Surgery RN RNFA - Per Diem*
Company: CARSON VALLEY HEALTH
Location: Gardnerville
Posted on: February 12, 2026
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Job Description:
Job Description Job Description Surgery RN RNFA - Per Diem*
*IMPORTANT NOTE: In lieu of benefits due to "per diem" status, 15%
will be added to the hourly rate. Per diem employees are offered
work on an "as-needed" basis. POSITION SUMMARY: Performs RNFA
responsibilities in accordance with the Nurse Practice Act of the
State of Nevada, institutional policies and procedures of this
facility, and the AORN Position Statement on RN First Assistants.
The RNFA practices in collaboration with the surgeon and the health
care team in performing a safe operation with optimal outcomes for
the patient. The RNFA does not concurrently function as the scrub
nurse. POSITION REQUIREMENTS: Minimum Education Successful
completion of an RNFA program that meets the AORN Recommended
Education *Standards for RNFA Programs and the criteria for the
CBPN Acceptance Program. License Required Current NV Nursing
license. Must maintain CNOR and RN Licensure with the required
amount of Continuing Education. Certification Required Certified as
a CNOR. CRNFA certification preferred after meeting eligibility
requirements for exam. BLS and ACLS required. Minimum Work
Experience Demonstrated proficiency in acute care nursing,
knowledge, and skills. Ability to communicate effectively. 'Must
show initiative, maturity, and effectiveness in dealing with
people. Appreciation of and desire to be part of a healthcare team.
POSITION ESSENTIAL FUNCTIONS: Knowledge Practice within limitations
of preparation and experience. Demonstrates knowledge of hospital
policies and procedures for the following: Intraoperative Tissue
Handling. Intraoperative Homeostasis. Intraoperative Retracting.
Intraoperative Wound Closure. RNFA Perform RNFA responsibilities in
accordance with the Nurse Practice Act of the State of Nevada,
institutional policies and procedures of this facility, and the
AORN Position Statement on RN First Assistants. Demonstrate RNFA
specific clinical skills. Intraoperative nursing behaviors may
include: handling tissue. providing exposure. using instruments.
suturing and tying. providing hemostasis. Function as an assistant
in all surgical specialties at the direction of the attending
surgeon. 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.
Judgment Demonstrates the skills and judgment necessary to
implement medical plan of care, nursing interventions and
procedures as necessary for the care of the patient. Demonstrates
knowledge of hospital policies and procedures for administering,
transcribing, and recording medications. Demonstrates knowledge of
commonly used meds: action, dose, and side effects. Observes 10
rights of medication administration: right med, right dose, right
time, right route, right patient, right education, right
documentation, right to refuse, right assessment, right evaluation.
(policy 105.724). Demonstrates proper procedures in all methods of
medication administration. Initiates and maintains IV access
according to hospital policy and procedures. Identifies priorities
and executes nursing care accordingly. Provides emotional support
and comfort measures. Gives information or explanation to patients
and their families. Applies and monitors principles of aseptic
technique throughout the intraoperative period, Acts as a
scrub/circulating nurse during the intraoperative phase. Assures
safe transfer/transport of patient to and from operating room.
Performs sponge, needle, and instrument counts according to policy
and procedure. Ensures safety of patients during the use of
electrical equipment. Preps the surgical site using aseptic
technique. Correctly collects and accurately labels specimens.
Confines and contains sources of contaminations. Revises
physician’s preference cards and communicates changes to
appropriate personnel. Documentation Maintains up to date accurate
documentation of nursing care provided to assure the integration of
information for use by the health care team, to ensure quality
care. Nursing assessment is complete and accurate during
pre-operative and post-operative phase of admission per policy.
Medication administration record must reflect full documentation by
nurse administering med, time given, reason for omission, and site
for injection (if applicable). Demonstrates proper access,
documentation of narcotics in the Pyxis and EMR. Accurately and
promptly documents unusual occurrences noted during the
perioperative phase. CARSON VALLEY HEALTH IS PROUD TO BE RECOGNIZED
AS A FINALIST IN THE "BEST PLACES TO WORK" - NORTHERN NEVADA, 2021,
2022, 2024 & 2025! WE LOOK FORWARD TO WELCOMING YOU TO OUR TEAM Per
Diem positions have no guaranteed hours or set schedule. 1 shift of
availability per pay period. Call: 1 weeknight per month and 2
weekend days per month. Holidays: 1 summer & 1 winter.
Keywords: CARSON VALLEY HEALTH, North Highlands , Surgery RN RNFA - Per Diem*, Healthcare , Gardnerville, California
