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RNFA

Job in Saint Louis, St. Louis city, Missouri, 63101, USA
Listing for: Aya Healthcare
Full Time position
Listed on 2026-08-18
Job specializations:
  • Nursing
    Surgical Assistant, Healthcare Nursing, Operating Room Nurse, RN Nurse
Job Description & How to Apply Below

Registered Nurse First Assist Senior

Missouri Baptist Medical Center is seeking a Registered Nurse First Assist Senior. This role requires a CNOR certification and offers the option to work 10 or 12-hour shifts, with start times at 6:30A or 8:30A-9:00P. The position includes call responsibilities roughly one night and one weekend every 8-10 days. The operating room cases include general, ortho, robotics, GYN, vascular, neuro, and spine.

There are 23 operating rooms available. The rate of pay may exceed the maximum listed, and the position is bonus eligible with comprehensive benefits.

The BJC Registered Nurse Career Ladder is a tool to empower nurses to work at the top of their license and own their career progression. It promotes professional development, leadership, collaboration, education, and service excellence, giving staff the opportunity to advance their careers while caring for patients.

Missouri Baptist Medical Center, an acute care hospital in St. Louis County, offers a full continuum of medical and surgical services, including heart care, cancer, women and infants, breast health, gastrointestinal, orthopedic, stroke, therapy, wound, and pain management services. The hospital has a 24-hour adult emergency department and cares for pediatric patients at a separate emergency department in collaboration with St.

Louis Children's Hospital.

Missouri Baptist is the first and only hospital in St. Louis County to be named a Magnet hospital by the American Nurses Credentialing Center (ANCC). The prestigious designation is the highest credential a health care organization can receive for nursing excellence and quality patient care. Additionally, U.S. News & World Report ranked the hospital #2 in the St. Louis metro area.

Missouri Baptist Medical Center's Surgical Services department consists of 22 ORs which include three heart team rooms and the da Vinci robotic surgical system.

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.
  • Functions as a member of the surgical team and contribute to the overall efficiency of the peri-operative department.
  • Monitors patients response and modifies plan of care accordingly. Administers Medications according to standard nursing practice.
  • Participates in professional development and life long learning.
  • Integrates knowledge, skills, and experiences to meet the needs of patients and families throughout the continuum to include patient and family education.
  • BJC has determined this is a safety-sensitive position. The ability to work in a constant state of alertness and in a safe manner is an essential function of this job.

Minimum Requirements:

  • Education:

    Bachelor's Degree - Nursing
  • Experience:

    2-5 years
  • Supervisor

    Experience:

    No Experience
  • Licenses &

    Certifications:

    Cert Nurse OR (CNOR), RN

Preferred Requirements:

  • Experience:

    5-10 years
  • Licenses &

    Certifications:

    Certified First Assistant

BJC Total Rewards:

  • 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

To learn more, go to our Benefits Summary.

* Not all benefits apply to all jobs

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. Equal Opportunity Employer

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