RN, First Assistant - AHLM (Specialty)

Job Description

Centered in the heart of San Joaquin County, Adventist Health Lodi Memorial has been one of the area's leading healthcare providers since 1952. We are comprised of a 190-bed hospital, 17 medical offices, home care services, comprehensive cancer care and a vast scope of award-winning services located throughout Lodi and the surrounding areas. Lodi is known for its small-town charm, extensive vineyards and delicious local restaurants and bakeries. The allure of Lodi's close-knit community is complimented by its proximity to major metropolitan cities in the Bay Area and Sacramento, as well as a quick drive to Lake Tahoe or the Northern California coast.

Job Summary

Organizes and facilitates the patient while in the Operating Room (OR). Coordinates the overall care of patient between surgeon, anesthesiologist and room staff. Functions as a first assistant during surgical incision, excision, and repair of pathology throughout the perioperative period on procedures for which privileges have been granted. Participates in preoperative assessment and planning for selected surgical patients in collaboration with the healthcare team members in the preoperative location. Regularly demonstrates subject matter expertise regarding medication, treatment and patient care standards. This position is represented by CNA.

Job Requirements

Education and Work Experience:

Bachelor's Degree in Nursing (BSN): Preferred
Two years' perioperative nursing experience: Preferred

Licenses/Certifications

Registered Nurse (RN) licensure in the state of practice: Required
Registered Nurse First Assistant (RNFA) certification in the state of practice: Required
Certified Registered Nurse First Assistant (CRNFA) certification in the state of practice: Preferred
Cardiopulmonary Resuscitation (CPR) or Basic Life Support (BLS OR HS-BLS OR RQIBLS) certification: Required
Certified Nurse Operating Room (CNOR) certification: Required
Pediatric Emergency Assessment, Recognition and Status (PEARS)/Pediatric Advanced Life Support (PALS OR HS-PALS OR RQIPALS) certification: Preferred
Association of perioperative Registered Nurses (AORN) membership: Preferred
Certified Registered Nurse First Assistant (CRNFA): Required

Facility Specific License/Certifications

Heartsaver CPR (CPR) or Basic Life Support (BLS) or Healthstream Basic Life Support (HS-BLS) or RQIBLS: Required
Pediatric Advanced Life Support (PALS) or Healthstream Pediatric Advanced Life Support (HS-PALS) or RQIPALS: Required

Essential Functions

Performs circulating and scrubbing duties. Verbally confirms surgical site/side before induction of anesthesia. Accurately performs all sponge, needle, sharp and instrument counts at appropriate time and according to department policy. Handles and dissects tissues in collaboration with the surgeon. Clamps blood vessels, coagulates bleeding points, ligates vessels, and performs other procedures in collaboration with the surgeon. Sutures muscle, fascia, subcutaneous, and skin tissue in collaboration with the surgeon. Places drains as surgically indicated. Assists with cannulation and decannulation procedures, if indicated.
Assists with transferring the patient to and from the operating room, positioning, prepping and draping. Provides patient with safe and aseptic environment by applying the principles of aseptic technique. Takes corrective action to rectify breaks in aseptic technique. Inspects sterile items before opening and maintains sterility of items during delivery to sterile field. Obtains and interprets patient data to determine appropriate diagnostic and therapeutic procedures, as needed. Develops and implements action plan for practice changes to enhance patient outcomes.
Maintains appropriate traffic patterns and personnel around the sterile field. Applies appropriate methods and parameters of sterilization/disinfection. Observes for general cleanliness of the Operating Room and takes appropriate action to amend, as necessary. Prepares instruments according to physician preference and scheduled procedure. Utilizes specific knowledge and skills in a surgical environment to assist the surgeon. Works under minimal supervision.
Documents relevant data, including but not limited to nursing diagnoses, patient's plan of care, intervention and response, and discharge plan. Mentors, develops, inspires, educates and leads staff members in patient care setting. Enhances efficiency and cost effectiveness by identifying opportunities to decrease costs, as applicable to the job.
Performs other job-related duties as assigned.

Organizational Requirements

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.

Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.

#AHJOB

About Us

Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.

Share this job

Related Jobs

School

Contract

1 week ago

School Registered Nurse | Sacramento, California

Soliant Health Sacramento, CA

$35.77 - $55.77 / hour

Bring your expertise as a Registered Nurse (RN) to a school-based setting near Sacramento, CA, and make a meaningful impact in the lives of students. This contract opportunity is perfect for nurses who thrive in dynamic environments and are passionate about promoting student health and wellness. As an integral part of the school community, you’ll collaborate with educators, staff, and families to deliver high-quality nursing care, manage health plans, and support students’ overall well-being. Your skills and dedication will play a vital role in fostering a safe and supportive learning atmosphere. Qualifications and Desired Experience: Active Registered Nurse (RN) license Previous nursing experience in schools or with pediatric populations preferred Familiarity with IEP and 504 Plan processes is a plus Strong assessment, communication, and organizational skills Current CPR/BLS certification Ability to manage multiple priorities and respond effectively to urgent situations Commitment to confidentiality and professionalism Key Responsibilities: Provide direct nursing services to students, including medication administration, first aid, and care for chronic conditions Develop, update, and implement individualized health care plans (IHPs) for students with medical needs Monitor and address communicable disease concerns and infection control Serve as a health resource and advocate for students, parents, and staff Maintain accurate health records and comply with all regulatory requirements Participate in IEP meetings and collaborate with multidisciplinary teams What Sets This Role Apart: Weekly pay and access to competitive compensation packages Comprehensive medical, dental, and vision insurance 401(k) with company match Licensure reimbursement and support for ongoing professional development Travel, housing, and tax-free stipends when eligible Guidance from a dedicated recruiter and robust clinical support Consistent career advancement opportunities If you’re ready to make a difference as a school nurse, apply now to connect with our supportive team and start your rewarding next chapter. Compensation for this position ranges from $35.77 to $55.77. Eligible candidates may also receive healthcare benefits, housing, and meals/incidentals. Full details of our healthcare benefits plan can be found here . This posting is open for 60 days after the posting date.

Home Health

Full-time

3 weeks ago

Registered Nurse

DaVita Kidney Care Sacramento, CA

$46 - $63 / hour

Posting Date 05/19/2026 8231 E Stockton BlvdSte A, Sacramento, California, 95828-8202, United States of America DaVita is seeking an organized, self-directed RN to manage Home Hemodialysis (HHD) patients. You’ll educate patients and caregivers in-clinic, enabling them to perform dialysis independently at home. This role blends clinical care, patient education, and case management. Key Responsibilities: Train patients and caregivers on HHD procedures and self-care Manage a caseload of HHD patients, including assessments and care planning Monitor treatment progress, conduct home visits, and provide on-call support Collaborate with interdisciplinary teams to ensure safe, high-quality outcomes Schedule: Monday–Friday, 8-hour shifts Weekends and holidays off Flexible scheduling to manage your own caseload Requirements: RN license in the state of practice Valid driver’s license, insurance, and reliable transportation ADN required; BSN preferred Basic computer skills (MS Word, Outlook) Preferred Experience: Dialysis (HHD, PD, chronic, or acute) Patient education or teaching background Case management or telehealth experience CNN or CDN certification What We Offer: Medical, dental, vision, and 401(k) match Paid time off and PTO cash-out Mental health and family support (EAP, Headspace, parental leave, etc.) Paid training and ongoing professional development Empower patients to take control of their care. Make a meaningful impact—apply today. #LI-SS6 At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. This position will be open for a minimum of three days. The Wage Range for the role is $46.00 - $63.00 per hour. For location-specific minimum wage details, see the following link: DaVita.jobs/WageRates Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.

Outpatient

Full-time

2 months ago

Registered Nurse

DaVita Kidney Care Sacramento, CA

$39 - $55 / hour

Posting Date 03/19/2026 8243 E Stockton BlvdSuite 100, Sacramento, California, 95828, United States of America Make a real impact—every day. As a DaVita RN, you’ll ensure compassionate and professional delivery of all dialysis-related nursing services in an outpatient setting, ensuring the safety, comfort, and wellbeing of your patients. You’ll work in a fast-paced environment, collaborate with our professional team of clinicians, and use your critical thinking skills to solve problems and support patient care. Key Responsibilities: Deliver dialysis treatments and monitor patient status Assess, troubleshoot, and respond to clinical situations Educate patients and build meaningful relationships Work as part of a supportive care team Qualifications: Current RN license in state of practice CPR certification and basic EKG interpretation 2+ years’ experience with acutely ill patients (ICU, ER, Med/Surg preferred) Strong assessment, time management, and communication skills CNN certification a plus What We Offer: Medical, dental, vision, 401(k) with match Paid time off and PTO cash out Parental leave, family support, and mental health tools Career growth and training through DaVita’s StarLearning platform Performance-based pay and advancement opportunities Start making a difference today. Apply now to join a team that values your skills and supports your career. #LI-SS6 At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. This position will be open for a minimum of three days. The Wage Range for the role is $39.00 - $55.00 per hour. For location-specific minimum wage details, see the following link: DaVita.jobs/WageRates Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.

Full-time

1 month ago

Dialysis Registered Nurse – 4th Shift

DaVita Kidney Care Manteca, CA

$39 - $54 / hour

Posting Date 04/27/2026 1650 W Yosemite Ave, Manteca, California, 95336, United States of America Registered Nurse – Dialysis Experienced 4th Shift $5,000 retention package offered Must have prior dialysis experience and at least 9 months of RN practice Paid training provided Position covers 4th shift: Monday, Wednesday, and Friday from 10:30 AM to 10:30 PM Make a real impact—every day. As a DaVita RN, you’ll ensure compassionate and professional delivery of all dialysis-related nursing services in an outpatient setting, ensuring the safety, comfort, and wellbeing of your patients. You’ll work in a fast-paced environment, collaborate with our professional team of clinicians, and use your critical thinking skills to solve problems and support patient care. Key Responsibilities: Deliver dialysis treatments and monitor patient status Assess, troubleshoot, and respond to clinical situations Educate patients and build meaningful relationships Work as part of a supportive care team Qualifications: Current RN license in state of practice CPR certification and basic EKG interpretation 2+ years’ experience with acutely ill patients (ICU, ER, Med/Surg preferred) Strong assessment, time management, and communication skills CNN certification a plus What We Offer: Medical, dental, vision, 401(k) with match Paid time off and PTO cash out Parental leave, family support, and mental health tools Career growth and training through DaVita’s StarLearning platform Performance-based pay and advancement opportunities Start making a difference today. Apply now to join a team that values your skills and supports your career. #LI-EC3 At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. This position will be open for a minimum of three days. The Wage Range for the role is $39.00 - $54.00 per hour. For location-specific minimum wage details, see the following link: DaVita.jobs/WageRates Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.

Part-time

2 days ago

PRN RN

Crossover Health Elk Grove, CA

About Crossover Health Crossover Health is creating the future of health as it should be. A national, team-based medical group with a focus on wellbeing and prevention that extends beyond traditional sick care, the company delivers an entirely new model of healthcare—Primary Health—built on the foundation of trusted relationships, an interdisciplinary care team approach, and outcomes-based payment. Crossover’s Primary Health model integrates primary care, physical medicine, mental health, health coaching, care navigation and more, and delivers care in surround-sound—in-person, virtually and via asynchronous messaging. Together we are building a community of members that embraces healthcare as a proactive part of their lifestyle. Job Summary The Registered Nurse (RN) is an essential part of the collaborative patient care team that supports an exceptional patient experience. Our RNs are empowered to practice and contribute throughout the care experience. At its core, the RN provides direct patient care while demonstrating servant leadership, leading clinic-wide huddles and leveraging our interdisciplinary approach to integrated care. The RN promotes a level of care that goes beyond industry standards and strives for excellence at every step. Job Responsibilities Performs evidence-based nursing care and patient education Performs care management by connecting patients with specialists and following up to ensure patients are getting the care they need Utilizes population management tools to ensure patients receive optimal care based on industry-wide recommendations Provides phlebotomy services, performs in-house laboratory tests and works with the provider to determine how and when to send out specialty labs Screens for vaccine-preventable diseases and administers primary care and travel-related immunizations Manages RN schedule and appropriateness of appointments. Takes initiative to contact patients when needed and demonstrate knowledge of when to consult with a provider Complies with all policies, procedures, and protocols of the practice, including performing specific care under standing orders Provides general triage services to walk-ins and over the phone. Assesses patient’s needs, consult provider when needed and direct appropriate care Provides occasional on-site care at client-sponsored events such as flu clinics and biometric screenings Participates in quality improvement programs to ensure the practice is performing efficiently and in accordance with Crossover’s policies Demonstrates proficiency in the use of healthcare analytic tools, systems, and analysis Participates in implementation of new health technologies, products, services, and programs that establish the Crossover Medical Group as a recognized thought leader for employer-based health care and lifestyle medicine programs Manages population health programs and clinic outreach initiatives Serves as a resource to other nurses and the care team, and participate in the training and onboarding of new nurses Assists in performing Quality and Compliance checks required on a daily, weekly and monthly basis Contributes to reporting requirements related to incident reporting and compliance Performs other duties as assigned. Required Qualifications Graduate from an accredited school of nursing Minimum 3 years of clinical experience Current Registered Nurse license in the state you are practicing Current BLS (Basic Life Support) certification Preferred Qualifications Bachelor of Science Degree in Nursing (BSN) Outpatient care and urgent care experience Knowledge of Apple and Google-based technology or client technologies such as Microsoft or HP Passion for delivering a best-in-class patient care experience in an integrated patient-centered primary care model Creative, flexible and easily adapts to changing priorities Energetic, takes initiative and able to work in a team environment as well as autonomously when needed Embraces new ways of delivering healthcare Physical Job Requirements Requires standing, walking and sitting for extended periods of time Includes full range of body motion including potential of handling and lifting patients Requires corrected vision, hearing and speech within normal ranges Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions The base pay range for this position is $52.07 to $68 per hour. Pay range may vary depending on work location, applicable knowledge, skills, and experience. This position will be eligible for 401K. Crossover Health is committed to Equal Employment Opportunity regardless of race, color, national origin, gender, sexual orientation, age, religion, veteran status, disability, history of disability or perceived disability. If you need assistance or an accommodation due to a disability, you may email us at careers@crossoverhealth.com . To all recruitment agencies : We do not accept unsolicited agency resumes and are not responsible for any fees related to unsolicited resumes. #LI-Onsite