**City/State:** Saint Louis, Missouri **Categories:** Nursing Services **Job Status:** Full-Time **Req ID** : 94139 **Pay Range:** $44.35 – $72.23 / hour (Salary or hourly rate is based on job qualifications and relevant work experience) **Additional Information About the Role** **Missouri Baptist Medical Center** **RNFA Senior** + Registered Nurse First Assist Senior + 10 hour shifts + Start time 630A + 23 ORs + Cases-general, ortho, robotics, GYN and vascular + Signing bonus + Comprehensive benefits **Overview** **Missouri Baptist Medical Center** , an acute care hospital in St. Louis County, offers a full continuum of medical and surgical services, including heart care, cancer, women and infants, breast health, gastrointestinal, orthopedic, stroke, therapy, wound and pain management services. The hospital has a 24-hour adult emergency department and cares for pediatric patients at a separate emergency department in collaboration with St. Louis Children’s Hospital. Missouri Baptist is the first and only hospital in St. Louis County to be named a Magnet® hospital by the American Nurses Credentialing Center (ANCC). The prestigious designation is the highest credential a health care organization can receive for nursing excellence and quality patient care. This recognition has been accomplished by less than nine percent of hospitals nationwide. Additionally, U.S. News & World Report ranked the hospital #2 in the St. Louis metro area. Known for its exceptional heart surgery program, Missouri Baptist Medical Center continually ranks among the very top hospitals for cardiac surgery in the state of Missouri. Our heart team of surgeons, anesthesiologists and nurses have performed more than 14,000 heart surgeries since the program was established in 1984. According to HealthGrades, Missouri Baptist is five-star rated for both Coronary Interventions and Treatment of Heart Attack. In fact, Missouri Baptist is the only St. Louis area hospital to receive a 5-star rating for better than average mortality rates for in-hospital, 30-days post-discharge and 180-days post-discharge. Missouri Baptist has been five-star-rated for treatment of heart attack for seven years in a row (2005-2011). Procedures include Aneurysm Repair, Valve Replacement/Repair, Atrial Fibrillation Surgery / Pulmonary Vein Isolation, Carotid Endarterectomy, Congenital Heart Surgery, Coronary Artery Bypass Grafting (CABG), Transmyocardial Laser Revascularization and Vascular Surgeries. **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. + BJC has determined this is a safety-sensitive position. The ability to work in a constant state of alertness and in a safe manner is an essential function of this job. **Minimum Requirements** **Education** + Bachelor's Degree - Nursing **Experience** + 2-5 years **Supervisor Experience** + No Experience **Licenses & Certifications** + Cert Nurse OR (CNOR) + RN **Preferred Requirements** **Experience** + 5-10 years **Licenses & Certifications** + Certified First Assistant **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 + Pension Plan*/403(b) Plan funded by BJC + 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 www.bjctotalrewards.com/Benefits (https://www.bjctotalrewards.org/Benefits)** *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