Demo

Registered Nurse First Assist

BJC HealthCare
St. Louis, MO Full Time
POSTED ON 6/5/2026
AVAILABLE BEFORE 8/5/2026

  • Saint Louis, Missouri
  • Nursing Services
  • Days
  • Full-Time
  • 111074
  • STL1-R63
  • $38.42 – $64.34 / hour (Salary or hourly rate is based on job qualifications and relevant work experience)


Job Description

Additional Information About the Role


Missouri Baptist Medical Center
Registered Nurse First Assist
    • CNOR required
    • Option to work 10 or 12 hour shifts
    • Start time 630A
    • Cases-general, ortho, robotics, GYN, vascular, neuro, spine
    • 23 Operating Rooms
    • Rate of pay may exceed maximum listed
    • Bonus eligible
    • Comprehensive benefits
  • The BJC Registered Nurse Career Ladder differentiates BJC as the place for nurses to work in the greater St. Louis area.
  • This is a tool to empower nurses to work at the top of their license and own their career progression.
  • The BJC RN Career Ladder promotes professional development, leadership, collaboration, education and service excellence and gives staff the opportunity to continue doing what they do best - caring for patients - while having the opportunity to advance to the next step in their career.
  • Moves to higher ladder levels will result in a percentage increase of current pay that aligns with the new job description.

Overview


Missouri Baptist Medical Center, an acute care hospital in St. Louis County, offers a full continuum of medical and surgical services, including heart care, cancer, women and infants, breast health, gastrointestinal, orthopedic, stroke, therapy, wound and pain management services. The hospital has a 24-hour adult emergency department and cares for pediatric patients at a separate emergency department in collaboration with St. Louis Children’s Hospital.


Missouri Baptist is the first and only hospital in St. Louis County to be named a Magnet® hospital by the American Nurses Credentialing Center (ANCC). The prestigious designation is the highest credential a health care organization can receive for nursing excellence and quality patient care. This recognition has been accomplished by less than nine percent of hospitals nationwide. Additionally, U.S. News & World Report ranked the hospital #2 in the St. Louis metro area.


Missouri Baptist Medical Center's Surgical Services department consists of 22 ORs which include three heart team rooms and the da Vinci robotic surgical system.



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

  • 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


Job Description

Additional Information About the Role


Missouri Baptist Medical Center
Registered Nurse First Assist
    • CNOR required
    • Option to work 10 or 12 hour shifts
    • Start time 630A
    • Cases-general, ortho, robotics, GYN, vascular, neuro, spine
    • 23 Operating Rooms
    • Rate of pay may exceed maximum listed
    • Bonus eligible
    • Comprehensive benefits
  • The BJC Registered Nurse Career Ladder differentiates BJC as the place for nurses to work in the greater St. Louis area.
  • This is a tool to empower nurses to work at the top of their license and own their career progression.
  • The BJC RN Career Ladder promotes professional development, leadership, collaboration, education and service excellence and gives staff the opportunity to continue doing what they do best - caring for patients - while having the opportunity to advance to the next step in their career.
  • Moves to higher ladder levels will result in a percentage increase of current pay that aligns with the new job description.

Overview


Missouri Baptist Medical Center, an acute care hospital in St. Louis County, offers a full continuum of medical and surgical services, including heart care, cancer, women and infants, breast health, gastrointestinal, orthopedic, stroke, therapy, wound and pain management services. The hospital has a 24-hour adult emergency department and cares for pediatric patients at a separate emergency department in collaboration with St. Louis Children’s Hospital.


Missouri Baptist is the first and only hospital in St. Louis County to be named a Magnet® hospital by the American Nurses Credentialing Center (ANCC). The prestigious designation is the highest credential a health care organization can receive for nursing excellence and quality patient care. This recognition has been accomplished by less than nine percent of hospitals nationwide. Additionally, U.S. News & World Report ranked the hospital #2 in the St. Louis metro area.


Missouri Baptist Medical Center's Surgical Services department consists of 22 ORs which include three heart team rooms and the da Vinci robotic surgical system.



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

How does the work you do contribute to the overall BJC mission?

Transcript


The work that I do as an ER, nurse contributes to the overall mission statement for BJC by providing patient advocacy, every patient that walks into BJC facility, we are there to advocate for the patient from the time they enter to the time that they are discharged. Second clinical excellence. Our goal is to provide excellent care for every patient that walks into a BJC facility. Third employee satisfaction. We, that is our goal to make sure that our employees are satisfied as well as our patients. So those three elements, clinical excellence, patient advocacy and employee satisfaction helps to contribute to the overall mission of BJC.

The work that I do as an ER, nurse contributes to the overall mission …
Natalie
Assistant Nurse Manager

Salary : $38 - $64

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