Registered Nurse - First Assist; RNFA
Listed on 2026-07-07
-
Nursing
RN Nurse, Operating Room Nurse, Surgical Assistant, Advanced Practice Nurse/APRN
Location: St. Louis
Overview
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 at Barnes Jewish West County Hospital provide excellent surgical care by partnering with an extraordinary team of physicians and health‑care professionals. They are able to offer the comforts of a small community hospital combined with the resources of the world‑renowned BJC Health Care System and Washington University Medical School. Our highly educated and dedicated staff continually strive to improve the health of the people and communities they serve.
RolePurpose
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 the planned procedure. Analyzes the assessment data to determine nursing diagnosis. Identifies and communicates desired patient outcomes throughout the peri‑operative 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 interventions of the RNFA. Implements, manages, and coordinates the peri‑operative plan of care related to RNFA interventions. Evaluates patient progress toward attaining outcomes. Systematically evaluates the 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, including 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.
- Education: Nursing Diploma/Associate's or Nursing
- Experience: 2–5 years
- Supervisor
Experience:
No Experience - Licenses &
Certifications:
RN
- Education: Bachelor’s Degree in Nursing
- Licenses &
Certifications:
Certified First Assistant;
Cert Nurse OR (CNOR); CERTIFIED RN FIRST ASSIST
BJC Total Rewards are designed to provide comprehensive benefits and resources to help you and your family manage physical, emotional, social and financial well‑being.
- Comprehensive medical, dental, vision, life insurance and legal services available from the 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 the 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
Not all benefits apply to all jobs
Equal Opportunity Employer
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