Registered Nurse First Assistant

Meds Talent LLC; Oregon City (OR); On-site; USD 86,000 - 121,000; Full time

Benefits offered by this job

Relocation assistance

Permanent employment

Professional development

Collaborative surgical team on-site

Job summary

Kaiser Permanente in the Clackamas area of Oregon is hiring an experienced Registered Nurse First Assistant (RNFA) for a full-time, on-site position. The RNFA will work with surgeons and the surgical team to provide advanced perioperative care, preoperative planning, intraoperative assistance, and postoperative evaluation.

The role requires an AORN-recognized RNFA course, Oregon RN licensure, CNOR/BLS, and strong perioperative experience. On-call rotations are included in the responsibilities.

Qualifications

• Two years perioperative scrubbing and circulating experience in Kaiser Permanente OR or RNFA experience
• AORN-recognized RNFA course meeting standards
• Current Oregon RN license
• Operating Room Nursing Certificate and current BLS
• Maintain CNOR certification and RN licensure with ongoing education

Responsibilities

• Preoperative assessment and planning with surgical team
• Provide technical assistance to surgeons during procedures per AORN/Oregon standards
• Assist with tissue handling, exposure, and instrument use
• Perform clamping, cutting, ligating, and suturing as directed
• Prepare operating room, instruments, and equipment
• Assist with patient positioning, draping and transfers
• Support anesthesia team during induction and preoperative briefings
• Monitor sterile technique and correct breaks in sterility
• Assist with postoperative dressings and transfers
• Maintain communication with surgical team and continuity of care
• Participate in regional on-call rotation for elective/urgent cases

Skills

Perioperative experience

RNFA experience

AORN RNFA education

Education

AORN-recognized RNFA course

Tools

Job description

Registered Nurse First Assistant (RNFA) | Happy Valley & Oregon City, OR

We're hiring an experienced Registered Nurse First Assistant (RNFA) for a full-time, permanent, on-site opportunity with Kaiser Permanente in the Clackamas area of Oregon.

This is an excellent opportunity for an RNFA with strong perioperative experience who enjoys working closely with surgeons and multidisciplinary surgical teams to deliver safe, high-quality patient care.

• Job Title: Registered Nurse First Assistant (RNFA)
• Employment Type: Full-Time | Permanent
• Work Arrangement: On-Site
• Schedule: Monday–Saturday, 6:45 AM–5:15 PM, according to the assigned schedule
• Pay Range: $62.40–$88.11 per hour
• Relocation Assistance: Considered on a case-by-case basis
• Competitive Pay: $62.40–$88.11 per hour.
• Relocation Assistance: Potential assistance based on individual eligibility and circumstances.
• Permanent Employment: A regular position offering the opportunity to build a long-term career.
• Professional Development: Opportunities to maintain and develop advanced perioperative and surgical assisting skills.
• Collaborative Environment: Work alongside surgeons, circulating nurses, anesthesia professionals, and other members of the surgical team.

Specific employee benefits and relocation eligibility should be confirmed with the employer.

About the Role

The Registered Nurse First Assistant supports the surgical team during the intraoperative phase of patient care and collaborates with surgeons and other healthcare professionals throughout the surgical process.

The RNFA contributes to preoperative assessment and preparation, provides advanced technical assistance during surgical procedures, and supports postoperative evaluation and continuity of care. The position also participates in a regional on-call rotation for elective, urgent, and emergent surgical cases.

Key Responsibilities

• Preoperative Assessment: Review relevant patient information, contribute to preoperative assessments, and collaborate with the surgical team to plan patient care.
• Surgical Assistance: Provide technical assistance to surgeons during procedures in accordance with AORN standards, Oregon regulations, licensure, and facility protocols.
• Tissue Handling and Exposure: Assist with surgical exposure, tissue handling, and the use of surgical instruments and medical devices.
• Hemostasis and Suturing: Perform clamping, cutting, ligating, and suturing as directed by the surgeon and within the RNFA's authorized scope of practice.
• Operating Room Preparation: Collaborate with the circulating nurse and scrub person to prepare the operating room, instruments, and equipment.
• Patient Positioning and Preparation: Assist with patient transport, positioning, preparation, draping, and safe transfer to and from the operating table.
• Anesthesia Support: Assist the anesthesia team during induction and participate in preoperative briefings and time-out procedures.
• Sterile Field Safety: Monitor sterile technique, observe for breaks in sterile practice, and take appropriate corrective action.
• Postoperative Care: Assist with dressings, drainage tubes, patient transfers, positioning, and postoperative evaluation according to facility protocols.
• Communication and Documentation: Maintain accurate communication with the surgical team and support continuity of patient care.
• On-Call Participation: Participate in the regional on-call rotation for elective, urgent, and emergent surgical cases.

Required Qualifications

• Experience: At least two years of perioperative scrubbing and circulating experience in a Kaiser Permanente operating room, or at least one year of RNFA experience inside or outside Kaiser Permanente.
• Education: Successful completion of an AORN-recognized RNFA course that meets applicable AORN Recommended Education Standards and program acceptance criteria.
• Licensure: Current Oregon Registered Nurse (RN) license.
• Certification: Operating Room Nursing Certificate and current Basic Life Support (BLS).
• Professional Standards: Must meet RNFA qualifications outlined in the AORN Position Statement.
• Ongoing Requirements: Must maintain CNOR certification and RN licensure, including required continuing education.

Preferred Qualifications

• At least two years of experience practicing as an RNFA.
• Certified Registered Nurse First Assistant (CRNFA) certification.
• Advanced Cardiac Life Support (ACLS), preferred upon hire or transfer.

Why Consider This Opportunity?

Join a collaborative surgical services team where your advanced nursing expertise can make a meaningful difference in patient care. With competitive hourly compensation, permanent employment, and potential relocation assistance, this opportunity is ideal for qualified RNFAs looking to continue their careers in Oregon.

If you have the required perioperative or RNFA experience, an active Oregon RN license, and the necessary RNFA education, this could be a strong next step in your career.