and quality patient care in the operative room suite. Functions as the assistant to the operating surgeon during the operative procedure and provides direction of care, under physician supervision, during the perioperative phase to surgical team members. Collaborating with physicians and multidisciplinary team members; providing physical and psychological support to patients, friends, and families; supervising assigned team members. Nursing care is rendered to all patients in accordance with the Nurse Practice Act, hospital, Nursing Department and regulatory standards. Responsible for care of patients in the operating room. Participates in 24-hour call coverage. Uses skills in nursing assessment to include recognizing post-anesthesia and post-operative complications.



Has completed and acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice; Completed necessary RNFA training course and required hours.

Credentialing process is complete according to hospital policy.

Supports the surgical team during all types of surgical procedures and intraoperatively practices at the direction of the surgeon

Assesses the patient information preoperatively and directs team members on specific performance in each case; identifies the patient to ensure that the patient, procedure, and operative site all correspond.

Follow any instruction provided by the surgeon.

Create and maintain positive, personal, professional atmosphere around the patient and their family

Assists staff in ensuring all equipment and supplies for surgical procedures are in the room or readily accessible

Prepare the operating room for the procedure

Preoperatively: communicates and collaborates with health care team regarding the patients plan of care

Intraoperatively: performs surgical first assistant techniques such as:

Establishes and maintains a surgically clean environment to reduce the potential for infection by applying the principles of asepsis, decontamination, disinfection, sanitation, sterilization, and environmental monitoring.

Demonstrates a collaborative spirit by exhibiting collegiality and peer support, by mentoring and/or coaching, and by networking.

Exhibits professional autonomy by accepting responsibility of one’s own actions and upholds professional goals.

Collaborates with Registered Nurses, Surgical Technologists, and ancillary staff assigned to the OR for their assigned case in partnership with the surgeon.

Provides leadership and guidance to other staff members in the OR.

Pursues professional growth and development through active participation in educational opportunities.

Knowledge of current departmental policies and standards.

Ability to maintain confidentiality in all patient related information.

Ability to act effectively in emergent, critical patient care situations.

Other duties as assigned.



Education and Training:


BSN preferred

Certification in perioperative nursing (CNOR) and maintains CNOR status

Graduate of an accredited RNFA program

Compliance with all applicable statutes, regulations, and institutional policies relevant to RNFAs



Licensures/ Certifications:


Current Washington State RN license

Current American Heart Association BLS upon hire /ACLS & PALS certification required within 6 months of hire

CNOR Certification

RNFA Certification



Experience:


Previous scrub / circulating experience in the operating room; minimum 3 years of OR scrub experience.



Skills and Abilities:


Must have strong communication.

Able to deal effectively with patients, family members, and surgeons.

Able to work in a team environment while maintaining a highly professional and productive work ethic.

Computer proficiency.



To Apply



Visit https://www.tsh.org/careers/




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