OR Register Nurse - First Assist, Clackamas (40 hrs, day)
Company: Kaiser Permanente
Location: Happy Valley
Posted on: January 7, 2026
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Job Description:
OR Register Nurse - First Assist, Clackamas (40 hrs, day) at
Kaiser Permanente summary: The OR Registered Nurse - First Assist
provides advanced nursing support to surgeons during
intra-operative procedures, including tissue handling, suturing,
and maintaining sterile techniques. This role involves
pre-operative assessment, intra-operative assistance, and
post-operative care in collaboration with the surgical team. The
position requires specialized RN First Assistant training and
continuous communication to ensure patient safety and effective
surgical outcomes. Description: Job Summary: Provides assistance to
the surgical team during the intra-operative phase of surgical care
for the Northwest Surgical Services region. 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. All RNFAs will
participate in a regional on-call rotation to provide surgical
assistance for elective, emergent and urgent surgical cases.
Essential Responsibilities: Representative Functions or Duties:
Practice standards of performance: Pre-operative. Performs
pre-operative assessment and evaluation. Collaborates with the
surgical team on plan of care. Intra-operative: Provides knowledge
based technical assistance to the surgeon during the operative
procedure according to AORN standards, licensure, state regulation
and facility/practice protocols, including: Using 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.
Post-Operative. Evaluates the patient post-operatively according to
facility protocols. 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. Intra operative nursing behaviors
include: handling tissue, providing exposure, using instruments,
clamp, cut, and legate as directed by the surgeon, providing
homeostasis, suturing as directed by the surgeon. Assists with room
preparation in collaboration with the Circulating Nurse and scrub
person. Brings patient X-rays into room NOTE: Notifies Charge Nurse
or designee if films are not available. Assists in patient
transport to the operating room and patient transfer to the
operating room table. Provides assistance to Anesthesia during
induction. Participates in pre-op briefing time out process.
Assists in patient position. Assists in patient preparation, i.e.,
prepping, catheterization, shaving, as necessary. 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. May perform pre and post-operative patient education
as designated. Review chart for pertinent data. Assist in
maintaining a safe environment and promoting efficiency in
surgical. Procedures. Basic Qualifications: Experience Minimum two
(2) years of peri-operative scrubbing and circulating experience in
a KP OR or one (1) year experience as an RNFA in or outside of KP.
Education Certification of Completion from AORN recognized RNFA
course. Successful completion of an RNFA program that meets the
AORN Recommended Education Standards for RNFA and criteria for the
CB.PMN acceptance program. License, Certification, Registration
Registered Nurse License (Oregon) Nurse Operating Room Certificate
Basic Life Support Additional Requirements: Meets all qualification
of an RNFA as outlined in AORN Position Statement. Must maintain
CNOR and RN licensure with the required amount of Continuing
Education. Preferred Qualifications: Minimum two (2) years of
practice as an RNFA. CRNFA certification preferred. Advanced
Cardiac Life Support (ACLS) required upon hire/transfer preferred.
Notes: Week 1 : T/W/TH/F Week 2: T/W/TH/F Week 3: W/TH/F/SA Week 4:
M/T/W/TH Keywords: surgical assistance, peri-operative nursing,
intra-operative care, RN First Assist, surgical team collaboration,
patient assessment, sterile technique, operating room support,
tissue handling, post-operative care
Keywords: Kaiser Permanente, Gresham , OR Register Nurse - First Assist, Clackamas (40 hrs, day), Healthcare , Happy Valley, Oregon
