Registered Nurse First Assist
Listed on 2026-10-18
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Nursing
Operating Room Nurse, Surgical Assistant, RN Nurse
Join our surgical team as a Registered Nurse First Assistant (RNFA) and play an essential role in providing safe, high-quality care throughout the perioperative experience. Working alongside surgeons and the interdisciplinary surgical team, the RNFA provides advanced clinical support during operative procedures while helping ensure exceptional patient outcomes.
This role is ideal for an experienced perioperative nurse who thrives in the operating room, values teamwork, and is ready to use advanced surgical skills in a highly collaborative environment.
Why Nurses Choose This Role- Work directly alongside surgeons as an integral member of the surgical team
- Utilize advanced perioperative and first-assisting skills
- Participate in a variety of surgical procedures and specialties
- Collaborate closely with surgeons, anesthesia providers, nurses, and other clinical professionals
- Make a direct impact on patient safety and surgical outcomes
- Work in a team-focused environment committed to quality and excellence
Facility:
Kernersville Medical Center |
Location:
Kernersville, NC | Position Type:
Full-Time |
Work Schedule:
Monday-Friday, 6:45 AM-3:15 PM, Day Shift
As a Registered Nurse First Assistant, you will provide direct assistance to the surgeon throughout operative procedures while supporting safe and effective perioperative care. Responsibilities may include:
- Assist the surgeon during operative and invasive procedures within the RNFA scope of practice
- Provide surgical exposure through appropriate use of instruments, retractors, and other techniques
- Assist with tissue handling, hemostasis, suturing, wound closure, and other surgical techniques as permitted by scope of practice and organizational policy
- Perform preoperative patient assessments and contribute to the development of the perioperative plan of care
- Anticipate the needs of the surgeon and surgical team throughout procedures
- Collaborate with surgeons, anesthesia providers, perioperative nurses, surgical technologists, and other members of the interdisciplinary team
- Maintain sterile technique and promote compliance with infection-prevention and patient-safety standards
- Monitor and advocate for patient safety throughout the perioperative process
- Assist with postoperative evaluation, documentation, and continuity of care as appropriate
- Follow established clinical standards, policies, procedures, and regulatory requirements
- Education:
4 Year / Bachelors Degree, required. Graduate of an accredited school of nursing program; B.S. in Nursing or related field preferred. - Experience:
Two years, required. Perioperative RN experience. - Licensure/Certification:
- Current RN licensure in appropriate state.
- CNOR through the Certification Board of Perioperative Nursing, required.
- Completion of Novant Health's credentialing process, required.
- Advanced Cardiac life Support (ACLS) certification, Pediatric Advanced Life Support (PALS) certification, preferred.
- Promote the mission, vision, and values of the organization.
- Assess patients at intervals in accordance with facility or health care organization policies and procedures.
- Participate in preoperative assessment and planning for surgical patients specific to RNFA activities (eg, anatomical exposure, wound closure) in collaboration with perioperative team members.
- Develop an individualized perioperative patient plan of care.
- Implement the plan of care by:
- protecting the patient from injury caused by extraneous objects and chemical, electrical, laser, mechanical, and thermal sources.
- participating in accounting procedures to protect the patient from unintended retained surgical items.
- performing interventions necessary to ensure that the patient’s…
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