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BH

Registered Nurse First Assist

BJC HealthCare·Shiloh, Illinois

Full Time·On Site·2-5 yrs·Posted 3 months ago
Practice for this role

About the role

The Registered Nurse First Assist performs an expanded perioperative role by working alongside surgeons to provide direct patient care during surgical procedures. They are responsible for developing and managing individual plans of care, monitoring patient responses, and collaborating with the surgical team to ensure efficient and safe outcomes.

Additional Information

About the Role

Unit

Memorial Shiloh - Operating Room FT Days (with call requirements) 40 Minute Call Arrival Up to $15,000 Sign-On Bonus for Externals BSN Differential CNOR Certification Competitive Pay Benefits Eligible Additional Preferred Requirements BSN Degree

Overview

Memorial Hospital Belleville is an acute care hospital offering medical and surgical services plus critical and emergency care including Children’s at Memorial for pediatric emergency care.

It provides patients a full complement of diagnostic and treatment services as well as heart and vascular care.

Memorial, offering medical and surgical services plus critical care, is an accredited Chest Pain Center with PCI by the Society of Cardiovascular Patient Care and is designated as an Acute Stroke Ready Hospital by the Illinois Department of Public Health.

In addition, Memorial Belleville recently was accredited by the American College of Radiology as a designated Lung Cancer Screening Center.

Since 2008, it has been designated as a Magnet®-recognized organization for nursing excellence by the American Nurses Credentialing Center.

Memorial Hospital Shiloh, a 94-bed, all-private suite hospital was recognized with Magnet status in 2018 and provides emergency care, labor & delivery, nursery, medical and surgical services plus critical care.

Perioperative Services provides care and support services for the surgical and gastroenterology patients.

Perioperative services provides care for the adult and pediatric patients throughout the continuum of their Perioperative stay.

Procedures may be performed on both inpatient and outpatient adult surgical and gastroenterology patients.

Preferred Qualifications

Role Purpose 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.

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. Minimum Requirements Education Nursing Diploma/Associate's
  • Nursing Experience 2-5 years Supervisor Experience No Experience Licenses & Certifications RN Preferred Requirements Education Bachelor's Degree
  • Nursing Licenses & Certifications Certified First Assistant Cert Nurse OR (CNOR) CERTIFIED RN FIRST ASSIST

Benefits: and Legal Statement

  • BJC Total Rewards At BJC we’re committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being. Comprehensive medical, dental, vison, 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 To learn more, go to our Benefits Summary. *Not all benefits apply to all jobs The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer

Requirements

The position requires a nursing diploma or associate degree in nursing and 2-5 years of relevant experience. Preferred qualifications include a Bachelor of Science in Nursing (BSN) and professional certifications such as CNOR and Certified First Assistant.

  • associate degree
  • bachelor degree
  • Patient education
  • Medication administration
  • Safety protocols
  • Patient assessment
  • Critical care
  • Clinical documentation
  • Perioperative care
  • Surgical support
  • Surgical assistance
  • Nursing diagnosis
  • Intraoperative care
  • Pediatric emergency care
  • Surgical team collaboration
  • Registered nurse first assist

Posting details

Employment type
Full Time
Work arrangement
On Site
Experience
2-5 yrs
Location
Shiloh, Illinois
Posted
Apr 3, 2026
Closes
May 28, 2027
Application
Employer website
BH

Hiring organization

BJC HealthCare

BJC Medical Group has more than 600 doctors and specialists who care for thousands of people every day. With over 120 locations in greater St. Louis, mid-Missouri and southern Illinois, there’s a BJC doctor close to you, wherever you live. Plus, because we’re all part of BJC...

IndustryHospitals and Health Care
TypeNonprofit
Size1,001-5,000 employees
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Market context

Illinois RNFA roles need OR experience

Registered Nurse First Assist positions in Illinois are typically tied to surgical services and favor candidates with solid operating room experience, an active RN license, and familiarity with perioperative workflows. Competition is often strongest for applicants who bring a BSN and credentials such as CNOR or Certified First Assistant, along with the required 2-5 years of relevant experience. Review the AI-summarized requirements and benefits here to quickly compare fit, then confirm your certification status and recent first-assist experience before applying.

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