Registered Nurse First Assistant (RNFA)

Cleveland, Mississippi

Facility Bolivar Medical Center

Req

ID 552130

Post Date 07/31/2026

Description Sign On Bonus Eligible:

$12,500 Full-time Day Surgery Start your next chapter at Bolivar Medical Center, a 164-bed hospital serving Cleveland, MS, and part of the ScionHealth community hospital network. Bolivar Medical Center is a Joint Commission accredited hospital that provides inpatient, outpatient, and emergency department services and also offers a long-term care unit. At Bolivar, you will deliver vital care in a community setting with the backing of a highly regarded hospital system committed to quality, safety, and local impact. Job Summary The RN-First Assistant (RNFA) is a perioperative nurse who functions in an expanded role to provide direct surgical assistance to the operating surgeon. This role includes preoperative patient assessment, intraoperative surgical assistance, and postoperative care in alignment with nursing standards and surgical protocols. The RNFA works collaboratively with surgeons, anesthesia providers, and OR staff to ensure optimal surgical outcomes and patient safety. Essential Functions Performs first assist duties under the direction of the operating surgeon, including tissue retraction, hemostasis, cutting and suturing, and wound closure

Participates in preoperative assessment and preparation, including patient positioning and site marking

Maintains sterile field and ensures proper handling of surgical instruments and equipment

Monitors patient condition and surgical environment throughout the procedure

Provides postoperative care and assists with recovery, transfer, or discharge as appropriate

Documents intraoperative activities, patient responses, and outcomes in accordance with policy

Participates in circulating and scrub nurse roles when not assigned to RNFA duties

Collaborates with surgical team on scheduling, preparation, and procedure coordination

Maintains competency through documentation of clinical cases and continuing education

Supports patient education and advocates for safety, dignity, and confidentiality

Participates in performance improvement and quality initiatives within the surgical department Knowledge/Skills/Abilities/Expectations In-depth knowledge of surgical anatomy, procedures, and aseptic technique

Advanced clinical decision-making and problem-solving skills

Ability to adapt to high-acuity, emergent situations with composure

Strong communication and interpersonal skills to work effectively with multidisciplinary teams

Skilled in wound closure, suturing, and use of surgical tools

Demonstrates flexibility and commitment to patient-centered care

Physically capable of extended standing, lifting, and movement in the surgical suite Qualifications Education Postsecondary (Cert/Diploma/Program Grad) from an accredited school of nursing (Required)

Postsecondary (Cert/Diploma/Program Grad) completion of an accredited RNFA program (Required)

Bachelor's Degree in nursing or related field (Preferred) Licenses/Certifications Current and valid Registered Nurse (RN) license in the state of practice

CNOR certification, required. Basic Life Support (BLS), required

Advanced Cardiovascular Life Support (ACLS), preferred

Must meet credentialing requirements for allied health privileges Experience Minimum of 3 years of perioperative nursing experience required