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RN 1st Assist

Job in Elizabeth, Union County, New Jersey, 07215, USA
Listing for: RWJBarnabas Health
Full Time position
Listed on 2026-11-02
Job specializations:
  • Nursing
    RN Nurse, Operating Room Nurse, Surgical Assistant
Salary/Wage Range or Industry Benchmark: 125000 - 162600 USD Yearly USD 125000.00 162600.00 YEAR
Job Description & How to Apply Below
Position: RN 1st Assist - FT Days

Job Title:

RN 1st Assist

Location:

WILLIAMSON STREET

Department Name:
Operating Room

Req #:

Status:
Salaried

Shift: Day

Pay Range: $ - $ per year

Pay Transparency:

The above reflects the anticipated annual salary range for this position if hired to work in New Jersey.

The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience.

Required
  • Minimum 2 years of Operating Room Experience
  • BSN
  • Certifications and Licenses

    Required:
  • NJ RN License
  • BLS
  • ACLS
  • CNOR
Preferred

Description:

The RNFA is a registered professional nurse who has completed an approved RNFA course and functions as a first assistant during surgical procedures in order to assist the surgeon,

The RNFA is directly supervised by the surgeon, and performs functions specifically identified and consistent with training received,

Works in collaboration with the surgeon and health care team to achieve optimal patient outcomes,

Practices at the direction of the surgeon and does not concurrently function as a scrub person,

Essential Functions:
  • Provides primary surgical assistance to the surgeon during the operative procedure,
  • Performing preoperative assessments, reviewing patient history, and conducting physical exams
  • Positioning the patient, prepping the surgical site, and ensuring all necessary equipment and supplies are ready
  • Educating patients and their families about the surgical procedure and aftercare
  • Manipulating instruments, providing exposure to the operative site, and handling and/or cutting tissue
  • Controlling bleeding through methods like electrocautery, ligating vessels, or using sutures
  • Suturing subcutaneous tissue and skin
  • Ensuring the sterile field is not compromised
  • Continuously monitoring the patient's vital signs and responding to complications
  • Applying surgical dressings and closing incisions
  • Conducting post-operative assessments to monitor for pain and complications
  • Assisting with the transfer of the patient from the operating room and providing initial care
  • Assisting with room turnover to prepare for the next surgery
  • Working closely with the entire surgical team, including surgeons and other nurses
  • Completing all required charting and documentationli>
  • Being prepared to perform life‑saving measures like CPR if necessary
  • Perform Circulator and Scrub duties as needed
  • Maintains knowledge of Infection Control & OSHA standards of practice,
  • Knowledge of centers Policies & Procedures,
  • Other duties as assigned include inventory/expiration validation/stocking,
  • Participate in On-Call Coverage
Qualities:
  • Excellent assessment and clinical skills
  • Strong attention to detail
  • Ability to multitask and prioritize effectively
  • Compassionate and patient‑centric approach
  • Team‑oriented and collaborative mindset
  • Collaboration‑Build strong working relationships within the multidisciplinary healthcare team to achieve common goals and enhance patient outcomes
  • Flexibility to work based on the departmental needs
  • Proficiency in monitoring and operating medical equipment
  • Good problem‑solving and critical‑thinking abilities
  • Ability to learn and implement High Reliability principles into everyday practice
  • Mentorship
    - Guide and inspire team members, fostering their growth and ensuring high standards of care
  • Delegation
    - Assign tasks appropriately to team members to optimize efficiency and leverage individual strengths
  • Advocacy
    - Act on behalf of patients and staff, ensuring their needs and rights are met
  • Time Management and Prioritization
    - Juggle multiple responsibilities, prioritize urgent demands, and maintain a steady workflow to prevent staff burnout
  • Team Leadership
    - Ability to motivate, manage, and lead clinical and support staff to achieve departmental goals
  • In‑depth knowledge of surgical operation procedures
  • Extensive knowledge of aseptic and sterile techniques
  • Ability to collaborate with surgeons and other healthcare professionals
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