Registered Nurse (RN) - First Assist - $38-64 per hour

BJC HealthCare

O’Fallon (MO)

On-site

USD 90,000 - 120,000

Full time

14 days+
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Benefits offered by this job

Comprehensive benefits
Disability insurance
401(k) match
Tuition Assistance
Paid Time Off

Job summary

BJC HealthCare is seeking a Registered Nurse (RN) First Assist for a nursing role at Progress West Hospital in O’Fallon, Missouri. The position focuses on expanded perioperative responsibilities alongside surgeons during procedures.

The RNFA works in collaboration with the surgical team to provide direct patient care, aiming to advance within the BJC RN Career Ladder while benefiting from comprehensive benefits and professional growth opportunities.

Qualifications

  • RN licensed with Nursing Diploma/Associate's degree.
  • 2–5 years experience as RN in operating room/perioperative setting.
  • Preferred: Certified First Assistant (CNOR) or Cert RN First Assist.

Responsibilities

  • Delivers intraoperative patient care as the first assistant to the surgeon(s).
  • Performs focused pre-operative nursing assessment for planned procedures.
  • Collaborates with perioperative team to ensure safety, efficiency and quality of care.
  • Monitors patient progress and adjusts the care plan as needed.
  • Develops and manages perioperative care plans and evaluates outcomes.

Skills

RN
First Assist
Team collaboration
Communication

Education

Nursing Diploma/Associate's - Nursing
Bachelor's Degree - Nursing

Tools

CNOR
Certified First Assistant

Job description

BJC HealthCare is seeking a Registered Nurse (RN) First Assist for a nursing job in O'Fallon, Missouri.

Job Description & Requirements

Specialty: First Assist

Discipline: RN

Duration: Ongoing

Employment Type: Staff

Additional Information About the Role

3 ORs, no trauma or hearts

10 hour shifts- Full Time Position

Bonus Eligible - Up to $15k

Comprehensive Benefits

The BJC RN 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

Opened in 2007, Progress West Hospital is BJC HealthCare’s newest hospital in St. Charles County, featuring modern private rooms. It offers 24-hour emergency services and has partnered with St. Louis Children’s Hospital to provide world-class pediatric emergency care.

Progress West Hospital also provides surgical services, endoscopy services, a cardiac catheterization lab, medical/surgical inpatient services, diagnostic imaging, lab services, and the Advanced Wound Center, a specialty wound treatment facility with state-of-the-art equipment. Progress West Hospital recently completed an expansion of its Childbirth Center to include enhanced services for at-risk mothers and babies, with a newborn ICU that provides care for babies born as early as 32 weeks.

Progress West Hospital is a Certified Level II Stroke Center. The hospital’s medical office building houses offices for specialists in primary care, cardiology, obstetrics, pediatrics, and orthopedics.

The Surgical Services department

The Surgical Services department includes 3 ORs. We provide a full range of surgery programs -- inpatient or outpatient, general or specialty -- in an environment that promotes healing. Surgical services include by not limited to: General surgery, ENT, Orthopedics, Urology, Colorectal, Gynecology, Gastrointestinal (GI), Plastic surgery. This department, along with all departments within the hospital, supports the guiding principles of the hospital in providing care that is customized and reflects the patient's needs, values, and choices.

Preferred QualificationsRole 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 - NursingExperience
  • Years of Experience: 2-5 years
  • Supervisor Experience: No Experience
  • Licenses & Certifications: RN
Preferred Requirements
  • Education: Bachelor's Degree - NursingLicenses & Certifications
  • Certified First Assistant
  • Cert Nurse OR (CNOR)
  • CERTIFIED RN FIRST ASSIST
BJC Total Rewards
  • 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

*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

BJC HealthCare Job ID #109083. Posted job title: First Assist OR Nurse

About BJC HealthCare

BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3 billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple community health locations. Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health, rehabilitation, long-term care and hospice.

BJC is the largest provider of charity care, unreimbursed care and community benefits in the state of Missouri. BJC and its hospitals and health service organizations provide $785.9 million annually in community benefit. That includes $410.6 million in charity care and other financial assistance to patients to ensure medical care regardless of their ability to pay. In addition, BJC provides additional community benefits through commitments to research, emergency preparedness, regional health care safety net services, health literacy, community outreach and community health programs and regional economic development.

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