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RN First Assistant - Operating Room - 15K Signing Bonus

Bayhealth
Milford, DE Full Time
POSTED ON 10/3/2026
AVAILABLE BEFORE 1/30/2027

$15,000 signing bonus available! Must have at least three years' OR RN hospital experience, accept position by December 31, 2026 and start no later than February 8, 2027 in order to qualify for the bonus.

If you care about the opportunity to grow, to make a difference, to build a future and a life, then we just might have the career for you. Care to talk?

Bayhealth Medical Center is Central and Southern Delaware’s healthcare leader with hospitals in Dover and Milford, a s well as stand -alone Emergency Department in Smyrna and a hybrid E mergency Department and Urgent Care in Milton . We offer various practice settings throughout Kent and Sussex Counties. Bayhealth Medical Center Kent Campus is 90 minutes from Philadelphia, Washington, DC and Baltimore . Our Sussex Campus is 30 minutes to the Delaware beaches and relaxation in the sand!

Bayhealth Medical Center offers a competitive salary and comprehensive benefits package (for eligible positions) including:

  • Generous Paid Time Off and Paid Holidays
  • Matching 401(k)/403(b) Plans
  • Excellent Health, Dental, and Vision
  • Disability and Life Insurance options
  • On Site Child Care
  • Educational Reimbursement
  • Health Care and Dependent Care Flex Spending Accounts
  • Plus, an array of Voluntary Benefits to include Critical Care Coverage and more!

Location: Sussex Campus Hospital

Status: Full Time 72 Hours

Shift: Days

SALARY RANGE: 45.06 - 69.85HOURLY

General Summary:

Provides professional nursing care within an assigned unit. Professional nursing practices, requiring specialized knowledge, judgement and skill are performed using the process in accordance with hospital policy, procedure and philosophy.

Responsibilities:

1. Provides comprehensive clinical competency in all facets of the nurse first assistant role.
2. Conducts systematic, ongoing assessments of the patient’s health status throughout the perioperative experience.
3. Formulates and modifies nursing diagnoses based on patient assessment throughout the perioperative continuum.
4. Identifies and communicates desired patient outcomes.
5. Uses critical thinking in the application of nursing knowledge and perioperative patient care.
6. As a primary patient advocate is continually vigilant, using acquired and intuitive knowledge to anticipate, prevent, and/or respond to circumstances that could compromise the patient’s well-being.
7. Is cognizant of and can recognize possible adverse reactions patients may experience during the surgical procedure.
8. Along with the surgeon, and OR Team present in the room, assumes accountability for verification of the correct surgical site immediately prior to the incision.
9. Demonstrates knowledge of patient safety standards published by regulatory agencies.
10. Develops an individualized plan of care that directs the intervention(s) of the RNFA that is consistent with RNFA practice.
11. Demonstrates clinical expertise
12. Possesses the essential mental discipline and fine motor skills to provide technical assistance to the surgeon.
13. Strictly adheres to principles of aseptic technique to prevent infection and promote optimal wound healing.
14. Accepts appropriate delegated medical functions as defined within the RNFA scope of practice.
15. Uses surgical instruments to assist the surgeon and facilitate the surgical intervention.
16. Handles tissue safely. Provides exposure of operative site to promote a safe and effective surgical procedure. Promotes and maintains hemostasis. Assists with and/or performs wound closure.
17. Partners with the surgeon to collaboratively direct the patient’s perioperative course.
18. Serves as educator, mentor, consultant, and resource to patients, colleagues, other health care professionals, and the community.
19. Bases professional and practice behaviors on the knowledge and application of the scope of practice as defined by the state, professional practice standards, and facility guidelines to practice.
20. Maintains professional credentials and seeks out and participates in lifelong learning opportunities.
21. Recognizes, assures documentation of, and in a timely and accurate fashion any interventions when a patient’s condition indicates an emerging problem.
22. Understands the need to be flexible within the Patient Care Services Department; assigned wherever the need arises up to own level of competency.
23. Participates in staff meetings, case conferences, and departmental meetings at a minimum 8 times per year.
24. Maintains a current knowledge of hospital and departmental policies, adheres to them, and references the manuals as necessary to comply with current practice standards.
25. All other duties as assigned within the scope and range of job responsibilities


Required Education, Credential(s) and Experience:

  • Education: Certificate Program First Assistant; Associate Degree Nursing Or Nursing Diploma.
  • Credential(s): Registered Nurse; Basic Life Support; Certified Perioperative Nurse; Advanced Cardiovascular Life Support
  • Experience: Preferred: Previous experience in area of practice as an RNFA. Basic Dysrhythmia experience with Critical Care experience.

Preferred Education, Credential(s) and Experience:

  • Education: Bachelor Degree Nursing
  • Credential(s): Certified Registered Nurse First Assistant; Pediatric Advanced Life Support
  • Experience:

To view a full list of all open position at Bayhealth, please visit:

https://apply.bayhealth.org/join/

Benefits:

Health Insurance, 401K Plan, Tuition Assistance

Salary : $45 - $70

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