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Registered Nurse First Assistant; RNFA

Job in Keene, Cheshire County, New Hampshire, 03431, USA
Listing for: Dartmouth-Hitchcock
Full Time position
Listed on 2026-01-24
Job specializations:
  • Nursing
    RN Nurse, Surgical Assistant, Operating Room Nurse, Nurse Practitioner
Salary/Wage Range or Industry Benchmark: 48.83 - 68.59 USD Hourly USD 48.83 68.59 HOUR
Job Description & How to Apply Below
Position: Registered Nurse First Assistant, (RNFA)

May be Eligible for up to a $10,000 Sign‑On Bonus

4 Ten‑Hour Shifts

The RNFA is under the direct supervision and direction of the operating surgeon during the assisting phase, and until the conclusion of the operative procedure and does not concurrently function as a scrub nurse. Responsibilities include performing Staff Registered Nurse duties as required, performing preoperative and postoperative patient assessment, recognizing safety hazards and initiating appropriate corrective action, and applying principles of asepsis and infection control skillfully.

Some highlights of working as an RNFA in the Cheshire OR are:

Robotic Surgery,Laparoscopic Surgery,Total Joint Replacements,Sports Medicine Surgery.

Other service lines include: GYN, General Surgery, Urology, ENT, Ortho, Podiatry.

This position offers the opportunity to have autonomy in the RNFA role, working closely with the attending surgeon.

Must be a graduate of an accredited school of nursing. Must have a current New Hampshire Registered Nurse license. Certification in Operating Room Nursing (CNOR) required. Completion of accredited course in RN First Assisting required. Proficiency in perioperative nursing practice as both scrub and circulating nurse for at least three years. BLS – Within 3 months of hire and maintained on a biannual basis.

ACLS, CNOR required.

As the largest private employer in the state of New Hampshire, Dartmouth Health provides employees of Cheshire Medical Center with an impressive array of benefits.

Did you know we offer:

  • Benefits Eligible on Day One
  • We have RN loan repayment up to $20,000.
  • We offer up to $3,000 in tuition reimbursement each year.
  • We have a very popular “earned time” plan.
  • We have extensive CEU/Training programs.
  • And more!

Close to everything and something for everyone!

  • No sales or state income tax in NH
  • Keene is a vibrant college town
  • A half‑hour drive to Vermont and Massachusetts
  • An easy two‑hour drive to Boston
  • Only four hours to Montreal, Canada
  • You can easily catch the train from Brattleboro, VT to Penn Station, NYC
  • An easy drive to the White Mountains of New Hampshire, the Green Mountains of Vermont, or the seacoast of Maine, New Hampshire, and the beaches of Massachusetts.

About Cheshire Medical Center in Keene, NH

Cheshire Medical Center, a member of the world‑class Dartmouth Health system, advances the health and wellness of the communities throughout the Monadnock Region through a combination of outstanding care and exceptional service. On our Keene campus, our team delivers an impressive range of clinical services that reflect the needs of the individuals and communities we serve. Being part of the Dartmouth Health family enables us to provide services that far exceed those of a typical rural hospital, including extensive programs in primary care, cancer care, cardiology, orthopedics, and public health.

  • Area of Interest: Nursing;
  • Pay Range: $48.83 – $68.59;
  • Work Status: Monday – Friday 6:45 am – 5:15 pm 4 10‑hour shifts ;
  • Employment Type: Full‑time 40 hours/week;
  • Job : 16304

Dartmouth Health is an Affirmpventional Action and Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.

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