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  3. Registered Nurse - First Assist (RNFA)
BH

Registered Nurse - First Assist (RNFA)

BJC HealthCare·Creve Coeur, Missouri

Full Time·On Site·2-5 yrs·Posted 1 month 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. Responsibilities include delivering intraoperative patient care, performing nursing assessments, and coordinating the perioperative plan of care.

Additional Information

About the Role: Great position in a busy OR Must have CNOR certification Additional Preferred Requirements

Overview

Barnes-Jewish West County Hospital offers highly specialized surgical and medical services in an intimate environment and is known for outstanding patient care.

With 64 private patient rooms, 14 operating rooms and four intensive care unit rooms, the facility was designed to provide a comforting environment that is innovative, efficient and centered on the patient experience.

The campus features a park-like setting with landscaping and a walking path that winds through the grounds and connects to Millennium Park.

The Perioperative Services staff at Barnes Jewish West County Hospital provide excellent Surgical Care by partnering with an extraordinary team of physicians and health care professionals.

They are able to offer the comforts of a small community hospital. combined with the resources of the world-renowned BJC HeathCare System and Washington University Medical School.

Our highly educated and dedicated staff continually strive to improve the health of the people and communities they serve.

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

Requires a Nursing Diploma or Associate's degree and 2-5 years of experience with a valid RN license. CNOR and Certified First Assistant certifications are preferred, along with a Bachelor's degree in Nursing.

  • associate degree
  • bachelor degree
  • professional certificate
  • Patient Advocacy
  • Care Planning
  • Medication Administration
  • Patient Assessment
  • Collaboration
  • Patient Education
  • Quality Improvement
  • Perioperative Nursing
  • Clinical Evaluation
  • Nursing Diagnosis
  • Intraoperative Care
  • Surgical First Assisting

Posting details

Employment type
Full Time
Work arrangement
On Site
Experience
2-5 yrs
Location
Creve Coeur, Missouri
Posted
Jun 25, 2026
Closes
Jun 25, 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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