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BH

Registered Nurse First Assistant

BJC HealthCare·Belleville, Illinois

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

About the role

The Registered Nurse First Assistant performs an expanded perioperative role by assisting surgeons during procedures and providing direct patient care. 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 Belleville - 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, gastroenterology, treatment, Cardiac Cath Lab, and pain center 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

Candidates must hold a nursing diploma or associate degree in nursing and possess 2-5 years of relevant experience. A BSN degree and CNOR certification are preferred, and the candidate must be a licensed Registered Nurse.

  • associate degree
  • bachelor degree
  • Patient education
  • Quality improvement
  • Medication administration
  • Professional development
  • Safety protocols
  • Patient assessment
  • Clinical documentation
  • Surgical assistance
  • Nursing diagnosis
  • Intraoperative care
  • Perioperative nursing
  • Surgical team collaboration

Posting details

Employment type
Full Time
Work arrangement
On Site
Experience
2-5 yrs
Location
Belleville, Illinois
Posted
Apr 29, 2026
Closes
Apr 29, 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 nursing roles remain consistently in demand

In Illinois, nursing roles typically see steady demand across hospitals, clinics, and long-term care settings, especially for candidates with an active Illinois license and current CPR certification. These positions can be competitive because employers often look for both accredited nursing education and readiness to work in fast-paced care environments. Review the AI-summarized requirements and benefits here to save time, then confirm your license, CPR status, and degree match before applying.

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