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First Assist RNFA

Job in St. Louis, Saint Louis, St. Louis city, Missouri, 63105, USA
Listing for: Barnes-Jewish West County Hospital
Full Time position
Listed on 2026-07-06
Job specializations:
  • Nursing
    RN Nurse, Surgical Assistant, Operating Room Nurse, Healthcare Nursing
Salary/Wage Range or Industry Benchmark: 65000 - 85000 USD Yearly USD 65000.00 85000.00 YEAR
Job Description & How to Apply Below
Location: St. Louis

Job Description

Barnes-Jewish West County Hospital offers highly specialized surgical and medical services in an intimate environment and is known for outstanding patient care. With 64 private patient rooms, 14 operating rooms, and four intensive care unit rooms, the facility was designed to provide a comforting environment that is innovative, efficient, and centered on the patient experience. The campus features a park‑like setting with landscaping and a walking path that winds through the grounds and connects to Millennium Park.

The Perioperative Services staff provide excellent surgical care by partnering with an extraordinary team of physicians and health‑care professionals.

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 and collaborates with the perioperative team 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 assessment data to determine nursing diagnosis, and identifies desired patient outcomes.
  • 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 and coordinates perioperative plan of care.
  • Evaluates patient progress towards attaining outcomes and systematically evaluates quality of nursing practice.
  • Contributes to professional growth of peers and integrates knowledge, skills, and experiences to meet patient and family needs throughout the continuum.
  • Incorporates research findings into practice, advocates for individuals and groups related to perioperative health safety, and provides leadership in the profession.
Minimum Requirements
  • Education:

    Nursing Diploma/Associate's
    - Nursing
  • Experience:

    2‑5 years nursing experience
  • Supervisor

    Experience:

    No experience
  • Licenses &

    Certifications:

    RN
Preferred Requirements
  • Education:

    Bachelor's Degree
    - Nursing
  • Licenses &

    Certifications:

    Certified Nurse OR (CNOR), Certified RN First Assist
Benefits
  • Comprehensive medical, dental, vision, life insurance, and legal services available first day of the month after hire date.
  • Disability insurance paid for by BJC.
  • Pension Plan/403(b) Plan funded by BJC.
  • 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 combining vacation, sick days, holidays, and personal time.
  • Adoption assistance.

Equal Opportunity Employer. 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.

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