
Registered Nurse First Assist (OR)
Shiloh, ILFull-time$38.42–64.34/hrSeen todaySeen in employer's feed today
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At a glance
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Requirements
Credentials this posting asks for.
Job overview
The Registered Nurse First Assist performs an expanded perioperative role, assisting surgeons during operating-room procedures and providing direct patient care. The RNFA collaborates with the perioperative team and other healthcare providers to plan care. The role includes preoperative assessment, intraoperative care, medication administration, care-plan coordination, patient and family education, and ongoing evaluation of patient outcomes and nursing practice.
Skills & qualifications
Skills
Qualifications
Benefits
Full job description
City/State: Shiloh, Illinois
Categories: Nursing Services
Job Status: Full-Time
Req ID : 119942
Pay Range: $38.42 – $64.34 / hour (Salary or hourly rate is based on job qualifications and relevant work experience)
Additional Information About the Role
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40 min call response time
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8 hour shifts
Additional Preferred Requirements
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 and gastroenterology 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
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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.
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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.
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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.
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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.
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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
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Certified First Assistant
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Cert Nurse OR (CNOR)
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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.
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Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date
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Disability insurance* paid for by BJC
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Annual 4% BJC Automatic Retirement Contribution
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401(k) plan with BJC match
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Tuition Assistance available on first day
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BJC Institute for Learning and Development
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Health Care and Dependent Care Flexible Spending Accounts
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Paid Time Off benefit combines vacation, sick days, holidays and personal time
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Adoption assistance
To learn more, go to our Benefits Summary (https://assets.jibecdn.com/prod/bjc/0.0.331/assets/2026%20Benefits%20Summary\_Final.pdf) .
*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 this job compares
Set against the 58,286 open Registered Nurse jobs on Olive Jobs, counted November 14, 2026.
- Pay
- This posting$38.42–64.34/hr
- Illinois median$36–57/hr1,505 hourly ranges
- US median$38–54/hr25,147 hourly ranges
This range's midpoint, $51.38/hr, is 12% above the Illinois median midpoint ($46/hr) — in the top quarter of Registered Nurse hourly ranges in Illinois.
- Openings
- Olive Jobs lists 1,848 open Registered Nurse jobs in Illinois and 58,286 across the US. Under 1% of them nationwide are listed as remote or flexible.
- Hiring the most in Illinois
- Advocate Health238 open
- Carle Health159 open
- Prime Healthcare159 open
- Experience
- This posting asks for at least 2 years of experience; Registered Nurse postings that state a minimum ask for 1 year at the median (28,843 postings).
- Education
- This posting asks for an associate degree; 15,465 of the 58,286 open Registered Nurse jobs (27%) ask for an associate degree or higher.
Pay, requirements and demand for Registered Nurse jobs
Counted across the open, public US postings on Olive Jobs on November 14, 2026. Figures based on too few postings are left out.
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