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Nurse Practitioner Registered Nurse First Assist KMH N

Location: Kenmore, NY, United States

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Job Description

Salary: 45.40-68.10 USD

Facility: Kenmore Mercy Hospital

Shift: Shift 1

Status: Full Time FTE: 1.013333

Bargaining Unit: ACE Associates

Exempt from Overtime: Exempt: No

Work Schedule: Days and Evenings with Call Weekend and Holiday Rotation

Hours: 7am-5pm, 8am-6pm


To work collaboratively as a licensed and credentialed independent practitioner with other members of the healthcare team to provide comprehensive health assessment, diagnosis and treatment of individuals with acute and sub-acute illnesses consistent with privileges granted. Functions as the Surgical Assistant under the direct supervision and direction of the operating surgeon until the conclusion of the operative procedure. Does not function concurrently as scrub nurse. Provides leadership by working cooperatively with ancillary, nursing, and other patient team members in maintaining standards of professional nursing practice in the surgical setting. Delegated the clinical administrative authority, responsibility and accountability necessary to carry out assigned duties. Scope of practice and delineation of Nurse Practitioner/ RNFA privileges, defined by NYS Department of Education, within the NP and RNFA roles, and are credentialed and approved by the Chairman, Department of Surgery, Chairmen of Credentials Committee, and Medical Executive Committee.



    • Certified as a Nurse Practitioner with the New York State Education Department
    • Graduate of an Accredited School of Nursing with a Master's Degree as a Nurse Practitioner from an approved program with recorded certification
    • Maintains a current New York State Professional Registered Nurse License
    • Infection Control Training certificate
    • Board certified by either AACN or AANP
    • Successful completion of approved RNFA program that meets "AORN recommendation education, meets requirements of statutes, regulations, and institutional policies relevant to RN first assistants standards for RN first assistant programs" and is accepted by the Certification Board of Perioperative nursing.
    • RNFA Certification preferred on hire, however, required within two (2) years of hire date
    • BLS certification required
    • ACLS certification preferred


  • Three (3) to five (5) years as clinically practicing Adult or Family Nurse Practitioner preferred
  • Prior RNFA experience preferred


  • Appropriately and safely operates multiple instruments and equipment during the peri-operative phase
  • Good mental and physical health
  • Documentation of proficiency in peri-operative nursing practice as both a scrub and circulating nurse
  • Ability to apply principles of asepsis and infection control
  • Knowledge of surgical anatomy, physiology, patho-physiology, and operative technique related to the operative procedures in which the Nurse Practitioner RNFA assists
  • Ability to perform effectively in stressful and emergency situations
  • Ability to recognize safety hazards and initiate appropriate preventive and corrective action
  • Ability to perform effectively and harmoniously as a member of the operative team
  • Ability to demonstrate skill in behaviors unique to the Nurse Practitioner RNFA
  • Participates in educational conferences and upgrades and maintains professional knowledge and skills related to the area of responsibility
  • Maintains confidentiality and understands the legal aspects of the job function; adheres to Hospital policies and procedures
  • Role includes a variety of problems to be solved under general guidelines, and calls for a variety of decisions, some of which are complex and must be referred to a resource person
  • Assists in directing a small group of associates performing similar or related tasks of a semi-skilled nature. Instructs associates, assigns, evaluates performance and maintains efficiency of staff assigned
  • Must have good verbal and written communication skills
  • Communication skills which may be inclusive of approach, tone of voice, speed of communication, respectfulness and non verbal communication

  • Practices in the roles of Nurse Practitioner and RNFA according to State Nurse Practice Act, Regulatory Codes of New York State Department of Health and Joint Commission standards.
  • Attendance at education offerings.
  • Ability to handle stressful situations.
  • Frequent sitting, standing, walking.Ability to stand for prolonged periods of time.
  • Works in surgical area and patient rooms throughout the facility
  • Working hours are varied, works beyond normal working hours, weekend coverage as necessary
  • Exposure to infectious diseases and uses appropriate personal protective equipment; subject to environmental conditions in the operating room.
  • Normal heat, light space, and safe working environment; typical of clinical care units
  • Respond to on-call emergencies
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