Beebe Healthcare

Provides inpatient and outpatient healthcare services

Registered Nurse First Assistant

Nursing & Frontline Patient CarePosted on Nov 5

Full-timeLewes, DE, USA$39.88 - $65.80 /hrIn-person

About the Job

Requirements

Completion of an accredited Registered Nurse First Assistant program.
At least two years of recent perioperative nursing experience.
Graduation from an accredited nursing program.
Registered Nurse credential.
Basic Life Support certification.
Certified Nurse Operating Room credential.
Strong clinical judgment and commitment to patient-centered care.

Responsibilities

Provide intraoperative hemostasis using methods directed by the surgeon, including clamping or ligating vessels with electrosurgical units, direct pressure, or chemical agents.
Expose the operative site using retractors, instruments, suctioning, and sponging.
Use surgical instruments skillfully according to their design and purpose as directed by the surgeon.
Demonstrate competency in scrub and surgical routines and aseptic technique.
Use proper scrub, gowning, and gloving technique for self, the surgeon, and the assistant.
Monitor asepsis in scrub, circulator, and assistant roles; anticipate the surgeon’s needs; recognize procedure sequences; and pass instruments correctly.
Review and prepare appropriately for assigned procedures.
Operate autoclaves and sterilization units according to established guidelines; perform required daily A-tests and biological tests; and care for, handle, and assemble instruments for processing.
Document all flash and sterilization cycles thoroughly according to protocol.
Handle department supplies, instruments, and equipment responsibly and provide optimum care for inventory.
Collect, interpret, record, and communicate patient assessment data relevant to surgical care.
Use assessment data to plan intraoperative nursing care.
Provide direct patient care to meet patients’ physical and psychological needs.
Continuously evaluate patient responses to nursing interventions and modify care plans to achieve desired outcomes.
Demonstrate and convey theoretical knowledge and skills related to perioperative nursing care, including understanding both the rationale and process.
Document intraoperative patient care thoroughly, accurately, and completely.
Apply proper intraoperative patient positioning and universal skin-care precautions, and prevent nerve damage and pressure-related skin breakdown.
Assist with accurate counts of surgical sponges, sharps, miscellaneous items, and instruments according to established policies and guidelines.
Maintain up-to-date preference sheets with Resource Registered Nurses and department Nurse Managers.
Demonstrate critical thinking, prioritize duties appropriately, and manage time effectively throughout the perioperative setting.
Maintain accurate patient charges, use case supplies cost-efficiently, and provide pertinent data to post-case personnel to support timely billing.
Promote efficient turnaround between procedures, remain available as needed, and communicate with the operating room desk, Charge Registered Nurse, and/or department Nurse Manager.
Clean gross body-fluid spills to contain contamination during procedures, prioritize case completion and setup, and assist with room cleanup as needed.
Adhere to accreditation, regulatory, and safety requirements throughout the perioperative process.

Desired Qualifications

One year of recent perioperative experience as an RN First Assistant is preferred.

Why Beebe?

Become part of the Beebe team—an inclusive, mission‑driven organization located in a vibrant coastal community. At Beebe, you’ll build a rewarding career while making a meaningful impact on the health and well‑being of our patients. Join a team committed to excellence, collaboration, and compassionate care, and experience the fulfillment that comes from supporting a community that trusts and values the work you do every day.

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

Join the surgical team at Beebe Healthcare, where your skills and experience as a Registered Nurse First Assistant (RNFA) will make a lasting impact. We are currently seeking a full-time RNFA to support our perioperative services in delivering safe, efficient, and expert surgical care to patients across Sussex County.

As a clinically competent, registered professional nurse, the RNFA demonstrates advanced proficiency inperioperative nursing and intraoperative first assisting. This position plays an integral role in the surgical team by collaborating with surgeons and operating room staff to ensure high-quality patient outcomes. The RNFA uses the full scope of the nursing process – assessment, planning, intervention, implementation, and evaluation – to deliver comprehensive surgical care and support throughout the perioperative continuum.

Responsibilities

First Assisting Responsibilities

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.

Scrub / Surgical Routines & Aseptic Technique

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.

Sterilization Processes & Instrument Handling

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.

Supply, Instrument, and Equipment Accountability

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

Perioperative Nursing Process

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.

Theoretical Knowledge & Clinical Competence

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

Intraoperative Documentation

Thorough/Accurate/Complete documentation of intraoperative patient care.

Patient Positioning & Skin Integrity

Understands/Demonstrates/Conveys knowledge related to proper intraoperative patient positioning.
Universal skin care precautions.
Prevention of nerve damage.
Prevention of pressure-related skin breakdown.

Surgical Counts

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

Preference Sheet Management

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

Critical Thinking, Prioritization & Time Management

Effectively demonstrates critical thinking.
Prioritizes duties appropriately.
Demonstrates strong time management skills throughout the perioperative arena.

Charge Accuracy & Cost Efficiency

Maintains accuracy with patient charge process.
Uses case supplies cost efficiently.
Ensures all pertinent data is provided to post‑case data personnel to facilitate a time‑efficient billing process.

Turnover Efficiency

Strives to ensure efficiency in turnaround time between procedures.
Readily available as needed.
Communicates with OR Desk/Charge RN and/or department Nurse Manager.
Performs gross cleaning of body fluid spills to confine contamination throughout the procedure.
Prioritizes case completion process.
Assists with room cleanup tasks as necessary.
Prioritizes case setup process toward maximum efficiency.

Accreditation & Regulatory Compliance

Adheres to all accreditation, regulatory, and safety requirements throughout the perioperative process.

Qualifications

Completion of an accredited RNFA program
Minimum of 2 years of recent perioperative nursing experience
1 year recent perioperative experience as an RN First Assist preferred
Strong clinical judgment, communication skills, and commitment to patient-centered care

Competencies Skills

Credentials

RN - Registered Nurse
BLS - Basic Life Saving certification
CNOR - Certified Nursing - OR

Education

Graduate of an accredited nursing program

Entry

USD $39.88/Hr.

Max

USD $65.80/Hr.

Compensation: 39.88 to 65.8 (USD)

About the Company

Beebe Healthcare

Provides inpatient and outpatient healthcare services

Beebe Healthcare is a health system that emphasizes practical nursing education and patient care in a variety of settings. Its nursing program follows a structured curriculum that progresses from basic to complex nursing care, integrating biological, behavioral, and social sciences to prepare graduates for entry-level practice. The program uses active learning and community resources, guided by Bloom’s Taxonomy and Maslow’s hierarchy, to develop independent judgment, critical thinking, and safe, high-quality care. Beebe Healthcare differentiates itself by linking education to real-world community needs, emphasizing ethical and professional accountability, patient advocacy, effective health teaching, and efficient use of resources. The company’s goal is to produce nursing graduates who can function as competent members of healthcare teams, deliver comprehensive care, and maintain professional standards in acute, long-term, and community-based settings.

Company size: 501-1,000
Company stage: Not listed
Total funding: Not listed
Headquarters: Lewes, DE
Founded: 1916

Recently Posted Jobs

Explore more opportunities at Beebe Healthcare

See more jobs