Registered Nurse First Assist Senior

BJC HealthCare; St. Louis (MO); On-site; USD 61,000 - 101,000; Full time

Benefits offered by this job

Comprehensive benefits

RN Career Ladder

Tuition assistance

Retirement plan

Paid time off

Disability insurance

Job summary

Missouri Baptist Medical Center, part of BJC HealthCare, seeks a Registered Nurse First Assist Senior. The role provides intraoperative support as a first assistant, collaborating with surgeons across general, ortho, robotics, GYN, vascular, neuro, and spine cases in a 23-room OR setting.

CNOR and RN license required; 2-5 years perioperative experience preferred. Offers comprehensive benefits and a clear RN Career Ladder promoting professional growth.

Qualifications

• CNOR certification required.
• Registered Nurse (RN) license required.
• 2-5 years of perioperative experience preferred.

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 department efficiency.
• Monitors patient response and modifies plan of care accordingly; administers medications as per nursing practice.
• Participates in professional development and lifelong learning; contributes to peer growth.
• Provides patient and family education and ethical, evidence-based perioperative care.
• Recognizes safety-sensitive nature of role and maintains alertness at all times.

Skills

CNOR

RN license

2-5 years experience

Education

Bachelor's Degree - Nursing

Job description

City/State: Saint Louis, Missouri

Categories: Nursing Services

Job Status: Full-Time

Req ID : 111829

Pay Range: $44.35 – $73.23 / hour (Salary or hourly rate is based on job qualifications and relevant work experience)

Additional Information About the Role

Missouri Baptist Medical Center

Registered Nurse First Assist Senior

• CNOR required

• Option to work 10 or 12 hour shifts

• Start time 630A

• option to work 830A-9:00P

• call roughly one night and one weekend every 8-10 days

• Cases-general, ortho, robotics, GYN, vascular, neuro, spine

• 23 Operating Rooms

• Rate of pay may exceed maximum listed

• 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.

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.

• 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

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