Registered Nurse First Assist

BJC HealthCare•Saint Louis, MO

About The Position

Christian Hospital is seeking a Registered Nurse First Assist (RNFA) to perform an expanded perioperative role assisting surgeons during procedures in the operating room. The RNFA works alongside surgeons to provide direct patient care, functions as a professional colleague with the perioperative team, and collaborates with the patient-designated support person and other healthcare providers when planning care. The role is part of the surgical team and supports the efficiency of the perioperative department. The position works 8-hour days and has an on-call requirement, with a 45-minute call response time. Minimum qualifications include a nursing diploma or associate degree, 2–5 years of experience, and an RN license. Preferred qualifications include a bachelor’s degree in nursing, Certified First Assistant, CNOR, and Certified RN First Assist credentials. No supervisor experience is required.

Requirements

  • Nursing diploma or associate degree in nursing.
  • 2–5 years of experience.
  • Registered Nurse (RN) license.
  • Must have RNFA certification, listed as an additional preferred requirement.
  • No supervisor experience required.

Nice To Haves

  • Bachelor’s degree in nursing.
  • Certified First Assistant certification.
  • Certified Nurse Operating Room (CNOR) certification.
  • Certified RN First Assist credential.

Responsibilities

  • Deliver intraoperative patient care as the surgeon’s first assistant and a collaborative team member.
  • Perform a focused preoperative nursing assessment related to 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 as a member of the surgical team.
  • Consider safety, effectiveness, efficiency, the environment, and cost when planning, delivering, and evaluating patient 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 perioperative 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, and evaluate practice against current professional standards, rules, and regulations.
  • Contribute to the professional growth of peers, colleagues, and others.
  • Integrate knowledge, skills, and experience to meet the needs of patients and families throughout the continuum of care, including patient and family education.
  • Incorporate research findings into practice and use available resources to make ethical decisions.
  • Advocate for individuals and groups in relation 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 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.
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