Registered Nurse First Assistant; RNFA - Ambulatory Surgery Center PRN

Coming Soon to Chesterfield! Located at 10031 Nash Road, VCU Health Chesterfield Pavilion will be a four-story, approximately 100,000-square-foot ambulatory surgery center and medical office building, bringing comprehensive, patient-centered outpatient care closer to residents in one of Virginia's largest counties. Scheduled to open in April 2027, the state-of-the-art facility will bring together surgical services, diagnostics, infusion therapy, pharmacy services, innovative care models, and more in a single, convenient location for Chesterfield residents.

We are hiring team members now to help build the future of outpatient care from the ground up in one of Virginia's fastest-growing communities.

The Registered Nurse First Assistant (RNFA) supports surgical procedures recognized by the attending surgeon as appropriate for the RNFA to participate in by demonstrating competence through knowledge, experience, and skills. The RN practices in the role of the first assistant when a physician (attending or resident) is unable to assist the attending surgeon in a particular procedure due to availability or location.

The Registered Nurse First Assist job demonstrates a high level of expertise in the assessment, diagnosis, and treatment of the complex patients and their responses to actual or potential health problems. This role assists the health care team with the prevention of illness and injury, maintenance of wellness, and provision of comfort. This role provides direction, education, and leadership.

This role delivers and accurately documents direct, age‑specific care to a patient or group of patients based on medical orders and an integrated, multidisciplinary plan of care. This role safely administers prescribed medications, identifying incompatibilities and or interactions.

The RNFA carries out functions that will assist the surgeon in performing a safe surgical procedure with optimal results for the patient. Establish and maintain a surgically clean environment to reduce the potential for infection by applying the principles of antisepsis, decontamination, disinfection, sanitation, sterilization and environmental monitoring.

The Registered Nurse First Assist demonstrates competent use of the nursing process as a problem‑solving model in performance of job duties as evidenced by:
Demonstrates expertise in nursing process by drawing from depth and scope of knowledge and experience. Anticipates the continuum of illness and implements unique and creative approaches to meeting individualized patient and family needs. Consistently effective in ensuring positive change even in the most challenging patients. Critically evaluates own decision‑making and judgment.

The Registered Nurse First Assist develops and maintains a therapeutic nurse/patient relationship throughout the health care continuum. Respect for patients' rights is an integral part of the nurse/patient relationship as reflected in our values statement as evidenced by:
Utilizes and fosters expert communication techniques with patient/family and others. Utilizes interventions to optimize comfort based on experience, evidence‑based practice findings, external resources, interdisciplinary collaboration and or consultations. Anticipates patient/family needs throughout the health care continuum. Takes a leadership role in empowering patient/families to adapt to a changing health status. Demonstrates and creates a climate of valuing holistic and non‑judgmental care.

Challenges and adapts systems to optimize best outcomes for patient/family care.

The Registered Nurse First Assist demonstrates a commitment to meeting the learning needs of patients and families as evidenced by:
Works collaboratively to develop and/or implement teaching strategies to meet the learning needs of patients, families, or staff. Takes leadership role in the education of others at the unit level and beyond. Is recognized by colleagues as an educational resource in area of clinical expertise.

The Registered Nurse First Assist demonstrates respect and understanding…