Registered Nurse First Assistant (RNFA) – Per Diem

Position Summary

Neaman Surgery Center is seeking an experienced and dependable Registered Nurse First Assistant (RNFA) to join our surgical team on a per diem basis. The RNFA works collaboratively with surgeons, anesthesia providers, nursing staff, and surgical technologists to provide safe, efficient, high-quality patient care throughout the perioperative experience.

The RNFA functions as a first assistant during surgical procedures, providing direct assistance to the surgeon while maintaining patient safety, sterile technique, and compliance with surgery center policies and applicable regulatory standards.

Essential Duties & Responsibilities

• Serve as first assistant to the surgeon during surgical procedures within the RNFA's authorized scope of practice.
• Assist with positioning, prepping, and draping patients for surgical procedures.
• Provide surgical exposure through appropriate use of instruments, retractors, suction, and other techniques.
• Assist with tissue handling and manipulation as directed by the surgeon.
• Assist with hemostasis using approved techniques within scope of practice.
• Perform wound closure and apply dressings as permitted by scope, competency, and facility policy.
• Maintain strict sterile technique and immediately address breaks in sterility.
• Anticipate the needs of the surgeon and surgical team throughout procedures.
• Participate in surgical counts, time-outs, and other patient-safety processes.
• Collaborate effectively with surgeons, anesthesia, circulating nurses, surgical technologists, and other members of the perioperative team.
• Review relevant patient information and surgical plans prior to procedures.
• Communicate patient-care concerns or changes promptly to the appropriate provider.
• Complete required documentation accurately and timely.
• Follow infection-prevention, medication-safety, HIPAA, OSHA, and surgery center policies and procedures.
• Participate in emergency response and patient stabilization when necessary.
• Maintain required competencies, certifications, education, and credentials.
• Perform additional perioperative duties within scope of practice as assigned.

Qualifications

• Current, unrestricted Oregon Registered Nurse (RN) license required.
• Completion of a recognized RN First Assistant (RNFA) program required.
• Current BLS certification required or must be obtained within the timeframe established by the surgery center.
• ACLS certification required or must be obtained within the timeframe established by the surgery center.
• CNOR and/or CRNFA certification preferred.
• Previous operating room and first-assisting experience strongly preferred.
• Experience in an ambulatory surgery center and/or plastic surgery environment preferred.
• Demonstrated knowledge of sterile technique, surgical procedures, instrumentation, infection prevention, and perioperative patient safety.
• Ability to work effectively in a fast-paced surgical environment.
• Strong communication, critical-thinking, organization, and teamwork skills.

Schedule

This is a per diem position, with hours scheduled based on surgical volume and surgery center needs. Flexibility and reliability are essential.

Compensation

$75.00–$85.00 per hour, based on experience, qualifications, and applicable credentials.

Physical Requirements

This position requires the ability to stand for extended periods, assist with patient positioning and transfers, wear required surgical and protective equipment, and perform the physical duties associated with working in an operating room environment.

Our Ideal Candidate

Our ideal RNFA is clinically skilled, calm under pressure, highly attentive to patient safety, and able to anticipate the needs of the surgeon and surgical team. We are looking for someone who values teamwork, professionalism, efficiency, and providing an exceptional patient experience from start to finish.

Pay: $75.00 - $85.00 per hour

Work Location: In person

Salary : $75 - $85