FNP, RNFA Advise

  1. Hello. I'm a new graduate FNP. I've been hired by a CV surgeon who is sending me to training to do first assist. Any advise or tips from any NP's that do this would be greatly appreciated. I've never worked in the OR so the whole surgery thing will be new to me. Thanks!
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    About jennylynn_1983

    Joined: Apr '12; Posts: 9


  3. by   RNSOCAL
    Congratulations on completing your NP. Can I ask are you a new grad RN or do you have work experience as an RN? I've worked in the OR/PACU for the past 6 years and surgery is VERY different from bedside nursing. In addition I work CV and thoracic cases, both as the circulating RN and the srcub nurse. If you've never been in the OR i suggest you shadow a nurse for the day and learn the basics of perioperative standards and patient care, sterile tecnique, and anesthesia. Most likely you will be helping to prepare patient for surgery, (making sure all diagnostics and orders are prepared the day before) positioning patient in OR, Draping and preparing the surgical field as well as assiting the surgeon during surgery. Also postoperative care is something that being an experience nurse you'll already know and be familiar with. Its just procudure specific and surgeons preference regarding orders and follow up. If you could shadow a scrub nurse it would be very beneficial. Best of luck to you!! You'll really enjoy the environment!
  4. by   kguill975

    You'll want to enter a program for APNs with little or no perioperative experience. Some of the programs out there are geared for people like you, and some are geared toward OR nurses. Also, depending on what state you live in, you may need the training before being credentialled to work as a first assist. Check your state's BON website first, it will tell you everything you need to know about the role/requirements of an APN first assist IN YOUR STATE, then go to AORN.org to find a list of RNFA programs.

    Good Luck to you.