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Registered Nurse First Assist

Job in St. Louis, Saint Louis, St. Louis city, Missouri, 63105, USA
Listing for: BJC HealthCare
Full Time position
Listed on 2026-01-12
Job specializations:
  • Nursing
    Surgical Assistant, Healthcare Nursing, Operating Room Nurse, Clinical Nurse Specialist
Salary/Wage Range or Industry Benchmark: 80000 - 100000 USD Yearly USD 80000.00 100000.00 YEAR
Job Description & How to Apply Below
Location: St. Louis

Additional Information About the Role

Missouri Baptist Medical Center

Registered Nurse First Assist

  • CNOR required
  • Option to work 10/12 hour shifts
  • Start time 6:30 A.M.
  • Cases-general, ortho, robotics, GYN and vascular
  • 23 operating rooms
  • Bonus eligible
  • Comprehensive benefits
  • The BJC Registered Nurse Career Ladder differentiates BJC as the place for nurses to work in the greater St. Louis area.
  • This is a tool to empower nurses to work at the top of their license and own their career progression.
  • The BJC RN Career Ladder promotes professional development, leadership, collaboration, education and service excellence and gives staff the opportunity to continue doing what they do best - caring for patients - while having the opportunity to advance to the next step in their career.
  • Moves to higher ladder levels will result in a percentage increase of current pay that aligns with the new job description.
Overview

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. This recognition has been accomplished by less than nine percent of hospitals nationwide. 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. Pre-operatively performs a focused nursing assessment in reference to planned procedure. Analyzes the assessment data to determine nursing diagnosis. Identifies and communicates desired patient outcomes throughout the perioperative 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 environments, 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 intervention(s) of the RNFA. Implements, manages, and coordinates the perioperative plan of care related to RNFA interventions. Evaluates patient progress towards attaining outcomes. Systematically evaluates 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 to include 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…
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