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RN First Assistant; RNFA; Surgical Services; PRN

Job in Northern, Floyd County, Kentucky, USA
Listing for: BJC HealthCare (New)
Full Time, Per diem position
Listed on 2026-10-03
Job specializations:
  • Nursing
    Healthcare Nursing, Surgical Assistant, Operating Room Nurse, RN Nurse
Salary/Wage Range or Industry Benchmark: 70000 - 100000 USD Yearly USD 70000.00 100000.00 YEAR
Job Description & How to Apply Below
Additional Information About the Role
  • PRN
  • This is a perioperative registered nurse who functions as the surgeon's first assistant during surgical procedures.
Overview

As part of BJC Health Care,
Parkland Health Center offers a unique combination of world-class medicine along with the deep local roots and rich history of its three predecessors – Bonne Terre Hospital (opened in 1911), Mineral Area Regional Medical Center (1952), and Farmington Community Hospital (1969).
Parkland Health Center has two locations in St. Francois County, Missouri – a full-service acute care hospital in Farmington as well as a rural emergency hospital in Bonne Terre.
Parkland Health Center provides quality primary and secondary level inpatient and outpatient services to the people of St. Francois County and surrounding areas in southeastern Missouri.

In addition, Parkland’s Farmington campus offers a full continuum of inpatient and medical-surgical and intensive care, obstetrics and emergency services, along with a wide variety of outpatient services including oncology services, an infusion center, a wound care clinic, and the Huckstep Heart and Lung Center. Bonne Terre is a Rural Emergency Hospital providing emergency services and outpatient services including medical observation, lab, radiology, and sleep study.

The Surgical Services Department provides pre-op and post-op inpatient care to those patients undergoing specialty surgical procedures in the areas of abdominal solid organ transplant, vascular surgery, hepatobiliary, trauma, ear-nose and throat, and orthopedic procedures.

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…
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