Apr 04, 2022

RN First Assist - OR - 17th Street

  • New Hanover Regional Medical Center
  • Wilmington, NC, USA
General Nursing Operating Room

Job Description

Job Description



NHRMC, established in 1967 in Wilmington, NC, is recognized as a preeminent healthcare organization focused on leading our community to outstanding health. We have an 855 bed network of hospitals and multi-specialty physician group practices with more than 200 physicians. With a network of primary, specialty, neighborhood clinics and regional medical centers; you will find our culture is the very definition of best in practice. Join us and find out how many ways NHRMC offers you the chance to focus on what really matters - our patients and community.

About the Job

Location: New Hanover Regional Medical Center

Department: OR - 17th Street

Full Time Equivalent: FTE: .8000000

Work Type: 64 to 80 Hours Pay Period

Work Schedule: MIXED HRS

Exempt from Overtime: Exempt: No

What You'll Do


The Registered Nurse First Assistant (RNFA) is a perioperative registered nurse who works in collaboration with the surgeon and health care team members to achieve optimal patient outcomes. The RNFA must have acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA practices at the direction of the surgeon and does not concurrently function as a scrub nurse.


1. Function as an assistant in all surgical specialties at the direction of the attending surgeon.

2. Perform RNFA responsibilities in accordance with the Nurse Practice Act of the state of North Carolina, institutional policies and practices of NHRMC and the AORN Position Statement on RN First Assistants.

3. Practice within limitations of preparation and experience.

4. Demonstrate RNFA specific clinical skills. Review and update skills checklist on an ongoing basis as specified by NHRMC. Interoperative nursing behaviors may include:

a. handling tissue b. providing exposure c. using instruments d. suturing e. providing hemostasis

5. May perform pre and post-operative patient educations as designated.

6. Review chart for pertinent data

7. Assist in maintaining a safe environment and promoting efficiency in surgical procedures.

8. May perform patient rounds as directed by surgeon at times available from OR duties.

Position Requirements

* Registered Nurse
* Cert Operating Room Nurse
* Cert RN First Assist

* Associate Degree

Other information:

Education: Must be an AD, BSN, MSN, NP, CNS, CNA, CNM registered nurse who has graduated from an accredited school of nursing. Completion of a RNFA course.

Licensure / Certifications: Must be licensed to practice as a registered nurse in North Carolina. CNOR through the Certification Board of Perioperative Nursing required. Must complete 500 documented hours of practice within 2 years of hire into position, 2000 cumulative documented hours of practice within 5 years. Recommended to obtain Certified Registered Nurse First Assist (CRNFA) but not required.

Experience preferred.

Demonstrates standards of performance (ownership, teamwork, communication, compassion) that support patient satisfaction and principles of service excellence.

Performs other duties as assigned.

Individual will possess commensurate combination of education, experience and qualifications.

Other Information

This position description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications which may be required of the employee assigned to the position. Depending on the location of the job, duties may vary. Receipt of the job description does not imply nor create a promise of employment, nor an employment contract of any kind; my employment with the Company is at will.

  • Member Top 100 Hospitals – In 2016 NHRMC was recognized as a Top 100 Hospital demonstrating significant investment and financial sustainability for the communities we serve.
  • Newsweek's 2020 list of Best Maternity Care Hospitals - NHRMC Betty H. Cameron Women's & Children's Hospital was named as a Best Maternity Care Hospital by Newsweek.
  • Forbes America’s Best Large Employers 2018 and 2019- Link
  • Becker’s 150 Top Places to Work in Healthcare- Link
  • Healthgrades Outstanding Patient Experience

Consider a career at NHRMC and become part of this award winning team!