RN First Assist - Main Operating Room PRN

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 (PRN)

Mercy St. Louis Hospital
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

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.

Share this job

Related Jobs

Full-time

1 day ago

Registered Nurse - First Assist

BJC HealthCare Swansea, IL

Additional Information About the Role Call requirement 40 min call response time 2 years of nursing experience Additional Preferred Requirements RNFA certification Overview Memorial Hospital Belleville is an acute care hospital offering medical and surgical services plus critical and emergency care including Children’s at Memorial for pediatric emergency care. It provides patients a full complement of diagnostic and treatment services as well as heart and vascular care. Memorial, offering medical and surgical services plus critical care, is an accredited Chest Pain Center with PCI by the Society of Cardiovascular Patient Care and is designated as an Acute Stroke Ready Hospital by the Illinois Department of Public Health. In addition, Memorial Belleville recently was accredited by the American College of Radiology as a designated Lung Cancer Screening Center. Since 2008, it has been designated as a Magnet®-recognized organization for nursing excellence by the American Nurses Credentialing Center. Memorial Hospital Shiloh , a 94-bed, all-private suite hospital was recognized with Magnet status in 2018 and provides emergency care, labor & delivery, nursery, medical and surgical services plus critical care. Perioperative Services provides care and support services for the surgical, gastroenterology, treatment, Cardiac Cath Lab, and pain center patients. Perioperative services provides care for the adult and pediatric patients throughout the continuum of their Perioperative stay. Procedures may be performed on both inpatient and outpatient adult surgical and gastroenterology patients. Preferred Qualifications 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 . *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

Full-time

3 weeks ago

Registered Nurse First Assistant

BJC HealthCare Swansea, IL

Additional Information About the Role Unit - Memorial Belleville - Operating Room FT Days (with call requirements) 40 Minute Call Arrival Up to $15,000 Sign-On Bonus for Externals BSN Differential CNOR Certification Competitive Pay Benefits Eligible Additional Preferred Requirements BSN Degree Overview Memorial Hospital Belleville is an acute care hospital offering medical and surgical services plus critical and emergency care including Children’s at Memorial for pediatric emergency care. It provides patients a full complement of diagnostic and treatment services as well as heart and vascular care. Memorial, offering medical and surgical services plus critical care, is an accredited Chest Pain Center with PCI by the Society of Cardiovascular Patient Care and is designated as an Acute Stroke Ready Hospital by the Illinois Department of Public Health. In addition, Memorial Belleville recently was accredited by the American College of Radiology as a designated Lung Cancer Screening Center. Since 2008, it has been designated as a Magnet®-recognized organization for nursing excellence by the American Nurses Credentialing Center. Memorial Hospital Shiloh , a 94-bed, all-private suite hospital was recognized with Magnet status in 2018 and provides emergency care, labor & delivery, nursery, medical and surgical services plus critical care. Perioperative Services provides care and support services for the surgical, gastroenterology, treatment, Cardiac Cath Lab, and pain center patients. Perioperative services provides care for the adult and pediatric patients throughout the continuum of their Perioperative stay. Procedures may be performed on both inpatient and outpatient adult surgical and gastroenterology patients. Preferred Qualifications 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 . *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

PCU

Part-time

2 weeks ago

Registered Nurse (RN) – Intermediate Care - Day Shift Weekend Option - Part‑Time

BJC HealthCare Alton, IL

Additional Information About the Role Ready to take your nursing career to the next level? Join the Intermediate Care Unit at Alton Memorial Hospital , part of BJC HealthCare , where you'll care for a diverse patient population, strengthen your clinical expertise, and be supported by a team that is committed to helping you thrive. This role offers the opportunity to work in a collaborative, patient-centered environment while building advanced clinical skills.Our 32-bed, stroke-certified Intermediate Care Unit specializes in caring for patients with a strong focus on cardiac care . Nurses gain valuable experience caring for patients with cardiac stents, stable cardiac events, step-down titrated drips, and select medical overflow cases, all while maintaining a typical 4-5 patient ratio . Whether you're launching your nursing career or looking for your next challenge, you'll find a supportive team, meaningful work, and opportunities to grow professionally. Why Nurses Choose Alton Memorial Hospital Weekend Option Days | Two 12-hour shifts every weekend Schedule: Saturday & Sunday | 7:00 AM - 7:00 PM Up to a $7,500 Sign-On Bonus for eligible external candidates Open to ADN, BSN, and MSN candidates Comprehensive benefits including medical, dental, vision, retirement plans, PTO accrual beginning on Day 1, and parental leave BJC RN Career Ladder with opportunities for competency-based advancement while remaining at the bedside Competitive weekend option pay Recognition and well-being programs including BJC Bravo, Thrive, and Connections Groups At BJC HealthCare , nursing is more than a job, it's a career with purpose. Experience the close-knit culture of a community hospital while benefiting from the strength, stability, and resources of one of the region's leading healthcare systems. If you're looking for a team that invests in your growth, values your voice, and empowers you to provide exceptional patient care, we encourage you to apply today. 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 telemetry unit is a 32 bed unit, with all private rooms. Patients are under continuous cardiac monitoring with clinical conditions that need closer observation and care. Preferred Qualifications Role Purpose Provides direct patient care activities including assessment, diagnosis, planning implementation, and evaluation within the guidelines of the standards of nursing care. Responsibilities Promotes patient and family centered care in a healing environment. Educates patients and their families on how to manage their illness or injury, including post treatment home care needs and medication administration. Participates in activities that promote patient safety, quality and regulatory compliance. Participates in professional development. Develops, implements, and documents individual plans of care with defined goals in collaboration with other members of the interprofessional team and patient, family or caregiver in accordance with the established guidelines and standards of nursing care. Proactively plans and ensures communication of the plan of care across the continuum of care. Uses critical nursing skills to assess and evaluate physical, psychosocial, and emotional needs according to standards of care. Assess patient preferences and barriers to involvement in care, including their values, emotional, spiritual, cultural, and population-specific needs. BJC has determined this is a safety-sensitive position. The ability to work in a constant state of alertness and in a safe manner is an essential function of this job. Minimum Requirements Education Nursing Diploma/Associate's - Nursing Experience No Experience Supervisor Experience No Experience Licenses & Certifications RN Preferred Requirements Education Bachelor's Degree - Nursing Experience

Part-time

3 weeks ago

OR - Clinical Nurse (Part Time)

BJC HealthCare Alton, IL

Additional Information About the Role 8 hour days Call 1 time per week and every 7-8th weekend 45 min call response time Additional Preferred Requirements Must have OR experience 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. Preferred Qualifications Role Purpose Provides direct patient care activities including assessment, diagnosis, planning implementation, and evaluation within the guidelines of the standards of nursing care. Responsibilities Promotes patient and family centered care in a healing environment. Educates patients and their families on how to manage their illness or injury, including post treatment home care needs and medication administration. Participates in activities that promote patient safety, quality and regulatory compliance. Participates in professional development. Develops, implements, and documents individual plans of care with defined goals in collaboration with other members of the interprofessional team and patient, family or caregiver in accordance with the established guidelines and standards of nursing care. Proactively plans and ensures communication of the plan of care across the continuum of care. Uses critical nursing skills to assess and evaluate physical, psychosocial, and emotional needs according to standards of care. Assess patient preferences and barriers to involvement in care, including their values, emotional, spiritual, cultural, and population-specific needs. BJC has determined this is a safety-sensitive position. The ability to work in a constant state of alertness and in a safe manner is an essential function of this job. Minimum Requirements Education Nursing Diploma/Associate's - Nursing Experience No Experience Supervisor Experience No Experience Licenses & Certifications RN Preferred Requirements Education Bachelor's Degree - Nursing Experience

Hospice

Part-time

7 months ago

Registered Nurse RN Hospice

OSF HealthCare Alton, IL

$36.59 - $53.17 / hour

Total Rewards "Your life - our Mission" OSF HealthCare is dedicated to provide Mission Partners with a comprehensive and market-competitive total rewards package that includes benefits, compensation, recognition and well-being offerings that focus on the whole person and engage with their current stage of life and career. Click here to learn more about benefits and the total rewards at OSF. Pay range for this position is $36.59 - $53.17/hour. Actual pay is based on years of licensure. This is an Hourly position. **$3.25 Weekend Differential** Overview POSITION SUMMARY: The Registered Nurse Home Care is responsible for a scope of care that encompasses all ages from infancy through geriatric. The RN demonstrates the knowledge and skills necessary to provide patient care that is appropriate to the ages of the patients served. Coordinates inter-disciplinary care to patients, which may include nursing, therapy, social work, home care aide, home medical equipment and home infusion services as needed. The RN Case Manager is responsible for decision-making regarding the home health care the patient receives during their episode of care. Provides patient-centered care, using critical thinking skills to ensure positive patient outcomes. The RN Case Manager is responsible for care coordination, appropriate visit pattern utilization, outcome monitoring/management, resource management and episode management. Qualifications REQUIRED QUALIFICATIONS: Licenses/Certifications: Current licensure by the State Board of Nursing in appropriate state (Illinois or Michigan) Current American Heart Association HealthCare Provider BLS is required prior to start date of employment. Provides own transportation and auto insurance and abides by all laws, rules and recommendations for safe driving while on duty. Maintains a valid driver's license. PREFERRED QUALIFICATIONS: BSN Experience as an RN in a healthcare environment Electronic Medical Record and Microsoft application basic proficiency OSF HealthCare is an Equal Opportunity Employer.