I practice a unique role providing leadership, excellence in perioperative nursing care for the cardiac surgical patient and family through the components of expert clinical practice, consultation, specialized education and leadership. This is a technically challenging skill of artistry that takes time to learn.Īfter completing my registered nurse first assistant certification in addition to a Master’s of Science in Nursing and Education, my dream became a reality thanks to HHS and our cardiac surgeons. I knew then this would be my long-term goal because at that time the RNFA role was just being developed in Canada. In the 1980s, the RNFA role was identified as one to advance perioperative nurses practice. I also wanted to advance nursing practice. I’m fascinated with the amount of leading edge technology, continuous education, problem solving, innovation and constant change in this area. I like paying it forward to the benefit of others. We’re committed to our program, the cardiac patient population, research and innovation now and beyond. Our team is dedicated, efficient, effective and financially responsible. I enjoy being part of a surgical team that has a significant impact on a patient’s well-being through altering and increasing life expectancy. I am proud and privileged to work at HHS in one of the RNFA roles. ![]() I also teach surgical techniques to medical and nursing students as well as residents. This includes, for example, positioning, wound healing, surveillance of surgical site infections and bleeding. We collaborate in the post-operation phase to evaluate selected patients and their outcomes of perioperative nursing care. The cardiac surgery team has many roles within it. On a typical day, I also handle preoperative physical assessments and plan for selective cardiac surgical patients. What does an RNFA do?ĭuring an operation, I use a technical skill set to assist our cardiac surgeons with handling tissue, using surgical instruments, suturing and knot tying, providing hemostasis (the act of preventing excessive blood loss) and harvesting conduit to create a new blood flow connection across the heart. She is also a member of the Golden Key International Honor Society, Sigma Theta Tau International Honor Society and the Registered Nurse First Assistant Network of Canada. She works in the hospital’s cardiac surgery operating rooms and has been with Hamilton Health Sciences (HHS) for over 34 years.įaye received the Margaret R. Our People Introducing… a cardiac registered nurse first assistantįaye Browne is a cardiac registered nurse first assistant (RNFA) in perioperative services at Hamilton General Hospital. A clinical component that includes at least 120 clinical practice hours in the RNFA role, as well as additional hours of preoperative and postoperative patient care management, working with a board-certified surgeon.įor details: See the AORN’s Educational Standards for RNFA Programs.A didactic component that is an equivalent to at least three semester credit hours of study, including student assignments, classroom instruction, and laboratory practicums.APRNs include Nurse Practitioners (NP), Clinical Nurse Specialists (CNS), Nurse Anesthetists (CRNA), and Certified Nurse Midwives (CNM). Note: An APRN (Advanced Practice Registered Nurse) is an RN who has earned a graduate-level degree such as a Master’s of Science in Nursing (MSN) or a Doctor of Nursing Practice (DNP). As of Janua bachelor’s degree is required for admission to an RNFA program.CNOR requires at least two years of experience in perioperative nursing. You can find more information on CNOR on the CCI website. An RN must be CNOR-eligible to enroll in an RNFA program, and must earn CNOR before graduation. ![]()
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