RN First Assistant - Main Operating Room

Mercy Co; Spanish Lake (MO); On-site; USD 90,000 - 130,000; Full time

Job summary

Mercy St. Louis Hospital is seeking an experienced RN First Assistant to join the Main Operating Room in a Level I Trauma Center and Burn Center setting. This full-time role offers two patient-care teams and opportunities to work with top Surgeons.

You will provide perioperative nursing support, coordinate care with multidisciplinary teams, and maintain patient rights and safety. A 1-year perioperative background and active RN licensure are required.

Qualifications

• Graduate of an accredited nursing program.
• Active RN licensure in the state of practice.
• Minimum 1 year perioperative nursing experience.
• BLS/ACLS certification within first year; CNOR/RNFA certification preferred.

Responsibilities

• Utilizes the nursing process to provide patient care.
• Maintains professional accountability for provision of patient care.
• Coordinates patient care in conjunction with other departments.
• Evaluates the overall effectiveness of care provided by other direct caregivers.
• Performs duties and responsibilities in accordance with Mercy mission and Mercy Service Standards.

Skills

RN First Assistant

Perioperative nursing

Education

Graduate of an accredited nursing program

Active RN licensure in the state of practice

Job description

Find your calling at Mercy!Utilizes the nursing process to provide patient care. Maintains professional accountability for provision of patient care for the assigned patients. Evaluates the overall effectiveness of care provided by other direct caregivers. Coordinates the patient care in conjunction with other departments. Maintains patient rights and confidentiality of patient information. Performs duties and responsibilities in a manner consistent with our mission, values, and Mercy Service Standards. Position Details: RN First Assistant (RNFA) – Main Operating Room

Mercy St. Louis Hospital
Full-Time Days
$10,000 Sign-On Bonus Available
Seeking Experienced RNFA Candidates

About the Role

Join the Main Operating Room team at Mercy St. Louis Hospital, a Level I Trauma Center and Burn Center providing advanced surgical care for patients of all ages, including pediatrics. This is an excellent opportunity for an experienced RN First Assistant to work alongside highly skilled surgeons and multidisciplinary teams in a fast-paced surgical environment.

Service Lines (27 Operating Rooms)

Our operating room is organized into specialized teams, including:

• General Surgery: General, Burn, Plastics, Bariatric, and Colorectal Surgery
• Women’s & Urology Services: Gynecology (GYN), Genitourinary (GU/Urology), and Robotics
• Specialty Surgery: Orthopedic and Neurosurgery
• ENT Services: ENT, Oral and Maxillofacial (OMF), Dental, Pediatric, and Ophthalmology procedures

Why Mercy?

• Work at a nationally recognized Level I Trauma and Burn Center
• Diverse and complex surgical case mix
• Collaborative team environment
• Opportunity to utilize and grow advanced RNFA skills
• Competitive compensation and benefits package
• $10,000 Sign-On Bonus

If you're an experienced RN First Assistant seeking a challenging and rewarding surgical career, we'd love to connect with you.

At Mercy, we believe careers should align not only with your skills, but also with your heart. We support individuality, purpose, and professional growth—and we’re proud to be recognized by Modern Healthcare Magazine as one of the “Top 100 Places to Work.”

Education: Graduate of an accredited nursing program.
Licensure: Active RN licensure in the state of practice.
Experience: Must have a minimum of 1-year perioperative nursing experience.
Certifications: BLS/ACLS required within first year.
Other: Demonstrates continued competence in assisting and in perioperative nursing.
Preferred: CNOR certification and/or RN-First Assistant certification class preferred

Why Mercy?

From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period.

Join a caring, collaborative team where your voice matters. At Mercy, you'll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you'll grow with us.