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What is a CRNFA?
The
certified registered nurse first assistant (CRNFA) is a
technically skilled and highly educated professional who renders
direct patient care as part of the peri-operative health team. In
the operating room, the CRNFA functions interdependently with the
surgeon as a first assistant to him/her. Through post nursing
education, the CRNFA acquires skills, knowledge, and judgment
necessary to assist the surgeon in performing a safe operation
that yields optimal results for the patient. Scope of practice
includes handling tissue, using instruments and providing
exposure, suturing and tying, providing hemostasis, wound closure
and infection control.
In addition to assisting in surgery, the CRNFA is involved in
the pre-operative and post-operative phases of patient care.
These include performing history and physicals, pre-operative
assessments, ordering appropriate laboratory and diagnostic tests,
post-operative rounds and communication with the attending
surgeon. CRNFAs who are employed by a surgeon may also see
patients in the office setting.
Physicians and institutional employers in all surgical settings
and specialties recognize the quality and value of the services
provided by CRNFAs. CRNFAs are nationally recognized by the
American College of Surgeons, the Association of Operating Room
Nurses, the American Nurses Association, and all State Boards of
Nursing.
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