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RN First Assist

Job in St. Louis, Saint Louis, St. Louis city, Missouri, 63105, USA
Listing for: Christian Hospital and Northwest HealthCare
Full Time position
Listed on 2026-01-07
Job specializations:
  • Nursing
    Healthcare Nursing, Surgical Assistant
Salary/Wage Range or Industry Benchmark: 38.42 - 63.33 USD Hourly USD 38.42 63.33 HOUR
Job Description & How to Apply Below
Position: RN First Assist- OR
Location: St. Louis

Paid range: $38.42/hr - $63.33/hr your actual pay will be based on your skills and experience. Talk with your recruiter to learn more.

Overview

Christian Hospital has been serving St. Louis and the surrounding metro areas since 1903. U.S. News & World Report ranks Christian Hospital No. 5 in St. Louis for overall clinical excellence and No. 9 in Missouri, putting us in the top 6% of all hospitals in the state! The U.S. News adult methodology ranks clinical specialties and rates common care procedures and conditions.

Christian was nationally ranked as "High performing" in the clinical specialty of geriatrics and in the following seven of 21 common procedures and conditions: heart attack, heart failure, kidney failure, diabetes, COPD, pneumonia and stroke. High performing in a specialty means we were in the top 10% nationally of all evaluated hospitals for that specialty or procedure and condition. Northwest Health Care, six miles west of Christian, offers 24‑hour emergency care, the Sleep Disorders Center and a variety of outpatient diagnostic and imaging services.

Contracted services provide assistance to the Surgeon in the Operating Room. Part of the Surgical team, the Surgical Assistant has accepted responsibilities to work as a team member in the operating room.

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 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.
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
  • 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

Equal Opportunity Employer

Seniority level

Entry level

Employment type

Full‑time

Job function

Health Care Provider

Industries

Hospitals and Health Care

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