Per Diem RNFA - Operating Room - $2K Sign-on Bonus

City of Hope

Duarte, CA

Job posting number: #7117059 (Ref:10019215)

Posted: December 1, 2022

Application Deadline: Open Until Filled

Job Description

About City of Hope

City of Hope is an independent biomedical research and treatment organization for cancer, diabetes and other life-threatening diseases.

Founded in 1913, City of Hope is a leader in bone marrow transplantation and immunotherapy such as CAR T cell therapy. City of Hope’s translational research and personalized treatment protocols advance care throughout the world. Human synthetic insulin, monoclonal antibodies and numerous breakthrough cancer drugs are based on technology developed at the institution. AccessHope™, a subsidiary launched in 2019 serves employers and their health care partners by providing access to City of Hope’s specialized cancer expertise.

A National Cancer Institute-designated comprehensive cancer center and a founding member of the National Comprehensive Cancer Network, City of Hope is ranked among the nation’s “Best Hospitals” in cancer by U.S. News & World Report and received Magnet Recognition from the American Nurses Credentialing Center. Its main campus is located near Los Angeles, with additional locations throughout Southern California and in Arizona.

City of Hope’s commitment to Diversity, Equity, and Inclusion

We believe diversity, equity and inclusion is key in serving our mission to provide compassionate patient care, drive innovative discovery, and advance vital education focused on eliminating cancer and diabetes in all of our communities. Our commitment to Diversity, Equity and Inclusion ensures we bring the full range of skills, perspectives, cultural backgrounds and experiences to our work -- and that our teams align with the people we serve in order to build trust and understanding. We are dedicated to fostering a community that embraces diversity - in ideas, backgrounds and perspectives; this is reflected in our work and represented in our people.

Position Summary

The Registered Nurse First Assistant (RNFA) is a perioperative registered nurse who functions in an expanded role or an Advanced Practice Registered Nurse (APRN) functioning as a first assistant.

To carry out the functions that will assist the surgeon in performing a safe operation with optimal results for the patient. The RNFA practices peri-operative nursing and is therefore responsible for independent nursing behaviors of peri-operative assessment and post-operative evaluation of care

  • Works in collaboration with the surgeon and other healthcare team members to achieve optimal patient outcomes;
  • Has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice;
  • Intraoperatively practices at the direction of the surgeon

Key Responsibilities include:

  • Assess the health status of the patient in order to develop an individualized plan of care by collecting, categorizing, and interpreting data (physical and psychosocial) from documented information, observation, patient/family interview and other health care team members.
  • Assess the patient including nursing diagnosis, patient goals and nursing interventions necessary to achieve goals of care
  • Implement nursing care to provide optimal individualized patient outcome
  • Instruct the patient and family to assist the patient in the achievement of optimal health status
  • Document nursing activities to provide a permanent record, for continuity of care, quality improvement and professional accountability
  • Identify the patient to ensure the patient, procedure and operative site correspond
  • Plan, supervise and assist with the transfer of the patient to protect the patient and personnel from injury
  • Position the patient to provide access to the operative site while maximizing patient safety and comfort
  • Establish and maintain a surgically clean environment to reduce the potential for infection by applying the principles of the potential for infection by applying the principles of antisepsis, decontamination, disinfection, sanitation, sterilization and environmental monitoring
  • Establish and maintain a safe environment to protect the patient and the health care team by monitoring the patient (physiologically and psychologically) and the environment and by implementing safety procedures
  • Establish and maintain a sterile field to reduce potential for infection by teaching and supervising the application of principles of aseptic technique and continual monitoring of the sterile filed
  • Coordinate support services need during surgery by anticipating and communicating patient and surgical team needs
  • May function as a RN Circulator and/or Scrub Nurse

Basic education, experience, and skills required for consideration:

  • Graduate from nursing school with a minimum of a Bachelor’s Degree in Nursing or Associate Degree in Nursing and currently enrolled in a BSN program (must obtain BSN within two years of hire or transfer).
  • Three years of experience in peri-operative nursing
  • Demonstrated proficiency in the scrub and circulating roles
  • Demonstrated knowledge and skill in applying principles of aseptic technique
  • Demonstrated knowledge of surgical anatomy, physiology and operative technique related to first assisting
  • Demonstrated ability to perform effectively and harmoniously as a member of the operative team
  • Demonstrated ability to recognize safety hazards and to initiate appropriate preventive and corrective action
  • Demonstrates skill in the following intra-operative nursing behaviors:
  • Handling tissue
  • Using instruments
  • Providing exposure
  • Providing hemostatsis
  • Successful completion of additional educational preparation specific to the role of RNFA including a supervised clinical component

Required Certification/Licensure:

  • RNFA certification
  • Current California RN license
  • Basic Life Support (BLS) CPR Card through American Heart Association
  • ACLS through American Heart Association

Preferred education, experience, and skills:

  • MSN Preferred
  • CRNFA certification
  • CNOR Professional Organization Membership-AORN
  • Bilingual preferred

Additional Information:

  • Shift: Days, 12-hour shifts, 6:45am start time
  • Job Status: Per diem, minimum of 1 day per week availability (2 days per week preferred)
  • This position is represented by a collective bargaining agreement
  • As a condition of employment, City of Hope requires staff to comply with all state and federal vaccination mandates.
  • Per Diem Rate: $80.46/hr

The estimated pay scale represents the typical [salary/hourly] range City of Hope reasonably expects to pay for this position, with offers determined based on several factors which may include, but not be limited to, the candidate’s experience, expertise, skills, education, job scope, training, internal equity, geography/market, etc. This pay scale is subject to change from time to time.



City of Hope is a community of people characterized by our diversity of thought, background and approach, but tied together by our commitment to care for and cure those with cancer and other life-threatening diseases. The innovation that our diversity produces in the areas of research, treatment, philanthropy and education has made us national leaders in this fight. Our unique and diverse workforce provides us the ability to understand our patients' needs, deliver compassionate care and continue the quest for a cure for life-threatening diseases. At City of Hope, diversity and inclusion is a core value at the heart of our mission. We strive to create an inclusive workplace environment that engages all of our employees and provides them with opportunities to develop and grow, both personally and professionally. Each day brings an opportunity to strengthen our work, leverage our different perspectives and improve our patients’ experiences by learning from others. Diversity and inclusion is about much more than policies and campaigns. It is an integral part of who we are as an institution, how we operate and how we see our future.


Apply Now

Please mention to the employer that you saw this ad on Sciencejobs.org