Registered Nurse - First Assist (SR)

BJC HealthCare • Creve Coeur, MO

5d

About The Position

Performs an expanded perioperative role as a first assistant to surgeons during operating-room procedures, working alongside surgeons 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 to plan care.

The role is based in Perioperative Services at Barnes-Jewish West County Hospital, which provides specialized surgical and medical services in a patient-centered setting. The hospital has 64 private patient rooms, 14 operating rooms, and four intensive care unit rooms. Perioperative Services partners with physicians and health care professionals and draws on the resources of the BJC HealthCare System and Washington University Medical School.

This is a safety-sensitive position requiring the ability to remain alert and work safely. The position is scheduled for four 10-hour shifts and includes call, with a 45-minute call response time.

Requirements

• Bachelor’s degree in Nursing.
• 2–5 years of experience.
• Registered Nurse (RN) license.
• Certified Nurse Operating Room (CNOR) certification.
• RNFA certification is listed as an additional preferred requirement.
• Ability to work in a constant state of alertness and in a safe manner.
• Four 10-hour shifts and participation in call with a 45-minute call response time.

Nice To Haves

• 5–10 years of experience.
• Certified First Assistant certification.
• RNFA certification.

Responsibilities

• Deliver intraoperative patient care as the surgeon’s first assistant and a collaborative member of the surgical team.
• Perform a focused preoperative nursing assessment based on the planned procedure, analyze assessment data to determine nursing diagnoses, and identify and communicate desired patient outcomes throughout the perioperative continuum.
• Contribute to the overall efficiency of the perioperative department while considering safety, effectiveness, efficiency, the environment, and cost in planning, delivering, and evaluating care.
• Monitor patient responses and modify the plan of care accordingly.
• Administer medications according to standard nursing practice.
• Develop and manage an individual plan of care directing RNFA interventions; implement, manage, and coordinate the perioperative plan of care related to those interventions.
• Evaluate patient progress toward outcomes and systematically evaluate the quality of nursing practice.
• Participate in professional development and lifelong learning; seek learning opportunities, evaluate practice against current professional standards, rules, and regulations, and contribute to the professional growth of others.
• Integrate knowledge, skills, and experience to meet the needs of patients and families across the continuum of care, including patient and family education.
• Incorporate research findings into practice and make ethical decisions using available resources.
• Advocate for individuals and groups in matters related to perioperative health and safety.
• Provide leadership in the profession and professional practice setting.

Benefits

• Comprehensive medical, dental, vision, life insurance, and legal services available on the first day of the month after hire.
• Disability insurance paid for by BJC.
• Annual 4% BJC automatic retirement contribution.
• 401(k) plan with BJC match.
• Tuition assistance available on the first day.
• BJC Institute for Learning and Development.
• Health Care and Dependent Care Flexible Spending Accounts.
• Paid Time Off combining vacation, sick days, holidays, and personal time.
• Adoption assistance.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level