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BH

RN - First Assist

BJC HealthCare·Saint Louis County, Missouri

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

About the role

Performs an expanded perioperative role as a first assistant to surgeons during surgical procedures in the operating room. Responsible for delivering intraoperative patient care, performing nursing assessments, and coordinating the perioperative plan of care.

Additional Information

About the Role

Additional Preferred Requirements

Overview

Christian Hospital has been serving St.

Louis and the surrounding metro areas since 1903.

U.S.

News & World Report ranks Christian Hospital No.

5 in St.

Louis for overall clinical excellence and No.

9 in Missouri, which puts us in the top 6% of all hospitals in the state!

The U.S.

News adult methodology ranks clinical specialties and rates common care procedures and conditions.

Christian was nationally ranked as “high performing” in the clinical specialty of geriatrics and in the following seven of 21 common procedures and conditions: heart attack, heart failure, kidney failure, diabetes, COPD, pneumonia and stroke.

High performing in a specialty means we were in the top 10% nationally of all evaluated hospitals for that specialty or procedure and condition.

Northwest HealthCare, six miles west of Christian, offers 24- hour emergency care, the Sleep Disorders Center and a variety of outpatient diagnostic and imaging services.

Contracted services providing assistance to the Surgeon in the Operating Room.

Part of the Surgical team the Surgical Assistant has accepted responsibilities to work as a team member in the operating room.

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.

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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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

Posting details

Employment type
Full Time
Work arrangement
On Site
Experience
2-5 yrs
Location
Saint Louis County, Missouri
Posted
May 18, 2026
Closes
May 18, 2027
Application
Employer website

Market context

Missouri LPN roles remain in steady demand

Missouri nursing employers often seek licensed practical nurses for settings where dependable bedside care and clear communication matter. These roles can be competitive because candidates need an active Missouri LPN license, accredited training, and the ability to stay composed under pressure. Review the AI-summarized requirements and benefits on this platform to save time, then confirm your license status and tailor your application to patient-care experience.

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