RN - First Assist (RNFA)

BJC HealthCare; Alton (IL); On-site; USD 53,000 - 89,000; Part time

Benefits offered by this job

401(k) match

Tuition assistance

Paid time off

Disability insurance

Job summary

Alton Memorial Hospital in Alton, Illinois, is seeking a skilled RNFA to serve as first assistant during surgical procedures in the operating room. You will work with surgeons to provide direct patient care and collaborate with the perioperative team.

Must hold RN license with 2–5 years of OR experience; CNOR or equivalent certification preferred. Schedule is PRN, 8-hour days (7:00 AM–3:30 PM), with a focus on high-quality perioperative care.

Qualifications

• RN license required and CNOR certification preferred.
• RNFA/First Assistant experience in perioperative setting.
• 2–5 years of experience in operating room required.
• CNOR, Certified First Assistant, or equivalent certification preferred.

Responsibilities

• Delivers intraoperative patient care as first assistant to surgeons.
• Collaborates with perioperative team to plan and deliver care.
• Monitors patient status and adjusts care during surgery.
• Contributes to safety, efficiency and quality of nursing practice.
• Participates in professional development and ethical practice.

Skills

RNFA

Education

Nursing Diploma/Associate's - Nursing

Bachelor's Degree - Nursing

Tools

CNOR

Certified First Assistant

CERTIFIED RN FIRST ASSIST

Job description

City/State: Alton, Illinois

Categories: Nursing Services

Job Status: PRN

Req ID : 111106

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

• PRN position - 8 hour days
• 7AM-3:30PM
• 45 min call time
• Must have CNOR

Overview

Since 1937, Alton Memorial Hospital has cared for residents in Alton, Illinois, and the surrounding communities in a five-county area. Starting as a land gift to the community from the Smith family, Alton Memorial today is a full-service acute care hospital. Alton Memorial offers patients a variety of inpatient and outpatient services, including surgery services, medical imaging, interventional and diagnostic heart services, cancer care, rehabilitation, 24-hour emergency care, ambulance services and more.

The Operating Room is made up of 7 General rooms, one Cysto room, and one Minor procedure room. Staffed from 0700 till 1700 Monday-Friday with all other hours and days covered with a Call Crew.

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