Travel Nurse RN - First Assist
Longview, Texas
CHRISTUS Good Shepherd Medical Center

Travel RNFA (Registered Nurse First Assistant) - Longview, Texas

Position Overview

• Specialty: RN First Assistant (RNFA)
• Employment Type: Travel, Full Time
• Location: Longview, Texas
• Shift: Monday – Friday, 6:30 AM – 3:00 PM
• Contract Length: 13 weeks

Key Requirements

• Experience:

  • Minimum 5 years of OR experience, including scrubbing and circulating roles
  • CVOR (Cardiovascular Operating Room) and EVH (Endoscopic Vein Harvesting) experience required
  • Comfortable performing circulating, scrubbing, and first assist roles

• Education & Certification:

  • Successful completion of an RNFA program meeting AORN standards and accepted by the Competency and Credentialing Institute (CCI)
  • Current RN license in Texas or compact state
  • BLS (AHA) certification
  • ACLS (AHA) certification
  • CNOR Perioperative Nursing Certificate

Job Responsibilities

• Collaborate with surgeons and healthcare team to optimize patient outcomes in the perioperative setting
• Manage surgical patient care using the nursing process, including assessments, care planning, and documentation
• Maintain sterile field and aseptic technique; monitor surgical team adherence
• Provide surgical equipment and supplies appropriate to patient needs; ensure equipment functionality
• Perform sponge, sharps, and instrument counts; document and correct discrepancies
• Monitor and maintain a safe environment, including traffic patterns and environmental controls
• Administer and document medications per policy
• Delegate tasks according to laws and competency of team members
• Participate in patient and family teaching; assess learning needs and document outcomes
• Plan and implement safe patient positioning during surgery
• Operate sterilization equipment and ensure proper sterilization techniques
• Handle specimens accurately and according to policy
• Participate in Universal Protocol/Time-Out process
• Manage inventory and supply usage documentation
• Follow safety protocols with high-risk equipment (e.g., electrosurgical units, lasers)
• Provide first assistant duties including use of instruments, tissue handling, hemostasis, and suturing
• Foster a collaborative perioperative team environment

Additional Information

• Credentialing with the facility is required before starting and may take up to 90 days
• Must be adaptable to changes in nursing practice and maintain up-to-date knowledge and skills