Surgical First Assist - RNFA

St. Louis, MO

We are South City Hospital. Our primary function is to offer continuous nursing, medical, and other health and social services on a 24-hour basis, under physician directed care and RN supervision.

We service a multitude of patients and their families across our vast network, while remaining committed to the professional development of our staff, the functional improvement of our patients, and the cultivation of strong partnerships within our communities. 


  • Essential/stable and growing company with many opportunities for training and advancement within the medical field that all employees and team members (including Full-Time and Part-Time) can benefit from. 
  • Hourly pay is negotiable based on experience. We offer competitive market pay and opportunities for bonus depending on great work performance (bonuses only apply for Full Time). 
  • Comprehensive Employee Benefits: Full-Time employees are eligible for various plans for medical, dental, and vision insurance. 

The Surgical First Assist supports the operating room by assisting the surgeon during surgical intervention.  The First Assist acts as the surgeon’s vector by applying traction or counter-traction as needed, helping to maintain hemostasis during surgery and assisting with wound closure at the completion of the surgical procedure.


  • Assists in assessing patient needs by communicating with the surgeon as to the nature of the surgery and what will be expected of the assistant.
  • Assists staff in patient transfer to the operating room table and aids in positioning.  Stands in attendance for anesthesia and assists during induction as requested following established department and hospital procedures.
  • Assist operating room staff in checking and setting up special equipment in order to facilitate and expedite the surgical procedure per established procedures.
  • Drapes the patient correctly for the procedure, assists the scrub nurse in attaching electro-cautery, suction apparatus, and sterile light handles as needed following established department procedures.
  • Demonstrates knowledge of anatomy as related to a wide range of surgical procedures and follows surgeon’s orders in a proficient manner at all times. 
  • Provides hemostasis through use of cautery, clamping, suture tying, and/or stick tying of major/minor bleeding vessels following department procedures at all times.
  • Demonstrates satisfactory knot tying, suturing, and tissue handling techniques per established procedures.
  • Demonstrates ability to close a surgical wound by using different suturing techniques per established procedures.
  • Demonstrates the ability to operative specialized equipment intra-operatively; i.e. stapling instrumentation, laparoscopic tools and equipment, orthopedic drills, and instrumentation, lasers, etc. per established procedures.
  • Removes or inserts sutures and drains as ordered by the surgeon.  Documents actions per established guidelines.
  •  Acts as a resource person for the operating room staff.
  • Applies dressings, casts, splints, and traction devices, and hooks up tubes and drains as required by surgeon.
  • Assists staff in transferring patient from OR table to transporting bed.  Accompanies patient to PACU or ICU if deemed necessary following all hospital transportation procedures.
  • Performs other duties as assigned.


  • Graduation from an accredited School of Nursing.  Must have knowledge of growth and development and show clinical expertise for ages of patients served.  Possesses the ability to understand and react effectively to these patient’s needs.
  • Currently licensed or eligible for licensure by the Missouri State Board of Nursing.  CNOR preferred.
  • Five (5) years hospital OR experience preferably as a scrub nurse in a variety of specialty areas.
  • Previous experience as RNSA/FA preferred.
  • Completion of CPR
  • Excellent decision making skills.
  • Clinical reasoning and judgment skills necessary for evaluation of nursing interventions and for safety of patients and self.
  • Excellent oral and written communication skills to interact with patients, visitors and staff.  Ability to recognize need for and alter communication with patients with communication impairments.
  • Ability to manage time, organize daily schedule to meet productivity standards, and cope with professional stress.