RN, First Assistant - OR

MemorialCare Health System; Laguna Hills (CA); On-site; USD 91,000 - 143,000; Full time

Benefits offered by this job

Signing bonus $10,000

Job summary

Saddleback Memorial Medical Center is hiring an RN, First Assistant for the OR to work in the Surgery Services department in a full-time capacity. The RNFA will participate in intra-operative patient care under the surgeon’s direction and collaborate with the surgical team.

Qualified candidates will have a nursing degree (BSN required, or MSN preferred), NPI number, and RNFA certification or training with preceptorship. A signing bonus is available for external hires meeting requirements.

Qualifications

• Bachelor’s degree in nursing required or Masters preferred.
• NPI Number from NPPES required.
• 1+ year RNFA experience preferred; or RNFA training with preceptorship.

Responsibilities

• Uses the nursing process and AORN standards as a framework for patient care.
• Demonstrates leadership and serves as a link between the surgical suite and hospital; ensures continuity of care during intra-operative period.
• Directs unlicensed staff, assesses patients, plans care/interventions, and documents data.

Skills

RNFA knowledge

On-call ability

Team leadership

Education

Bachelor’s degree in nursing

NPI Number (NPPES)

Job description

Job Description - RN, First Assistant - OR (SAD007809)

Job Description

Description

Title: RN, First Assistant

Department: Surgery Services (OR)

Status: Full-Time

Shift: Variable/Days (10hrs.,)

Pay Range*: $66.36 hr. - $104.15 hr.

Bonus: $10,000.00 signing bonus available to external hires new to MHS employment, contingent upon satisfaction of employment requirements.

MemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups – consisting of over 200 sites of care, and more than 2,000 physicians throughout Orange and Los Angeles Counties. We are committed to increasing access to patient-centric, affordable, and high-quality healthcare; your personal contributions are integral to MemorialCare's recognition as a market leader and innovator in value-based and other care models.

Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration, and accountability.Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation, and teamwork.

Position Summary

The Registered Nurse First Assistant (RNFA) is a member of the surgical team. The RNFA practices in collaboration with, and under the direction of the surgeon during the intra-operative phase. The RNFA utilizes the nursing process and AORN nursing practice standards. The RNFA functions as an Operating Room Circulator or RN scrub when not assigned to the RNFA role. Responsibilities include directing unlicensed employee activity, synthesizing patient information, assessment of patients, planning care/intervention, teaching patients/families, implementing treatment plan/MD orders, and evaluating care rendered. The RNFA must use effective oral communication and document data relevant to the care of the patients. The RNFA utilizes knowledge of patient age, cultural diversity, and psychosocial or spiritual needs in the patient’s plan of care. The RNFA contributes to the promotion of quality nursing care through performance improvement processes that demonstrate positive outcomes in patient care. In addition, the RNFA collaborates with other professional disciplines to ensure safe and effective patient care delivery and the achievement of desired patient outcomes.

Essential Functions and Responsibilities of the Job:

• Utilizes the nursing process and AORN standards as a framework for the management of patient care.
• Demonstrates leadership and serves as a link between the surgical suite and the rest of the hospital to provide continuity of care during the intra-operative phase of surgery.
• Prioritizes essential functions to focus on the needs of the surgical patient.
• Demonstrates knowledge of the clinical information system and applies principles to patient documentation.
• Serves as a role model and mentors new staff members.
• Demonstrates knowledge and understanding of patient privacy rights. Maintains confidentiality of all medical, financial and other sensitive material in printed, electronic or verbal form, which may jeopardize the privacy of patients and or employees.
• Demonstrates the ability to use good customer service skills by managing and acknowledging patient-family-significant other expectations.
• Demonstrates tact, sensitivity and discretion.
• Demonstrates the ability to integrate knowledge of job specific competencies.
• Demonstrates knowledge of surgical anatomy, physiology and Operating Room technique.
• Provides exposure through appropriate use of surgical instrumentation, suctioning and sponging techniques.
• Works in collaboration with the surgeon on coagulation, sutures muscles, fascia, and subcutaneous skin tissue.
• Demonstrates the ability to function in the role of the Operating Room Circulator or Scrub when not assigned to the RNFA role.
• Ability to be at work and be on time.
• Ability to follow company policies, procedures and directives.
• Ability to interact in a positive and constructive manner.
• Ability to prioritize and multitask

*Placement in the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications. In addition to base pay, there may be additional compensation available for this role, including but not limited to, shift differentials, extra shift incentives, and bonus opportunities. Health and wellness is our passion at MemorialCare—that includes taking good care of employees and their dependents. We offer high quality health insurance plan options, so you can select the best choice for your family. And there’s more... Check out our MemorialCare Benefits for more information about our Benefits and Rewards.

Qualifications

Bachelor’s degree in nursing or Masters preferred

NPI Number from NPPES required

One plus years of RNFA experience preferred; In lieu of this experience, consideration will be made for an employee with evidence of completion of an RNFA training program with preceptorship.

Ability to fulfill the on-call requirement of the department.

Current American Heart Association Basic Cardiac Life Support Card

Current American Heart Association Advanced Cardiac Life Support Card

Current Nurse Operating Room Certification

Current RNFA Certification

Specialty Certification preferred

Computer, internet, order entry, and word processing experience preferred

Job

Registered Nurse

Organization

Saddleback Memorial Medical Center

Schedule

Full-time

Employee Status

Regular

Job Level

Staff

Job Posting

Oct 1, 2026, 8:04:46 PM

Shift

Day Job

Scheduled Shift Start Time : 0630 or as needed - Scheduled Shift End Time : 1700