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Registered Nurse; RN - First Assist

Job in Chesterfield, St. Louis city, Missouri, 63005, USA
Listing for: BJC HealthCare
Full Time position
Listed on 2026-07-04
Job specializations:
  • Nursing
    RN Nurse, Operating Room Nurse, Surgical Assistant, Advanced Practice Nurse/APRN
Salary/Wage Range or Industry Benchmark: 44 - 73 USD Hourly USD 44.00 73.00 HOUR
Job Description & How to Apply Below
Position: Registered Nurse (RN) - First Assist - $44-73 per hour
Location: Chesterfield

Overview

Registered Nurse (RN) First Assist – Senior – Ongoing staff position in an outpatient surgery center. The RNFA works as a first assistant to surgeons, providing direct patient care in the operating room and collaborating with the perioperative team.

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 related to the planned procedure and analyzes assessment data to determine nursing diagnosis.
  • Identifies and communicates desired patient outcomes throughout the perioperative continuum.
  • Monitors patients’ response and modifies plan of care accordingly.
  • Administers medications according to standard nursing practice and manages an individual plan of care that directs RNFA interventions.
  • Implements, manages, and coordinates the perioperative plan of care related to RNFA interventions and evaluates patient progress toward attaining outcomes.
  • Supports professional development and lifelong learning, seeking out learning opportunities and evaluating practice against current professional standards.
  • Integrates knowledge, skills, and experiences to meet the needs of patients and families, providing education and incorporating research findings into practice.
  • Practices ethically, advocates for perioperative health safety, and provides leadership within the profession and the practice setting.
  • Maintains a constant state of alertness and works safely in a safety‑sensitive environment.
Minimum Requirements
  • Bachelor’s Degree in Nursing.
  • 2‑5 years of RN experience.
  • Certified Nurse OR (CNOR) or RN credential.
Preferred Requirements
  • 5‑10 years of nursing experience.
  • Certified First Assistant certification.
Licenses & Certifications
  • Certified Nurse OR (CNOR)
  • Registered Nurse (RN)
  • Certified First Assistant (preferred)
Benefits & Legal Statement

BJC offers comprehensive benefits starting on the first day of the month after hire, including medical, dental, vision, life insurance, and legal services. Additional benefits include disability insurance, a 4% automatic retirement contribution, a 401(k) plan with BJC match, tuition assistance, flexible spending accounts, paid time off, and adoption assistance. For full details, refer to the BJC Benefits Summary.

Equal Opportunity Employer.

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