Responsibilities of a Registered Nurse

Of the two, the mechanistic approach consistently studies the structure of jobs, breaking them down into simple and repetitive tasks. The motivational approach, in contrast, emphasizes job enrichment that helps incumbents satisfy needs for growth, recognition, and responsibility (Ivancevich, 19998). It is this dodging of job enrichment that will be employed herein.

Currently, the RNFA must put forward certain qualifications, including certification in perioperative nursing, documentation of proficiency in the field, nursing practice as both a dust and circulating nurse, the ability to apply principles of asepsis and infection control, and a knowledge of surgical anatomy, physiology, and operative techniques related to operative procedures in which the RN assists (Kurkowski, 1999). Homan and Dunscombe (2000) contend that the basic intraoperative function of the RNFA includes assisting surgeons or ranking(prenominal) residents and working interdependently under their direction.

Functions include, but are not limited to preoperative skin preparation, positioning and draping the patient, providing homeostasis and exposure, properly handling weave and using instruments, suturing, cleansing the surgical area and the application of dressings, and early(a) duties that fall within the scope of licensure. RNFAs, working under atomic number 101 supervision, perform preoperative patient assessments, discharge summa

This brief report has identified ways in which the RNFA role and responsibilities can be redesigned and enhanced. This strategy will importantly expand both the tasks of the RNFA in a clinical condition and increase the autonomy and job satisfaction of the RNFA. Finally, it will snub selected be and result in higher levels of quality care.

A specific example of how the RNFA role can be enriched is provided by Hlozek, et al (1998). The RNFA can be the lead professional in surgical procedures such as collect the radial arteria of patients requiring preoperative procedures such as arterial conduit revascularization.

Using the RNFA in such a capacity would allow residents and fellow or staff surgeons to focus on other surgical tasks (e.g., harvesting internal thoracic arteries, heart dissections, or cannulations). This would save providers an estimated $1,300 per hour in operating room time. Because Medicare and Medicaid are reducing reimbursement distributions and bound managed care, hospitals are constantly searching for ways to reduce costs without compromising standards of patient care. The valuable aspect of flexibility that an expand RNFA role in preoperative surgical preparation would conflate the operating room with the preoperative and postoperative care areas. The RNFA, with an grow role, would then provide consistency and continuity in these tortuous procedures and set standards for high-level results (Hlozek, et al, 1998).

Kurkowski, C. M. (1999). The RN first assistant: pro advancement in an expanded role. Orthopaedic Nursing, 18(1), 43-48.

Homan, T., & Dunscombe, A. (2000). Marketing the RN first assistant role. AORN Journal, 72(2), 234-240.

Forsythe, L. (1997). RN first assistants increase ingress to quality surgical care in a rural setting. AORN Journal, 65(1), 45-46.

In the preoperative and intraoperative phases, for
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