Cardiac Cath Lab First Assist RN

BJC HealthCare; St. Louis (MO); On-site; USD 52,000 - 88,000; Full time

Benefits offered by this job

Sign-on bonus

Benefits eligible

Job summary

BARNES-JEWISH HOSPITAL in Saint Louis, MO, part of BJC HealthCare, seeks an RN First Assistant (RNFA) to support the Cardiac Cath Lab and perioperative team. The RNFA provides direct patient care and collaborates with surgeons during procedures in a fast-paced environment.

Requirements include RN licensure, 2–5 years perioperative experience, and RNFA certification preferred. ADN/BSN/MSN candidates are welcome; CNOR and RNFA credentials are a plus. No night/weekend/holiday shifts for some roles.

Qualifications

• RNFA role with perioperative nursing experience.
• Cardiac Cath Lab exposure preferred.
• Must live within 30 minutes of Barnes Jewish Hospital for call requirements.

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 contributes to the efficiency of the peri-operative department.
• Monitors patient response and modifies plan of care; administers medications per nursing practice.
• Participates in professional development and lifelong learning.
• Advocates for patients and families throughout the perioperative continuum.

Skills

RNFA Experience

Perioperative Nursing

Cardiac Cath Lab exposure

Education

Nursing Diploma/Associate's - Nursing

Bachelor's Degree in Nursing (BSN)

Job description

City/State: Saint Louis, Missouri

Categories: Nursing Services

Job Status: Full-Time

Req ID : 114201

Pay Range: $38.42 – $64.34 / hour (Salary or hourly rate is based on job qualifications and relevant work experience)

Additional Information About the Role

• Up to $15,000 Sign On Bonus for Eligible External Candidates
• Benefits Eligible
• 10 Hour Shifts - 7:00am-5:30pm
• No Nights/Weekends/Holidays

Additional Preferred Requirements

• Prior Operating Room or Cardiac Cath Experience Required
• Must Live within 30 Minutes of Barnes Jewish Hospital for Call Requirement
• Accept ADN/BSN/MSN Candidates
• Completed RNFA Program Preferred, but not Required

Barnes-Jewish Plaza Tower | Barnes-Jewish Hospital (barnesjewish.org) (https://www.barnesjewish.org/Patients-Visitors/Locations-Directions/Barnes-Jewish-Plaza-Tower)

Best Hospitals in America - US News Ranking - Barnes-Jewish Hospital (barnesjewish.org)

Overview

Barnes-Jewish Hospital at Washington University Medical Center is the largest hospital in Missouri and is ranked as one of the nation's top hospitals by U.S. News & World Report. Barnes-Jewish Hospital's staff is composed of full-time academic faculty and community physicians of Washington University School of Medicine, supported by a house staff of residents, interns, fellows and other medical professionals. Recognizing its excellence in nursing care, Barnes-Jewish Hospital was the first adult hospital in Missouri to be certified as a Magnet Hospital by the American Nurses Credentialing Center.

The Cardiac Cath Lab, a division of the Cardiovascular Procedure Center at Barnes-Jewish Hospital, is on the leading edge of technology. Patients have been among the first to benefit from advanced angioplasty techniques, valvuloplasty and percutaneous valve replacements. The Cardiac Cath Lab has a 97% success rate in acute interventional cases and a current rate of 100% of STEMI patients receiving emergency percutaneous cardiac intervention within 90 minutes. The Staff Nurse (RN) is an integral part of the patient care team using critical thinking skills, clinical expertise and critical care skills to continually assess the patients' hemodynamic, neurologic and respiratory response to the varied procedures performed in the lab. The Staff Nurse (RN) is responsible for administering conscious sedation to patients during these procedures as well continually assessing their level of sedation and managing their airway. The Staff Nurse (RN) always puts the patients needs first by being a patient advocate in all aspects of care.

Preferred Qualifications

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 contribute 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 life long 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 practice setting.

Minimum Requirements

Education

• Nursing Diploma/Associate's - Nursing

Experience

• 2-5 years

Supervisor Experience

• No Experience

Licenses & Certifications

• RN

Preferred Requirements

Education

• Bachelor's Degree - Nursing

Licenses & Certifications

• Certified First Assistant
• Cert Nurse OR (CNOR)
• CERTIFIED RN FIRST ASSIST

Benefits and Legal Statement

BJC Total Rewards

At BJC we’re committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being.

• Comprehensive medical, dental, vison, 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 (https://assets.jibecdn.com/prod/bjc/0.0.331/assets/2026%20Benefits%20Summary_Final.pdf).

*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