RN First Assistant (RNFA) - Surgical Services (PRN)

BJC Healthcare

Location: Farmington, MO 63640, US
Employment Type: FULL_TIME
Industry: Healthcare
Occupational Category: 29-1111.00 – Healthcare Practitioners and Technicians
Posted: Tuesday, 06 October 2026
Valid Through: Thursday, 05 November 2026

Job Description

BJC Healthcare is hiring a RN First Assistant (RNFA) - Surgical Services (PRN) in Farmington, MO. This is a full-time position.

< strong> Additional Information About the Role< /strong> < br> < br> < p style="margin: 0; "> < /p> < div> < p style="margin: 0; "> < strong> Shift Requirements: < /strong> < /p> < p style="margin: 0; "> < /p> < ul> < li> This PRN position is scheduled based on departmental needs and the employee's availability. Candidates should be willing to work as needed and participate in the on-call rotation.< /li> < li> Standard operating hours are < strong> Monday through Friday, 5: 00 a.m. to 5: 00 p.m.< /strong> On-call coverage may be required outside of these hours, including evenings, nights, weekends, and holidays.< /li> < li> Shifts are typically < strong> 8 hours< /strong> in length and may vary based on staffing needs. Examples of shift times include < strong> 5: 00 a.m. to 1: 00 p.m.< /strong> or < strong> 8: 30 a.m. to 5: 00 p.m.< /strong> .< /li> < /ul> < /div> < br> < strong> Overview< /Strong> < br> < br> < p style='text-align: center; '> < img src='https: //bjc.icims.com/icims2/servlet/icims2?module=AppInert& action=download& id=96740& hashed=-1540253931' _cke_saved_src='https: //bjc.icims.com/icims2/servlet/icims2?module=AppInert& action=download& id=96740& hashed=-1540253931' height='60' isparent='' width='295'> < /p> < p> < span style='background-color: white; color: black; '> < span style='font-family: verdana, sans-serif; font-size: 9.0pt; '> As part of BJC HealthCare, < /span> < i> < span style='font-family: verdana, sans-serif; font-size: 9.0pt; '> < strong> Parkland Health Center< /strong> < /span> < /i> < span style='font-family: verdana, sans-serif; font-size: 9.0pt; '> offers a unique combination of world-class medicine along with the deep local roots and rich history of its three predecessors – Bonne Terre Hospital (opened in 1911), Mineral Area Regional Medical Center (1952), and Farmington Community Hospital (1969). Parkland Health Center has two locations in St. Francois County, Missouri – a full-service acute care hospital in Farmington as well as a rural emergency hospital in Bonne Terre. Parkland Health Center provides quality primary and secondary level inpatient and outpatient services to the people of St. Francois County and surrounding areas in southeastern Missouri.< /span> < /span> < /p> < p> < /p> < p> < span style='color: black; '> < span style='font-family: verdana, sans-serif; font-size: 9.0pt; '> In addition, Parkland’s Farmington campus offers a full continuum of inpatient and medical-surgical and intensive care, obstetrics and emergency services, along with a wide variety of outpatient services including oncology services, an infusion center, a wound care clinic, and the Huckstep Heart and Lung Center. Bonne Terre is a Rural Emergency Hospital providing emergency services and outpatient services including medical observation, lab, radiology, and sleep study.< /span> < /span> < /p> < p> ·The Surgical Services Department provides pre-op and post-op inpatient care to those patients undergoing specialty surgical procedures in the areas of abdominal solid organ transplant, vascular surgery, hepatobiliary, trauma, ear-nose and throat, and orthopedic procedures.< /p> < br> < strong> Preferred Qualifications< /Strong> < br> < br> < p> < span style='font-size: 12px; '> < strong> Role Purpose< /strong> < /span> < /p> < p style= text-align: justify> 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.< /p> < p> < /p> < p> < span style='font-size: 12px; '> < strong> Responsibilities< /strong> < /span> < /p> < li> 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.< /li> < li> 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.< /li> < li> 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.< /li> < li> 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.< /li> < li> 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.< /li> < p> < span style='font-size: 12px; '> < strong> Minimum Requirements< /strong> < /span> < /p> < p> < span style='font-size: 12px; '> < strong> Education< /strong> < /span> < /p> < li> Nursing Diploma/Associate's< /li> - Nursing< p> < span style='font-size: 12px; '> < strong> Experience< /strong> < /span> < /p> < li> 2-5 years< /li> < p> < span style='font-size: 12px; '> < strong> Supervisor Experience< /strong> < /span> < /p> < li> No Experience< /li> < p> < span style='font-size: 12px; '> < strong> Licenses & Certifications< /strong> < /span> < /p> < li> RN< /li> < p> < span style='font-size: 12px; '> < strong> Preferred Requirements< /strong> < /span> < /p> < p> < span style='font-size: 12px; '> < strong> Education< /strong> < /span> < /p> < li> Bachelor's Degree< /li> - Nursing< p> < span style='font-size: 12px; '> < strong> Licenses & Certifications< /strong> < /span> < /p> < li> Certified First Assistant< /li> < li> Cert Nurse OR (CNOR)< /li> < li> CERTIFIED RN FIRST ASSIST< /li> < br> < strong> Benefits and Legal Statement< /Strong> < br> < br> < p> < span style='font-size: 12px; '> < strong> BJC Total Rewards< /strong> < /span> < /p> < p> < span style='font-size: 12px; '> 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.< /span> < /p> < ul> < li> < span style='font-size: 12px; '> Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date< /span> < /li> < li> < span style='font-size: 12px; '> Disability insurance* paid for by BJC< /span> < /li> < li> < span style='font-size: 12px; '> Annual 4% BJC Automatic Retirement Contribution< /span> < /li> < li> < span style='font-size: 12px; '> 401(k) plan with BJC match< /span> < /li> < li> < span style='font-size: 12px; '> Tuition Assistance available on first day< /span> < /li> < li> < span style='font-size: 12px; '> BJC Institute for Learning and Development< /span> < /li> < li> < span style='font-size: 12px; '> Health Care and Dependent Care Flexible Spending Accounts< /span> < /li> < li> < span style='font-size: 12px; '> Paid Time Off benefit combines vacation, sick days, holidays and personal time< /span> < /li> < li> < span style='font-size: 12px; '> Adoption assistance< /span> < /li> < /ul> < p> < span style='font-size: 12px; '> < strong> To learn more, go to our < /strong> < /span> < a href='https: //assets.jibecdn.com/prod/bjc/0.0.331/assets/2026%20Benefits%20Summary_Final.pdf' target='_blank'> < span style='font-size: 12px; '> < strong> Benefits Summary< /strong> < /span> < /a> < span style='font-size: 12px; '> < strong> .< /strong> < /span> < /p> < p> < span style='font-size: 12px; '> *Not all benefits apply to all jobs< /span> < /p> < p> < span style='font-size: 12px; '> 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< /span> < /p>

Education Requirements

high school

Skills

Please see the job description for required or recommended skills.

Benefits

Please see the job description for benefits.

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Index requested: 10/06/2026 12:18:07 • Indexed: 10/06/2026 12:18:07