Registered Nurse First Assist Senior

BJC HealthCareChesterfield, MO
Onsite

About The Position

Performs an expanded perioperative role as a first assistant to surgeons during surgical procedures in the operating room. RNFA works alongside the surgeon to provide direct patient care. Works as a professional colleague with the perioperative team and collaborates with the patient-designated support person, and other health care providers when making decisions to plan care. BJC has determined this is a safety-sensitive position. The ability to work in a constant state of alertness and in a safe manner is an essential function of this job.

Requirements

  • Bachelor's Degree in Nursing
  • 2-5 years of experience
  • Cert Nurse OR (CNOR)
  • RN license

Nice To Haves

  • 5-10 years of experience
  • Certified First Assistant

Responsibilities

  • Delivers intraoperative patient care as the first assistant to the surgeon(s) as a collaborative team member.
  • Pre-operatively performs a focused nursing assessment in reference to planned procedure.
  • Analyzes the assessment data to determine nursing diagnosis.
  • Identifies and communicates desired patient outcomes throughout the perioperative continuum.
  • Functions as a member of the surgical team and contribute to the overall efficiency of the peri-operative department.
  • Considers factors related to safety, effectiveness, efficiency, the environments, and the cost in planning, delivering, and evaluating patient care.
  • Monitors patients response and modifies plan of care accordingly.
  • Administers Medications according to standard nursing practice.
  • Develops and manages an individual plan of care that directs the intervention(s) of the RNFA.
  • Implements, manages, and coordinates the perioperative plan of care related to RNFA interventions.
  • Evaluates patient progress towards attaining outcomes.
  • Systematically evaluates quality of nursing practice.
  • Participates in professional development and life long learning.
  • Seeks out and participates in learning opportunities.
  • Evaluates their practice in context with current professional practice standards, rules and regulations.
  • Contributes to the professional growth of peers, colleagues and others.
  • Integrates knowledge, skills, and experiences to meet the needs of patients and families throughout the continuum to include patient and family education.
  • Incorporates research findings into practice.
  • Practices in an ethical manner using available resources to formulate ethical decisions.
  • Advocates for individuals and groups related to perioperative health safety.
  • Provides leadership in the profession and professional practice setting.

Benefits

  • Comprehensive medical, dental, vision, life insurance, and legal services available first day of the month after hire date
  • Disability insurance paid for by BJC
  • Annual 4% BJC Automatic Retirement Contribution
  • 401(k) plan with BJC match
  • Tuition Assistance available on first day
  • BJC Institute for Learning and Development
  • Health Care and Dependent Care Flexible Spending Accounts
  • Paid Time Off benefit combines vacation, sick days, holidays and personal time
  • Adoption assistance
© 2026 Teal Labs, Inc
Privacy PolicyTerms of Service