Skip to main content


RN First Assist




Surgical Services


Full Time


Days (7 a.m. - 3:30 p.m.)


Minimum Qualifications to Apply:

Licensed RN in State of Texas or compact State. Certification as RN First Assist. Current BLS and ACLS. Minimum of two years of perioperative experience in operating room.

Position Overview:

Acts as first assistant to the surgeon during surgical incision, excision, repair of pathology, and wound closure throughout the perioperative period on procedures. This position is also responsible for providing general and specialized direct and indirect patient care through the application of evidence based nursing procedures and practices to surgical patients of all ages. Will also be required to work as a circulating nurse.

  • Interacts professionally with patients and families.
  • Performs a preoperative nursing assessment including a health history.
  • Assessment and reassessment of the patient is clearly and concisely communicated in the patient's medical record.
  • Provides education and emotional support to the patient and family.
  • Adapts nursing procedures to meet the needs for treatment of individual neonatal, pediatric, adolescent, adult and geriatric patients.
  • Possess knowledge and understanding of anatomy, physiology and operative techniques related to the surgical specialty in which the RN assists.
  • Positions patients properly; pads and protects bony prominences.
  • Follows aseptic techniques when opening sterile supplies and setting up procedures.
  • Preps and drapes patients correctly for all procedures.
  • Demonstrates knowledge and skills to use various surgical instruments and retractors.
  • Demonstrates knowledge of care of tissue and specimens. Identifies specimens to circulating nurse and scrub nurse.
  • Provides assistance to the surgeon during procedures; using retractors to provide exposure, providing hemostatis, suturing, wound dressing.
  • Anticipates the needs of the surgeon during the procedure.
  • Assists with operating room counts (instruments, sharps, sponges); follows proper procedures in the event of an incorrect count.
  • Assists with the transport of the patient to the PACU.
  • Communicates clearly and concisely with the surgeon, other healthcare professionals and patient/family.
  • Demonstrates knowledge of anesthetic drugs, actions and side effects.
  • Able to perform effectively as a member of the surgical team.
  • Regularly collaborates with members of the surgical team in order to maintain equipment and supplies for surgical procedures.
  • Applies the principles of asepsis and infection control at all times.
  • Provides post-op and discharge education to patients and families.
  • Protects patient's sensitivities and right to privacy.
  • Demonstrates knowledge of arterial lines, Swan-Ganz and epidural catheters and how to document appropriately.
  • Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood oh medical/health care errors.
  • Follows the five medication rights and reduces the potential for medication errors.
  • Appropriately responds to the patient in an emergency or physically distressful situation.
  • Treats patients and their families with respect and dignity. Identifies and addresses psychosocial, cultural, ethnic and religious/spiritual needs of patients and their families.
  • Documentation meets current standards and policies.
  • Maintains a good working relationship with the Surgical Services staff.
  • Is knowledgeable of and follows the hospital's policies and procedures.
  • Stays current with new techniques and technologies through continuing education, seminars, conferences, professional societies and journals.
  • Utilizes initiative; strives to maintain steady level of productivity; self-motivated; manages activities and time wisely.