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Implementation of the RN first assistant role

D Poe1, D M Bubb, L K Freeman

  • 1Surgical Services, Children's Hospital of The King's Daughters, Norfolk, VA, USA.

AORN Journal
|January 1, 1997
PubMed
Summary
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The Registered Nurse First Assistant (RNFA) program at Children's Hospital of The King's Daughters created a cost-effective, hospital-based role expansion for nurses. This initiative also established a vital career development pathway for perioperative nurses within the surgical field.

Area of Science:

  • Nursing
  • Surgical Assistance
  • Healthcare Administration

Background:

  • Limited career advancement opportunities for perioperative nurses.
  • Need for cost-effective solutions in hospital-based nursing roles.
  • Desire to expand the scope of practice for Registered Nurses (RNs).

Purpose of the Study:

  • To describe the successful implementation of a hospital-based Registered Nurse First Assistant (RNFA) program.
  • To demonstrate a viable career development path for perioperative nurses.
  • To showcase a cost-effective model for expanding nursing roles in surgery.

Main Methods:

  • Program development and implementation within a hospital setting.
  • Focus on expanding the RN role to include first assistant duties.

Related Experiment Videos

  • Integration of a career development framework for nursing staff.

    • Main Results:

    • Successful establishment of a hospital-based RNFA program.
    • Creation of a new career trajectory for perioperative nurses.
    • Demonstration of a cost-effective approach to role expansion.

    Conclusions:

    • Hospital-based RNFA programs can be successfully implemented.
    • Such programs offer valuable career development for perioperative nurses.
    • This model provides a cost-effective strategy for enhancing nursing roles in surgical settings.