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Nurse first assistant: an evolving project in Québec

¹Montreal Heart Institute.

Canadian Operating Room Nursing Journal

|October 1, 1996

Summary

The Montreal Heart Institute developed a new Nurse First Assistant role to enhance patient care, addressing evolving healthcare demands. This pilot project involved specialized training and integration into surgical teams, with evaluation planned.

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Area of Science:

Nursing
Surgical Assistance
Healthcare Management

Background:

Evolving work environments and technological advancements necessitate new healthcare roles.
Increased demands on nurses, including dual roles as scrub nurse and first assistant, prompted a need for specialized support.
Surgeons' requests and the pursuit of optimal patient care quality drove the initiative.

Purpose of the Study:

To establish and evaluate the new role of Nurse First Assistant.
To address the need for specialized nursing support in surgical settings.
To improve the quality of patient care through enhanced surgical assistance.

Main Methods:

A collaborative project was presented by the Montreal Heart Institute to regulatory bodies.
A 186-hour training program was developed for the Nurse First Assistant role.
Two nurses completed training and were integrated into a medico-surgical team.

Main Results:

The project received approval from the Ordre des infirmières et infirmiers du Québec (OIIQ) and the Professional Corporation of Physicians of Québec (PCQ).
Trained Nurse First Assistants were successfully integrated into clinical practice.
The pilot project was established for subsequent evaluation.

Conclusions:

The Nurse First Assistant role is a viable and recognized function within the healthcare system.
Specialized training and integration can enhance surgical team efficiency and patient care.
The pilot project demonstrated a successful model for advanced nursing practice in surgical settings.

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