RN First Assistant — Founding Ambulatory Surgery Center

Duke Health; Cary (NC); On-site; USD 110,000 - 140,000; Full time

Job summary

Duke Health Cary Surgery Center, opening 2027, seeks an experienced Registered Nurse First Assistant (RNFA) to join the founding clinical team. This role supports preoperative, intraoperative, and postoperative care in a new ambulatory surgery environment with advanced robotic capabilities.

You will help shape culture, workflows, and patient experience in a six-room facility. Minimum qualifications include a BSN, NC RN licensure, CNOR, and RNFA certification (or ability to obtain within two

Qualifications

• BSN required and RN license in North Carolina or compact state
• MSN preferred and RNFA certification or ability to obtain within 2 years
• CNOR certification is required
• Minimum 3 years perioperative nursing experience

Responsibilities

• Provide preoperative assessments and care plans
• Serve as first assistant intraoperatively with surgeons
• Assist in postoperative care and discharge planning
• Support patient safety, documentation, and workflow efficiency

Skills

Perioperative care

Ambulatory surgery

Team collaboration

Education

BSN required

MSN preferred

RNFA program completion

CNOR certification

Tools

Robotic-assisted surgery

Da Vinci systems

Job description

Duke Health Cary Surgery Center, opening 2027, seeks an experienced Registered Nurse First Assistant (RNFA) to join the founding clinical team. This role supports preoperative, intraoperative, and postoperative care in a new ambulatory surgery environment with advanced robotic capabilities.

You will help shape culture, workflows, and patient experience in a six-room facility. Minimum qualifications include a BSN, NC RN licensure, CNOR, and RNFA certification (or ability to obtain within two