Registered Nurse - First Assist

Baptist Health Care; Pensacola (FL); On-site; USD 90,000 - 120,000; Part time

Job summary

Baptist Health Care in Pensacola, FL, is seeking a credentialed RN First Assist (RNFA) to join our perioperative team. The RNFA will circulate and provide first assist duties under surgeon supervision, ensuring safe, efficient operative care and adherence to regulatory standards.

The successful candidate will have OR experience, Florida RN licensure or eligible compact state, BLS, and RNFA certification, with the ability to coordinate with surgical and anesthesia teams and support instrument and

Qualifications

• Licensure as a Florida-licensed Registered Nurse or eligible compact state
• Current BLS for Healthcare Providers
• Certified RN First Assistant (RNFA) certificate

Responsibilities

• Performs circulating RN role by assessing and coordinating perioperative care
• Implements RNFA duties including retraction, tissue handling, hemostasis and suturing
• Maintains sterile environment and aseptic techniques
• Assists with patient positioning and prepping during surgery
• Ensures equipment and supplies readiness and availability
• Collaborates with surgical and anesthesia teams to optimize procedural flow

Skills

OR experience

RN First Assist

Scrub and circulating

Critical thinking

Communication skills

Education

Technical Diploma/Certificate Nursing

Associates Degree Nursing

Bachelor's Degree Nursing

Job description

The Registered Nurse – First Assist (RNFA) is a credentialed perioperative nurse who primarily functions as the circulating RN, while also providing First Assist duties during surgical procedures within the scope of RNFA training, certification, and competency. The RNFA supports the surgeon by performing advanced technical skills—including retraction, suturing, hemostasis, and tissue handling—under the supervision of and in collaboration with the operating surgeon, who remains immediately available within the facility. The RNFA provides comprehensive perioperative nursing care using the nursing process and ensures compliance with clinical, safety, and regulatory standards. The role promotes teamwork, contributes to case readiness, and manages equipment and supplies to ensure safe, efficient operative care.

Responsibilities

• Performs the circulating RN role by assessing, planning, coordinating, and implementing care throughout all phases of the perioperative experience.
• Assesses and diagnoses patient/family needs to develop and communicate individualized care plans in collaboration with the surgical and anesthesia teams.
• Implements nursing and medical interventions needed to support the patient during surgery, including patient positioning, prepping assistance, and safety verification processes.
• Performs RN First Assist functions as trained and credentialed, including: retraction, tissue handling, hemostasis, exposure, suturing, closure, insertion of drains, and assisting with operative instrumentation and techniques.
• Maintains a surgically safe and sterile environment, practicing aseptic technique and monitoring the sterile field to reduce risk of infection.
• Anticipates surgeon and OR team needs, facilitates procedural flow, and coordinates support services during surgery.
• Evaluates patient response to interventions, reassesses the plan of care, and documents nursing interventions and surgical assistance in the electronic medical record.
• Ensures availability and functionality of supplies, equipment, and surgical instruments, identifying needs proactively to support safe operative workflow.
• Maintains current licensure, RNFA certification, and clinical competencies applicable to both circulating RN and RNFA duties.
• Supports regulatory compliance by following departmental, facility, CMS, ACHA, and infection‑prevention standards.
• Promotes teamwork and communication across perioperative services, anesthesia, surgeons, and support departments.
• May act as charge nurse during on‑call, holiday, or assigned shifts, supporting staffing coordination, safety oversight, and unit leadership needs.

Qualifications

• Technical Diploma/Certificate Nursing Required or
• Associates Degree Nursing Required
• Bachelor's Degree Nursing Preferred
• 3 years Operating room experience Required

Licenses and Certifications

• Registered Nurse Licensed State of Florida or eligible compact state Upon Hire Required and
• BLS for Healthcare Providers (BLS) American Heart Association Upon Hire Required
• Certified RN First Assistant (RNFA) RNFA certificate of completion from school training Upon Hire Required

Required Skills, Knowledge and Abilities

• Demonstrated proficiency in acute care nursing and perioperative clinical skills.
• Demonstrated proficiency in both scrub and circulating RN responsibilities.
• Ability to function safely and independently as an RN First Assist during assigned portions of surgery.
• Ability to stand for extended periods and maintain retraction or limb positioning.
• Strong critical‑thinking, clinical‑judgment, and communication skills.
• Must be able to return to the facility within 30 minutes during callback.
• Ability to anticipate surgeon and patient needs and respond effectively in rapidly changing environments.

About Us

Baptist Health Care is a not-for-profit health care system committed to improving the quality of life for people and communities in northwest Florida and south Alabama. The organization includesthree hospitals, four medical parks,Andrews Institute for Orthopaedic & Sports Medicine, and an extensive primary and specialty care provider network. With more than 4,000 team members, Baptist Health Care is one of the largest non-governmental employers in northwest Florida.

Baptist Health Care, Inc. is an Equal Opportunity Employer. BHC maintains and enforces a policy that prohibits discrimination against any workforce members or applicants for employment because of sex, race, age, color, disability, marital status, national origin, religion, genetic information, or other category protected by federal, state or local law. Certain positions may require a Level 2 Background check through AHCA. Additional information about this requirement can be found here: Florida Care Provider Background Screening Clearinghouse

Job Info

• Job Identification 11344
• Job Category Nursing - RN
• Posting Date 11/11/2026, 06:17 PM
• Locations 125 Baptist Way, Pensacola, FL, 32503, US
• Job Schedule Full time
• Job Shift Day
• FTE 0.6 PT