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Registered Nurse First Assist Senior

Job in Chesterfield, St. Louis city, Missouri, 63005, USA
Listing for: Barnes-Jewish Hospital
Full Time position
Listed on 2026-06-28
Job specializations:
  • Nursing
    Surgical Assistant, RN Nurse, Healthcare Nursing, Operating Room Nurse
Salary/Wage Range or Industry Benchmark: 75000 - 90000 USD Yearly USD 75000.00 90000.00 YEAR
Job Description & How to Apply Below
Location: Chesterfield

Senior RNFA

Outpatient Surgery Center – Sunset Hills

Staff training will begin 6‑8 weeks prior to opening date. The new surgery center will open on 10/9/2026. Clinic hours are 7:30 AM‑5:00 PM with 4‑10 hour shifts Monday‑Friday. There are 5 operating rooms and 4 GI procedure rooms. The position is a 4‑10 hour shift, Monday‑Friday, with no call, holidays, or weekends. Bonus eligible and comprehensive benefits offered.

Types of Cases
  • Orthopedic – hands, total hips/knees, sports medicine, shoulders
  • Robotic minimally invasive surgery (MIS) ortho
  • ENT, otolaryngology, podiatry, and scopes
Responsibilities
  • Deliver intraoperative patient care as the first assistant to the surgeon, performing pre‑operative focused nursing assessment and analyzing assessment data to determine nursing diagnosis and desired patient outcomes.
  • Function as a team member to contribute to the overall efficiency of the peri‑operative department, considering safety, effectiveness, efficiency, environment, and cost.
  • Monitor patient response and modify plan of care accordingly, administering medications per standard nursing practice.
  • Develop, manage, and coordinate an individual plan of care that directs the RNFA's interventions, evaluating patient progress toward outcomes and the quality of nursing practice.
  • Participate in professional development and lifelong learning, seeking and applying learning opportunities, evaluating practice against professional standards, and contributing to peer growth.
  • Integrate knowledge, skills, and experience to meet patient and family needs, incorporate research into practice, practice ethically, advocate for peri‑operative health safety, and provide leadership in the profession.
  • Maintain constant state of alertness and work safely as this is a safety‑sensitive position.
Minimum Requirements
  • Education:

    Bachelor’s Degree in Nursing
  • Experience:

    2–5 years
  • Licenses &

    Certifications:

    Certified Nurse OR (CNOR), Registered Nurse (RN)
Preferred Requirements
  • Experience:

    5–10 years
  • Licenses &

    Certifications:

    Certified First Assistant
Benefits
  • Comprehensive medical, dental, vision, life insurance, and legal services available first day of the month after hire date
  • Disability insurance paid by BJC
  • Annual 4% BJC automatic retirement contribution
  • 401(k) plan with BJC match
  • Tuition assistance available first day
  • BJC Institute for Learning and Development
  • Health care and dependent care flexible spending accounts
  • Paid Time Off: vacation, sick days, holidays, and personal time combined
  • Adoption assistance
  • Note:

    Not all benefits apply to all jobs.

Equal Opportunity Employer.

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Position Requirements
10+ Years work experience
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