RN First Assist Per Diem Days

Hi-Desert Medical Center
Joshua Tree, CA

:

Welcome to Hi-Desert Medical Center, where you'll benefit from:

A 59-bed acute primary care facility offering you and your family first-rate health care close to home A wide range of quality inpatient and outpatient diagnostic, treatment and rehabilitation services, home health and hospice services, and a variety of community outreach programs A dedicated team of quality, caring, health care professionals

Position Summary

Provides circulating and/or scrub nurse services in the operating room during surgical procedures and assists the surgical team as needed in any other capacity, according to established procedures.

Primary Duties

  • Performs pre-operative surgical nursing care management. Performs nursing physical assessments, educates the of the patient and offers emotional support and evaluates patient needs.
  • Performs intra-operative nursing behaviors collaborating with the surgeon and other health care professionals for an optimal outcome. Assists the anesthesiologist when applicable, patient positioning, prepares skin and draping. Provide wound exposure and appropriate handling of tissue. Assists in controlling blood loss and suturing.
  • Performs post-operative duties appropriately. Assists in the safe delivery of patient to the recovery room. Communicates to appropriate healthcare professionals and family members.
  • Ability to provide a safe environment for patients requiring surgical procedures..
  • Demonstrates proficiency in scrubbing and circulating for surgical procedures.
  • Provides instruction to patients entering the surgical suite. Explains procedures to patients thoroughly, provides assistance when necessary, monitors patients' comfort, and alleviates anxiety during procedures.
  • Demonstrates ability to supervise ancillary staff in the management of the surgical suite. Able to direct transportation of the patient, management of supplies and cleaning of the OR suite through ancillary staff as necessary.
  • Communicates appropriately and effectively with co-workers, patients and the public, both verbally and in writing as necessary for work assignment.
  • Participates in QI activities for the surgical suite.
  • Demonstrates competence in the care of infant, pediatric, adolescent, adult and geriatric patients (when /if assigned to these patients) relative to determining each patient's age-related and other physical, psychological and cultural needs and carrying patient care activities.
  • Performs other duties as assigned.

QUALIFICATIONS

Physical demands:

  • Moderate physical effort (lift/carry up to 25 pounds)
  • Occasional prolonged standing/walking
  • Occasionally lifts supplies/equipment
  • Occasional reaching, stooping, kneeling, crouching

Working Conditions:

  • Contact with patients under wide variety of circumstances
  • May be exposed to infections and contagious diseases
  • Regularly exposed to the risk of blood borne diseases
  • Occasional exposure to unpleasant patient or unit elements
  • Occasional pressure due to multiple calls and inquiries
  • Subject to varying and unpredictable situations

Minimum Education/Certification/Experience:

  • Associate's Degree or Diploma from accredited nursing program
  • California Registered Nurse
  • BLS
  • ACLS, PALS within 90 days of hire.
  • Sufficient previous clinical experience as a First Assist

#LI-SB3

Tenet complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.

2403007251 Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship Registered nurse first assistant behaviors in the perioperative arena include but are not limited to preoperative patient management in collaboration with other health care providers, intraoperative performance of surgical first assistant techniques, postoperative patient management in collaboration with other health care providers in the immediate postoperative period and beyond. Functions intraoperatively as a first assistant at surgery only and not concurrently as a scrub person or circulator.

Education:

Required: Diploma or ADN required. Successful completion of an RNFA program that meets the AORN standards for RN first assistant education programs. Preferred: BSN.

Experience:

Required: 1 year assisting experience. Preferred: 3 years circulating experience.

Certifications:

Required: RN, BLS, and CNOR. Preferred: CRNFA.

Physical Demands:

Posted 2026-06-21

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