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  3. RN, First Assistant (Part Time, Day Shift)
AH

RN, First Assistant (Part Time, Day Shift)

Adventist Health·Bakersfield, California

$63 - $86/hr·Full Time·On Site·2-5 yrs·Posted 18 days ago
Practice for this role

About the role

Coordinates overall patient care in the Operating Room and functions as a first assistant during surgical incisions, excisions, and repairs. Performs circulating and scrubbing duties while maintaining a safe, aseptic environment for the patient.

$5,000 Sign-On Incentive for eligible rehires and external hires that meet required qualifications and conditions for payment. Candidates must have at least one year of experience in the specialty for which they are being hired.

Central to all that California has to offer, Adventist Health Bakersfield has been providing an extraordinary team of world-class physicians, top-notch medical technology, caring professionals and award-winning quality since 1910. We are comprised of a 254-bed acute care hospital and 20 primary and specialty care medical offices. As one of America's fastest growing cities, Bakersfield offers affordable housing on the West Coast, beautiful weather, high-quality education and it is just a few hours away from Yosemite and Sequoia National Parks, the Central California Coast and Southern California's great sports, theaters, concerts and amusement parks.

Job Summary

Organizes and facilitates the patient while in the Operating Room (OR).

Coordinates the overall care of patient between surgeon, anesthesiologist and room staff.

Functions as a first assistant during surgical incision, excision, and repair of pathology throughout the perioperative period on procedures for which privileges have been granted.

Participates in preoperative assessment and planning for selected surgical patients in collaboration with the healthcare team members in the preoperative location.

Regularly demonstrates subject matter expertise regarding medication, treatment and patient care standards.

Job Requirements

Education and Work Experience

  • Completion of an
  • RNFA program that meets
  • AORN standards: Required
  • Two years' perioperative nursing experience: Preferred

Licenses/Certifications

  • Registered
  • Nurse (RN) licensure in the state of practice: Required
  • Certified Registered
  • Nurse
  • First
  • Assistant (CRNFA) certification in the state of practice: Preferred
  • Cardiopulmonary Resuscitation (CPR) certification or Basic
  • Life
  • Support (BLS) certification from approved vendor per
  • AH policy: Required
  • Certified
  • Nurse
  • Operating
  • Room (CNOR) certification: Required
  • Pediatric Emergency Assessment, Recognition and Status (PEARS)/Pediatric Advanced
  • Life
  • Support (PALS) certification from approved vendor per
  • AH policy: Preferred
  • Association of perioperative
  • Registered
  • Nurses (AORN) membership: Preferred

Facility Specific License/Certifications

  • Basic
  • Life
  • Support (BLS) certification from approved vendor per
  • AH policy: Required
  • AHA-ACLS or
  • ARC-ALS: Required

Essential Functions

Performs circulating and scrubbing duties. Verbally confirms surgical site/side before induction of anesthesia. Accurately performs all sponge, needle, sharp and instrument counts at appropriate time and according to department policy. Handles and dissects tissues in collaboration with the surgeon. Clamps blood vessels, coagulates bleeding points, ligates vessels, and performs other procedures in collaboration with the surgeon. Sutures muscle, fascia, subcutaneous, and skin tissue in collaboration with the surgeon. Places drains as surgically indicated. Assists with cannulation and decannulation procedures, if indicated.

Assists with transferring the patient to and from the operating room, positioning, prepping and draping. Provides patient with safe and aseptic environment by applying the principles of aseptic technique. Takes corrective action to rectify breaks in aseptic technique. Inspects sterile items before opening and maintains sterility of items during delivery to sterile field. Obtains and interprets patient data to determine appropriate diagnostic and therapeutic procedures, as needed. Develops and implements action plan for practice changes to enhance patient outcomes.

Maintains appropriate traffic patterns and personnel around the sterile field. Applies appropriate methods and parameters of sterilization/disinfection. Observes for general cleanliness of the Operating Room and takes appropriate action to amend, as necessary. Prepares instruments according to physician preference and scheduled procedure. Utilizes specific knowledge and skills in a surgical environment to assist the surgeon. Works under minimal supervision.

Documents relevant data, including but not limited to nursing diagnoses, patient's plan of care, intervention and response, and discharge plan. Mentors, develops, inspires, educates and leads staff members in patient care setting. Enhances efficiency and cost effectiveness by identifying opportunities to decrease costs, as applicable to the job.

Performs other job-related duties as assigned.

Organizational Requirements

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.

Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.

Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.

Benefits

  • Sign-On Incentive
  • Comprehensive Benefits Program

Posting details

Employment type
Full Time
Work arrangement
On Site
Experience
2-5 yrs
Salary
$63 - $86/hr
Location
Bakersfield, California
Posted
Jul 9, 2026
Application
Employer website
AH

Hiring organization

Adventist Health

Adventist Health Central Coast (formerly Tenet Health Central Coast) is proud to serve the Central Coast of California. We offer care through two acute care hospitals, two imaging centers and an expansive primary and specialty care network.

Salary listed on 1,077 jobs
IndustryHospitals and Health Care
TypePrivately Held
Size501-1,000 employees
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Market context

California nursing roles remain highly competitive

California nursing roles often draw steady demand, especially for experienced RNs in procedural and critical care settings. Competition is strongest for candidates who already hold a California RN license, current BLS and ACLS, and recent ICU, ER, or PACU experience. Review the AI-summarized requirements and benefits on this platform to save research time, then confirm your certifications and highlight relevant bedside and procedural experience in your application.

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