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Registered Nurse - First Assist Lead

Job in St. Louis, Saint Louis, St. Louis city, Missouri, 63105, USA
Listing for: SSM Health Care St. Louis
Full Time position
Listed on 2026-06-19
Job specializations:
  • Nursing
    RN Nurse, Operating Room Nurse, Surgical Assistant, Clinical Nurse Specialist
Salary/Wage Range or Industry Benchmark: 70000 - 90000 USD Yearly USD 70000.00 90000.00 YEAR
Job Description & How to Apply Below
Location: St. Louis

Job Summary

Responsible for implementing and managing all aspects of operating room related to a designated specialty for clinical and administrative processes, including development and implementation of clinical and programmatic policies and procedures, input into operational and educational budgets, education and training and process improvement.

Responsibilities

Assumes day to day accountability for the delivery of quality services for designated specialty operating room. Evaluates care and ensures it is carried out in accordance with regulatory, accrediting and professional practice standards, policies and procedures. Facilitates interdisciplinary relationships to support improvements in care delivery, patient, staff and physician satisfaction. Provides designated specialty operating room clinical oversight through development, implementation and maintenance of specialty policies and procedures, develops and oversees specialty surgery training programs for staff and maintains patient care standards of practice.

Manages the activities of professional, clinical, technical and support staff. Facilitates the training, continuing education of staff members in the specialty operating room. Provides direction and support to staff to ensure effectiveness and efficiency. Trains, develops and evaluates staff. Ensures that processes and services are continuously monitored for quality, cost effectiveness and efficiency. Leads process and quality improvement activities for the specialty operating room.

Provides service excellence to customers by delivering timely, high‑quality care in a courteous and respectful manner and incorporates all customer‑service standards in patient care and work practices. Provides cost‑effective services through recommended practice changes that increase efficiency, minimize waste, and appropriately use supplies, equipment and instruments, reducing turnover time and minimizing overtime. Demonstrates accountability for professional practices through additional learning experiences to increase competency, functioning as a resource to colleagues, patients/families and providers.

Performs in the circulating, scrub or RNFA role as assigned. Applies the existing body of evidence‑based practice and scientific knowledge in health care to nursing practice, ensuring that care is delivered based on patient age‑specific and clinical needs as described in the department’s scope of service. Works in a constant state of alertness and safety. Performs other duties as assigned.

Education

Completion of an RNFA program that meets the AORN standards for RN first assistant education program or RNFA education equivalency for CRNFA.

Experience

Two years’ registered nurse experience in an advanced surgical specialty.

Physical Requirements

Constant use of speech to share information through oral communication. Constant standing and walking. Frequent lifting/carrying and pushing/pulling objects weighing 0‑25 lbs. Frequent sitting, reaching and keyboard use/data entry. Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors. Frequent use of smell to detect/recognize odors.

Frequent use of hearing to receive oral communication, distinguish body sounds and/or hear alarms, malfunctioning machinery, etc. Occasional lifting/carrying and pushing/pulling objects weighing 25‑50 lbs. Occasional lifting/moving of patients. Occasional bending, stooping, kneeling, squatting, twisting, gripping and repetitive foot/leg and hand/arm movements. Occasional driving. Rare crawling and running.

Required Professional Licenses and Certifications

State of work location:
Missouri. Basic Life Support Health Care Provider (BLS HCP) – American Heart Association (AHA). Registered Nurse (RN) issued by Compact State or Registered Nurse (RN) – Missouri Division of Professional Registration. Certified Perioperative Nurse (CNOR) – Competency & Credentialing Institute (CCI).

Work Shift

Day Shift (United States of America).

Job Type

Employee. Department:  Surgery.

Benefits

SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. Paid parental leave: one week of paid parental leave for newborns or newly adopted children (prorated based on FTE). Flexible payment options: voluntary benefit offered through Daily Pay provides eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.

Upfront tuition coverage: upfront tuition coverage through Flex Path funded for eligible team members.

EEO Statement

SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law.

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