Registered Nurse First Assist (RNFA) - OR - Sweetgrass
About The Position
We are seeking a skilled Registered Nurse First Assist (RNFA) to join our plastic surgery operating room team. You'll play a critical role in the operating room, working alongside our surgeons throughout procedures by maintaining a sterile field, providing first-assist support, suturing, anticipating procedural needs, and ensuring every case runs smoothly and safely. This is an OR-based role ideal for an experienced perioperative RNFA who is confident in elective outpatient surgery, comfortable working in a fast-paced plastic surgery environment, and wants to be part of a growing plastic surgery practice.
Requirements
- Active South Carolina RN license
- RNFA certification or documented RNFA training/credentialing required
- 1–3+ years of perioperative and operating room experience.
- Demonstrated first-assist experience in the operating room.
- Advanced suturing and wound closure skills.
- Knowledge of outpatient and ambulatory surgery environments.
- Thorough understanding of sterile technique and instrument handling.
- Self-starter with the ability to maintain steady productivity and take initiative.
- Strong communication skills and a team-first mindset.
- Professional, respectful approach to patients, coworkers, and providers.
- Candidates must be able to provide professional references as part of the hiring process.
Nice To Haves
- Plastic surgery experience strongly preferred.
- Experience with cosmetic or elective outpatient procedures.
- Willingness to learn, grow, and contribute beyond core responsibilities.
Responsibilities
- Support operating room readiness in collaboration with the surgical team.
- Confirm appropriate instruments, supplies, equipment, and implants are available and sterilized for scheduled procedures.
- Maintain sterile technique and support a safe, efficient surgical environment.
- Assist with patient positioning, draping, and safety measures.
- Pass instruments, sutures, and supplies to surgeons accurately and efficiently.
- Provide first-assist support including exposure, retraction, hemostasis, tissue handling, and wound closure.
- Anticipate surgeon needs and procedural flow to maximize operative efficiency.
- Perform suturing and layered closure within RNFA scope.
- Assist with exposure, retraction, hemostasis, and tissue handling.
- Support patient safety and comfort during procedures.
- Assist in responding to intraoperative concerns or emergencies.
- Collaborate closely with surgeons, anesthesia providers, and nursing staff.
- Accurately document surgical information in electronic health record systems.
- Ensure surgical counts are completed and verified.
- Assist with room turnover and preparation for subsequent cases.
- Adhere to infection control standards, OSHA, HIPAA, and facility policies.
- Participate in training, team meetings, and quality improvement initiatives.
- Report safety concerns, equipment issues, or unusual findings promptly.
Benefits
- 401(k) with employer matching.
- Health, dental, vision, and life insurance.
- Paid time off (PTO).
- Ongoing training and professional development.
- Staff discounts on in-house treatments and skincare products.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
