RN First Assistant - Main Operating Room

MHM Support Services; St. Louis (MO); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

Sign-on bonus

Job summary

Mercy St. Louis Hospital in St. Louis, MO, seeks an experienced RN First Assistant (RNFA) to join the Main Operating Room team.

This full-time, day-shift role places you in a fast-paced surgical environment alongside skilled surgeons and multidisciplinary teams. You will support complex procedures and grow RNFA skills within Mercy's comprehensive program. Requires BSN, active MO RN license, 1 year perioperative experience; BLS/ACLS within year; CNOR or RN-First Assistant preferred.

Qualifications

• Must have 1 year of perioperative nursing experience.
• Graduate of an accredited nursing program.
• Active RN licensure in the state of practice.

Responsibilities

• Assist surgeons in the main operating room.
• Apply RNFA skills to perioperative care.
• Maintain patient safety and sterile technique during procedures.

Skills

Perioperative nursing

RNFA experience

Team collaboration

Education

BSN / nursing degree

Tools

Surgical instruments

Job description

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)

• 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?

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.”

• 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

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.

Benefits

• 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.

Transforming the Health of Our Communities

Our Mercy health system was founded by the Sisters of Mercy in 1986. But our heritage goes back more than 195 years. It began with an Irish woman named Catherine McAuley, who was determined to help women and children in Dublin experiencing poverty. Though Catherine had a modest upbringing, she received an unexpected inheritance that allowed her to fulfill that dream. In 1827, she opened the first House of Mercy in Dublin, intending to teach skills to women and educate children. Many volunteers came to help. A few years later, Catherine founded the Sisters of Mercy, one of the first religious orders whose Sisters were free to walk among the poor and visit them in their homes. In 1843, the Sisters of Mercy came to the United States. In 1856, they traveled to St. Louis. In the years to come, they would establish hospitals throughout the Midwest. Many of these would join together in 1986 as Mercy.