Registered Nurse First Assistant (RNFA)Cleveland, MSPost Date | 07/31/2026Bolivar Medical Center

RN-First Assistant Opportunity At Bolivar Medical CenterStart 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 SummaryThe 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 FunctionsPerforms first assist duties under the direction of the operating surgeon, including tissue retraction, hemostasis, cutting and suturing, and wound closureParticipates in preoperative assessment and preparation, including patient positioning and site markingMaintains sterile field and ensures proper handling of surgical instruments and equipmentMonitors patient condition and surgical environment throughout the procedureProvides postoperative care and assists with recovery, transfer, or discharge as appropriateDocuments intraoperative activities, patient responses, and outcomes in accordance with policyParticipates in circulating and scrub nurse roles when not assigned to RNFA dutiesCollaborates with surgical team on scheduling, preparation, and procedure coordinationMaintains competency through documentation of clinical cases and continuing educationSupports patient education and advocates for safety, dignity, and confidentialityParticipates in performance improvement and quality initiatives within the surgical departmentKnowledge/Skills/Abilities/ExpectationsIn-depth knowledge of surgical anatomy, procedures, and aseptic techniqueAdvanced clinical decision-making and problem-solving skillsAbility to adapt to high-acuity, emergent situations with composureStrong communication and interpersonal skills to work effectively with multidisciplinary teamsSkilled in wound closure, suturing, and use of surgical toolsDemonstrates flexibility and commitment to patient-centered carePhysically capable of extended standing, lifting, and movement in the surgical suiteQualificationsPostsecondary (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/CertificationsCurrent and valid Registered Nurse license in the state of practiceCNOR certification, required. Basic Life Support (BLS), requiredAdvanced Cardiovascular Life Support (ACLS), preferredMust meet credentialing requirements for allied health privilegesExperienceMinimum of 3 years of perioperative nursing experience required