
Registered Nurse - First Assist
Lake Saint Louis, MOFull-timeSeen todaySeen in employer's feed today
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Job overview
The Registered Nurse - First Assist provides direct assistance to surgeons before, during, and after surgical procedures. The role includes positioning patients, helping visualize operative sites, achieving hemostasis, assisting with closure and dressings, and delivering evidence-based nursing care tailored to patient needs. The position is in the Surgery department on a day shift and requires RNFA education, registered nurse experience in an advanced surgical specialty, and specified professional credentials.
Skills & qualifications
Skills
Qualifications
Full job description
It's more than a career, it's a calling
MO-SSM Health St. Joseph Hospital - Lake Saint Louis
Worker Type:
Regular
Job Highlights:
Join a team where your work matters—every moment, every patient,
every community. At SSM Health, you’ll be empowered to grow,
supported to thrive, and inspired to make a lasting impact.
Department: Surgery
Schedule: Day Shift
Sign-On Bonus : Ask your recruiter about sign-on bonus eligibility
Apply today. SSM Health – We bring out the incredible in you,
everyday.
Job Summary:
Provides direct assistance to surgeons before, during and after surgical procedures.
Job Responsibilities and Requirements:
PRIMARY RESPONSIBILITIES
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Positions patient to give best exposure for surgical procedure, using stabilizing equipment when necessary, while maximizing patient comfort and safety.
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Implements physicians orders to provide visualization of the operative site using appropriate method, including manipulation of tissue and materials, retraction, sponging, suctioning and irrigation.
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Utilizes appropriate technique to achieve temporary and permanent hemostasis.
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Assists with body plane closure, application of wound dressings and securing of drainage systems.
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Applies the existing body of evidence-based practice and scientific knowledge in health care to nursing practice, ensuring that nursing care is delivered based on patient’s age-specific needs and clinical needs as described in the department's scope of service.
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Works in a constant state of alertness and safe manner.
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Performs other duties as assigned.
EDUCATION
- Completion of an RNFA program that meets the AORN standards for RN first assistant education program or RNFA education equivalency for CRNFA
EXPERIENCE
- Two years' registered nurse experience in an advanced surgical specialty
PHYSICAL REQUIREMENTS
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Constant use of speech to share information through oral communication.
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Constant standing and walking.
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Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.
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Frequent sitting, reaching and keyboard use/data entry.
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Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.
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Frequent use of smell to detect/recognize odors.
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Frequent use of hearing to receive oral communication, distinguish body sounds and/or hear alarms, malfunctioning machinery, etc.
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Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.
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Occasional lifting/moving of patients.
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Occasional bending, stooping, kneeling, squatting, twisting, gripping and repetitive foot/leg and hand/arm movements.
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Occasional driving.
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Rare crawling and running.
REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS
State of Work Location: Illinois
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Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA)
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And
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Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR)
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And
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Certified Perioperative Nurse (CNOR) - Competency & Credentialing Institute (CCI)
State of Work Location: Missouri
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Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA)
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And
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Registered Nurse (RN) Issued by Compact State
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Or
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Registered Nurse (RN) - Missouri Division of Professional Registration
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And
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Certified Perioperative Nurse (CNOR) - Competency & Credentialing Institute (CCI)
State of Work Location: Oklahoma
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Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA)
-
And
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Registered Nurse (RN) Issued by Compact State
-
Or
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Registered Nurse (RN) - Oklahoma Board of Nursing (OBN)
-
And
-
Certified Perioperative Nurse (CNOR) - Competency & Credentialing Institute (CCI)
State of Work Location: Wisconsin
-
Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA)
-
And
-
Registered Nurse (RN) Issued by Compact State
-
Or
-
Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services
-
And
-
Certified Perioperative Nurse (CNOR) - Competency & Credentialing Institute (CCI)
Work Shift:
Day Shift (United States of America)
Job Type:
Employee
Department:
4403000023 Surgery
Scheduled Weekly Hours:
40
SSM Health is an Equal Opportunity Employer. SSM Health provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, gender, pregnancy, sexual orientation, gender identity, national origin, age, disability, protected veteran status, genetic information, or any other characteristic protected by applicable federal, state, or local law. Read our notice of non-discrimination (https://www.ssmhealth.com/privacy-notices-terms-of-use/non-discrimination?\_ga=2.205881493.704955970.1667719643-240470506.1667719643)
How this job compares
Set against the 59,601 open Registered Nurse jobs on Olive Jobs, counted November 11, 2026.
- Pay
- This postingNot listed
- Missouri median$75–106K/yr67 salary ranges
- Missouri median$34–48/hr306 hourly ranges
- Openings
- Olive Jobs lists 1,341 open Registered Nurse jobs in Missouri and 59,601 across the US. Under 1% of them nationwide are listed as remote or flexible.
- Hiring the most in Missouri
- SSM Health (this employer)219 open
- BJC HealthCare131 open
- HCA Healthcare117 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 (29,224 postings).
- Education
- 4,115 of the 59,601 open Registered Nurse jobs (7%) ask for a bachelor's degree or higher.
Pay, requirements and demand for Registered Nurse jobs
Counted across the open, public US postings on Olive Jobs on November 11, 2026. Pay medians are the middle values of the low ends and of the high ends of postings that list both ends of a range in the same cadence (a yearly salary or an hourly rate); a range's midpoint is halfway between its ends. Pay and experience figures resting on fewer than 20 postings are left out.
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