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Registered Nurse First Assist (RNFA) - Operating Room - Per Diem

Location Nashua, New Hampshire
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Job ID
JR6161
Category
Nursing, RNs & LPNs

Registered Nurse – First Assist – Operating Room

Per Diem

Who We Are:

SNHMC has nine operating room suites, 25 pre-op/PACU bays, and a sterile processing department. Hours are flexible, with 8-, 10-, and 12-hour day shifts available. The OR has a dedicated call team Sunday through Thursday nights beginning at 7PM, making OR call minimal. Services range from elective and non-elective procedures, including neurological, orthopedic, gynecological, urological, bariatric, colorectal, vascular, ENT, general, breast, and plastics. Surgical services are growing and evolving, utilizing the latest technology for the wide variety of procedures we perform. The OR also offers Periop-101 and advancements.

About the Job:

As a member of the Surgical Services team, the RN First Assist (RNFA) is responsible for the delivery of safe, effective, and quality, patient-family centered care in the OR and other areas of perioperative services for all patient populations. The incumbent will function as a RN First Assistant during operative and other invasive procedures and throughout the perioperative continuum in accordance with scope of practice credentials, privileges, experience, education, and competency verification. This role assists the surgical team with the verification process and basic intra-operative procedures and case closure protocol.

In addition to the basic RN responsibilities, the RN, FA, will perform advanced tasks including suctioning and irrigation, patient positioning, placing clamps and sutures, cauterizing wounds and vessels and closing wounds. The incumbent will work under the supervision of the surgeon, in collaboration with the RN Circulator and is accountable to the Clinical Nurse Manager and/or Director of Perioperative Services.

What You’ll Do:

  • Assist surgical team with verification process, intra-operative procedures, and closure.

  • Review the surgical booking and match procedures to preference cards.

  • Assess patients at intervals in accordance with facility or health care organization policies and procedures.

  • Evaluate surroundings to maintain sterile field.

  • Perform as a team member, participating in time out and pre- and intra-op communications.

  • Participate in preoperative assessment and planning for surgical patients specific to RN First Assist activities including, but not limited to, anatomical exposure and wound closure in collaboration with perioperative team members.

Who You Are:

  • Bachelor’s degree in nursing from an accredited school of nursing required

  • Graduate of an accredited Registered Nurse First Assist program required.

  • Current Registered Nurse licensure in the State of New Hampshire required.

  • RN First Assistant Certification (CRNFA) required.

  • Certification Nurse, Operating Room (CNOR) certification required.

  • Current BLS certification required.

  • A minimum of two (2) years as a Registered Nurse required.

  • Knowledge and skills acquired through Reg education and certification.

Why You’ll Love Us:

  • Southern NH Medical Center is a 5-time Magnet designated hospital

  • Health, dental, prescription, and vision coverage for full-time & part-time employees

  • Medical, dental, and vision coverage

  • Life insurance

  • Short- and long-term disability

  • Flexible Spending Accounts (FSA)

  • Competitive pay

  • Tuition & Certification Reimbursement

  • Nursing Student Loan Paydown Program

  • 403(b) Retirement Savings Plan

  • Education & Paid training courses for continued career progression

& So much more!

Southern New Hampshire Health is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law.

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  • Medical professional using a stethoscope to listen to a child.

    Magnet Designated Hospital

    Physicians and advance practice providers in primary, specialty and immediate care. Our guiding philosophy is to treat our patients and each other with respect, honesty and compassion.

  • Person wearing scrubs and a stethoscope

    Benefits

    Southern New Hampshire Health supports and encourages the ongoing growth and development of all employees. We offer numerous programs to help employees learn and grow both personally and professionally.

  • Exterior of a Southern New Hampshire Health building

    Awards and Accreditations

    Southern New Hampshire Health is committed to delivering high‑quality, safe, and compassionate care. Our organization has been recognized by respected national and regional healthcare organizations for excellence in clinical quality, patient safety, and specialized services. These awards and accreditations reflect our ongoing dedication to rigorous standards, continuous improvement, and a patient‑first approach across all areas of care.

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