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Sutter Health Registered Nurse First Assistant in Tracy, California

Position Overview:

A full-service acute care facility serving the residents of Tracy for over 60 years, Sutter Tracy Community Hospital (STCH) has a total of 82 inpatient beds. STCH provides a wide range of inpatient and outpatient services including: a 24-hour emergency department, inpatient and ambulatory surgical services, endoscopy lab, intensive care, diagnostic imaging, laboratory and rehabilitation services including physical, speech and occupational therapy. STCH also has specialized care for Hemodialysis, Family Birthing Center, Continence Center and a Pain Management Center. STCH is a not-for-profit, community-based hospital, affiliated with Sutter Health since 1993.

The RN First Assistant ( RNFA ) renders direct patient care as part of the perioperative role by assisting the surgeon in the surgical treatment of the patient. The responsibility of functioning as first assistant must be based on documented knowledge and skills acquired after specialized preparation, formal instruction and supervised practice. The RNFA practices under the direct supervision of the surgeon during the surgical intervention. "The safety and welfare of the patient should be given primary consideration in the selection of a first assistant in surgery. In the absence of a qualified physician, the registered nurse who possesses appropriate knowledge and technical skills is the best qualified non-physician to serve as the first assistant." ( American College of Surgeons, 1980 ) It is not expected that the RNFA will do any patient record keeping. The interdisciplinary practice committee shall maintain a written record of those persons authorized to perform the standardized procedures. This record shall include a current listing of all required certifications, evaluations, and continuing education hours for each individual. The RNFA must adhere to the policies of Sutter Tracy Community Hospital and must remain within the scope of practice as stated by the Nurse Practice Act of the State of California. The surgery committee shall conduct an initial and thereafter annual evaluations of the competence of those RNs authorized to perform the RNFA standardized procedures.


Minimum Requirements:

  • Graduate from an accredited School of Nursing is required.

  • Successful completion of didactics of structured course in first assisting is required.

  • Current licensure as an R.N. in the State of California.

  • Current Basic Life Support (BLS) certification

  • Current Advanced Cardiac Life Support (ACLS) certification

  • Current Operating Room Nurse (CNOR)

  • Three years' experience as an RN in the Operating Room encompassing both the circulator and the scrub roles.

  • Frequent on-call/standby time as per call policy.

  • Occasional PM or weekend shift as needed per call needs or scheduling need

Skills and Knowledge :

  • Initial validation of the necessary clinical skills by a physician surgeon.

  • Annual peer review by a physician surgeon and evaluation by the surgery department manager.

Organization: Sutter Tracy Community Hospital

Employee Status: Regular

Benefits: Yes

Position Status: Non-Exempt

Union: Yes

Job Shift: Variable

Shift Hours: 8 Hour Shift

Days of the Week Scheduled: Varied Days

Weekend Requirements: Other

Schedule: Full Time

Hrs Per 2wk Pay Period: 80

Applications Accepted: All Applications Accepted

All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, marital status, sexual orientation, registered domestic partner status, sex, gender, gender identity or expression, ancestry, national origin (including possession of a driver's license issued to individuals who did not present proof of authorized presence in the U.S.), age, medical condition, physical or mental disability, military or protected veteran status, political affiliation, pregnancy or perceived pregnancy, childbirth, breastfeeding or related medical condition, genetic information or any other characteristic made unlawful by local, state, or federal law, ordinance or regulation. External hires must pass a background check/drug screening. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state, and local laws, including but not limited to the San Francisco Fair Chance Ordinance.