RN / REGISTERED NURSE - OR FIRST ASSISTANT

Job : 2025-10411

RN / REGISTERED NURSE - OR FIRST ASSISTANT

Location

US-DE-Lewes

ID

2025-10411

Category Nursing Position Type Full-Time

Why Beebe?

Become part of the Beebe team - an inclusive team positioned in a vibrant, coastal community. Enjoy a fulfilling career as you support the health of our patients and a team focused on excellence.

Benefits

In addition to competitive compensation and wellness benefits (medical, dental, vision and prescription) Beebe Healthcare also offers :

Sign-on and Referral Bonuses for select positions

Tuition Assistance up to $5,000

Paid Time Off

Long Term Sick accrual

Employer Contribution Plan

Free Short and Long-Term Disability for Full Time employees

Zero copay for drugs on prescription plan for certain conditions

College Bound 529 Savings Plan

Life Insurance

Beebe Perks via WorkAdvantage

Employee Assistance Program

Pet Insurance

Overview

RN First Assistant – Full Time | Beebe Healthcare

Beebe Healthcare is seeking a skilled and compassionate Registered Nurse First Assistant (RNFA) to join our dynamic surgical services team. In this full-time role, the RN First Assistant will play an essential part in providing expert perioperative nursing care, supporting surgeons, and ensuring optimal patient outcomes in the operating room.

The RNFA is a clinically competent professional nurse with demonstrated expertise in the perioperative setting. This role encompasses the full nursing process, including assessment, planning, intervention, implementation, and evaluation, while providing direct assistance during surgical procedures. The RNFA collaborates with surgeons, anesthesiologists, and the perioperative team to deliver safe, efficient, and high-quality patient care.

Key Responsibilities

Deliver comprehensive perioperative care to surgical patients.

Perform first assistant duties, including tissue handling, wound exposure, suturing, and hemostasis.

Collaborate with the surgical team to ensure safe and effective operative outcomes.

Utilize critical thinking and clinical expertise in preoperative, intraoperative, and postoperative care.

Support Beebe Healthcare's mission of excellence in patient-centered care.

Responsibilities

Demonstrates competency in performance of scrub / surgical routines and aseptic technique-

utilizes proper scrub, gown and gloving technique for self, surgeon, and assistant

ongoing monitoring of asepsis in all roles-scrub, circulator, and assistant

anticipates needs of surgeon

consistently recognizes sequence of procedures in all roles-scrub, circulator, and assistant

passes instruments correctly

appropriate review and preparation for assigned procedures.

Understands and utilizes established guidelines for operation of autoclaves and steris units

performs daily A-Test / Biological tests as required

performs proper care, handling, and assembly of instruments for processing

ensures complete / thorough documentation of all flash and steris cycles as per protocol.

Accepts personal accountability for proper handling, judicious use, and optimum care of all department supply, instrument, and equipment inventory.

Utilizes the nursing process throughout the perioperative setting per patient assessment

collecting, interpreting, recording, and communicating pertinent data relevant to patient care in surgery

care planning-utilization of collected data to plan appropriately for intraoperative nursing care

implementing-provides direct patient care to meet physical and psychological needs

evaluating care-continuously evaluates patient response to nursing intervention and modifies care plan to achieve desired outcome.

Demonstrates and conveys theoretical knowledge and skills related to perioperative nursing care understands the "why" concept as well as the "how" process.

Thorough / Accurate / Complete documentation of intraoperative patient care.

Understands / Demonstrates / Conveys knowledge related to proper intraoperative patient positioninG

universal skin care precautions

prevention of nerve damage

prevention of pressure related skin breakdown.

Assists with completion and accuracy of surgical sponge, sharps / miscellaneous items, and instrument counts as per established policies and guidelines.

Assists with maintenance of up-to-date preference sheets in conjunction with Resource RNs and department Nurse Managers.

Effectively demonstrates critical thinking, prioritization of duties, and time management skills throughout the perioperative arena.

Maintains accuracy with patient charge process, cost efficient usage of case supplies, and ensures all pertinent data is provided to post case data personnel to facilitate a time efficient billing process.

Strives to ensure efficiency in turn around time between procedures-

readily available

communication with OR Desk / Charge RN and / or department Nurse Manager

gross cleaning of body fluid spills to confine contamination throughout the procedure

prioritization of case completion process

assists with room clean up tasks as necessary

prioritizes case set up process toward maximum efficiency.

Initiate appropriate intraoperative behaviors unique to first assisting

provide hemostasis to reduce potential for fluid volume deficit by clamping and / or legating vessels using ESU, direct pressure, applying chemical agents that promote coagulation and other means as directed by the surgeon

provide exposure of the operative site through appropriate use of retractors, other instruments, and through suctioning and sponging

use surgical instruments skillfully in ways consistent with their design and purpose as directed by the surgeon.

Accreditation / Regulatory Compliance

Qualifications

Prefer minimum of 1 year recent perioperative experience as an RN First Assistant.

Must be knowledgeable regarding the nursing process and its application assessment, planning, implementation, and evaluation.

Competencies Skills

Essential

• Experience In Hospital Or Acute Care Setting
• Clear Communication Skills Both Written And Verbal
• Able To Keep Confidential Information Regarding Patients, Team Members
• Able To Withstand Crisis Situations
• Has Skills To Provides Customer Service To Patients, Team Members And Visitors
• Knowledge And Experience With Electronic Health Records

Credentials

Essential

Nonessential

Education

Essential

Entry

USD $39.88 / Hr.

Max

USD $65.80 / Hr.

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Attracting and retaining the best healthcare professionals is Beebe Healthcare's top priority. We offer an excellent patient-focused environment, exciting career opportunities, and leading-edge technology with supportive, progressive leadership.