Registered Nurse First Assist Senior

Additional Information About the Role

• Outpatient Surgery Center – Sunset Hills
• Senior RNFA
• New surgery center will open 10/9/2026
• Staff training will begin 6—8 weeks prior to opening date
• Clinic hours 7:30 AM–5:00 PM
• 4/10 hour shifts Monday‑Friday
• 5 ORs and 4 GI procedure rooms
• Types of cases:
  • orthopaedics: hands, total hips/knees, sports medicine, shoulders
  • robotic MIS orthopaedics
  • ENT, otolaryngology, podiatry and scopes
• No call, holidays or weekends
• Bonus eligible
• Comprehensive benefits

The BJC RN Career Ladder differentiates BJC as the place for nurses to work in the greater St. Louis area. This is a tool to empower nurses to work at the top of their license and own their career progression. The BJC RN Career Ladder promotes professional development, leadership, collaboration, education and service excellence and gives staff the opportunity to continue doing what they do best – caring for patients – while having the opportunity to advance to the next step in their career.

Moves to higher ladder levels will result in a percentage increase of current pay that aligns with the new job description.

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.

• 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 contributes to the overall efficiency of the peri‑operative department. Considers factors related to safety, effectiveness, efficiency, the environment, 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 lifelong 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.
• BJC has determined this is a safety‑sensitive position. The ability to work in a constant state of alertness and in a safe manner is an essential function of this job.

• Education
  • Bachelor's Degree
  • Nursing
• Experience
  • 2-5 years
• Supervisor Experience
  • No Experience
• Licenses & Certifications
  • Cert Nurse OR (CNOR)
  • RN

• Experience
  • 5-10 years
• Licenses & Certifications
  • Certified First Assistant

• Comprehensive medical, dental, vision, 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 Contribution
• 401(k) plan with BJC match
• Tuition Assistance available on first day
• BJC Institute for Learning and Development
• Health Care and Dependent Care Flexible Spending Accounts
• Paid Time Off benefit combines vacation, sick days, holidays and personal time
• Adoption assistance

* Not all benefits apply to all jobs

The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job.
Equal Opportunity Employer