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OR First Surgical Assistant or RN First Assist - Operating Room, Full time

Mary Washington Healthcare
United States, Virginia, Fredericksburg
Jun 24, 2025

Start the day excited to make a difference...end the day knowing you did. Come join our team.

Job Summary:

OR First Assistant - Under the direct and indirect supervision of the attending physician and in a cohesive manner with all surgical staff functions in a surgical assist role, the First Surgical Assistant assists the team in providing quality individualized patient care. The First Surgical Assistant will demonstrate knowledge and skills necessary to provide services appropriate to the age of the patients served Additional, the Surgical Assistant performs other responsibilities as assigned.

RN First Assistant -
The RN First Assistant (RNFA) functions as the surgical first assistant under the direction and supervision of the surgeon during the intra-operative phase of surgery. The RNFA will also serve in the role of a Registered Nurse, according to the needs of the department.

$10,000 Sign On Bonus to external applicants

Essential Functions & Responsibilities:
OR First Surgical Assist -

  • Under the supervision of the operating surgeon, assists in skin closure, subcutaneous closure and ties, facia closure and ties, closure and ties of peritoneum, tying deep vessels, incising tissue, and performs haemostatic techniques.
  • Assists with procedural set up and patient preparedness for specific procedures in positioning, prepping and draping.
  • Observes aseptic techniques in preparing for and assisting with procedures.
  • Participates in patient transport, room turnover as indicated by unit activity to facilitate utilization of services in a cost effective manner.
  • Performs other duties as assigned.

RN First Assist-

  • Assists with procedural set up and patient preparedness for specific procedures in positioning, prepping and draping.
  • Assists the surgeon in skin closure, subcutaneous closure and ties, facia closure and ties, closure and ties of peritoneum, tying deep vessels, incising tissue, and performs hemostatic techniques.
  • Establishes and maintains a safe peri-operative environment. Observes aseptic techniques in preparing for and assisting with procedures.
  • Participates in patient transport and room turnover as indicated by unit activity to facilitate utilization of services in a cost-effective manner.
  • Functions in the role of a Registered Nurse and circulates cases, as needed.
  • Serves as educator, mentor and resource to patients and colleagues.
  • Performs other duties assigned.

Qualifications:
OR First Surgical Assist -

  • Functions to present skills and knowledge levels reflective of education and experience at the assistant position at or a minimum of 90 days and or present reference of equivalent experience required.
  • Registered and licensed with the Virginia Board of Medicine as a Surgical Assistant required.
  • Certified First Surgical Assistant with the National Board of National Board of Surgical Technology and Surgical Assisting (NBSTSA) or National Commission for the Certification of Surgical Assistants (NCCSA)
  • Virginia Board of Medicine registered Scrub Tech preferred.
  • AHA BLS CPR provider certification required.

RN First Assist -

  • Graduation from a surgical first assistant program required.
  • Valid RN License from Virginia or reciprocal compact state required.
  • Certified Perioperative Nurse (CNOR) certification required.
  • AHA BLS Provider CPR required at hire
  • BSN is preferred.
  • Certified Registered Nurse First Assistant (CRNFA) certification preferred.

As an EOE/AA employer, the organization will not discriminate in its employment practices due to an applicant's race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status.

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