Registered Nurse (RN) - First Assist - $38-63 per hour

Company: BJC HealthCare
Location: O Fallon
Posted on: February 8, 2026

Job Description:

BJC HealthCare is seeking a Registered Nurse (RN) First Assist for a nursing job in O'Fallon, Missouri. Job Description & Requirements - Specialty: First Assist - Discipline: RN - Duration: Ongoing - Employment Type: Staff At Vivian Health, candidates with updated profiles have the best success. Make sure yours is complete so recruiters can match you to the perfect job! Additional Information About the Role - - 3 ORs, no trauma or hearts - 10 hour shifts- Part Time Position - Bonus Eligible - Comprehensive Benefits - - The BJC RN 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. - Additional Preferred Requirements - Overview Opened in 2007, Progress West Hospital is BJC HealthCare’s newest hospital in St. Charles County, featuring modern private rooms. It offers 24-hour emergency services and has partnered with St. Louis Children’s Hospital to provide world-class pediatric emergency care. Progress West Hospital also provides surgical services, endoscopy services, a cardiac catheterization lab, medical/surgical inpatient services, diagnostic imaging, lab services, and the Advanced Wound Center, a specialty wound treatment facility with state-of-the-art equipment. Progress West Hospital recently completed an expansion of its Childbirth Center to include enhanced services for at-risk mothers and babies, with a newborn ICU that provides care for babies born as early as 32 weeks. Progress West Hospital is a Certified Level II Stroke Center. The hospital’s medical office building houses offices for specialists in primary care, cardiology, obstetrics, pediatrics, and orthopedics. The Surgical Services department includes 3 ORs. We provide a full range of surgery programs inpatient or outpatient, general or specialty in an environment that promotes healing. Surgical services include by not limited to: General surgery, ENT, Orthopedics, Urology, Colorectal, Gynecology, Gastrointestinal (GI), Plastic surgery. This department, along with all departments within the hospital, supports the guiding principles of the hospital in providing care that is customized and reflects the patient's needs, values, and choices. 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 BJC HealthCare Job ID 103921. Posted job title: First Assist OR Nurse Part Time About BJC HealthCare BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3 billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple community health locations. Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health, rehabilitation, long-term care and hospice. BJC is the largest provider of charity care, unreimbursed care and community benefits in the state of Missouri. BJC and its hospitals and health service organizations provide $785.9 million annually in community benefit. That includes $410.6 million in charity care and other financial assistance to patients to ensure medical care regardless of their ability to pay. In addition, BJC provides additional community benefits through commitments to research, emergency preparedness, regional health care safety net services, health literacy, community outreach and community health programs and regional economic development.

Keywords: BJC HealthCare, O'Fallon , Registered Nurse (RN) - First Assist - $38-63 per hour, Healthcare , O Fallon, Missouri