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CommonSpirit Health Nurse First Assistant (RNFA) in ROSEBURG, Oregon


CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. & from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.


Up to $10,000 sign-on bonus and relocation assistance eligible position!

Pay Scale: $40.47 - $61.91

Shift: M-F 6:45am - 5:15pm + call

Job Summary:

Under the direction of the Surgical Services Nursing Director, the Registered Nurse First Assistant (RNFA) is a registered nurse with specialized education. The development of specific technical skills enables the RNFA to assist the surgeon with specific intraoperative procedures that are beyond the scope of practice for registered nurses without RNFA education and training. Intraoperatively, the RNFA functions interdependently with the surgeon and applies knowledge, skill and judgment necessary to assist the surgeon in performing a safe operation that yields optimal results for the patient. This position requires on-call with a 30 minute response time.

The RNFA is under the continuous, direct and on-site supervision of the physician performing the surgical procedure. The RNFA shall not be expected to replace or assume the responsibilities of the physician performing the surgical procedure.

Essential Duties:

  • Applies nursing process to direct patient care through assessment, analysis of collected data, development of a plan of care and implementation and evaluation of effectiveness of nursing interventions/actions in relation to intended goal.

  • Provides adequate information and instruction to the patient, family and significant other.

  • Provides for an environment conducive to patient and staff safety. Conforms to hospital policies and procedures.

  • Performs in-depth assessment of patients and is able to correlate information to plan for the provision of needs in the Recovery Room department.

  • Maintains knowledge of narcotic antagonists.

  • Skillfully applies principles of asepsis and infection control.

  • Recognizes safety hazards and initiates appropriate preventative and/or corrective actions to ensure a safe environment for the patient and surgical team throughout the perioperative experience.

  • Provides exposure through appropriate use of instruments, retractors, suctioning and sponging techniques.

  • Handles and dissects tissues in collaboration with the surgeon.

  • Clamps blood vessels, coagulates bleeding points, ligates vessels and other procedures in collaboration with the surgeon to achieve hemostasis.

  • Sutures muscle, fascia, subcutaneous and skin tissue in collaboration with the surgeon.

  • Places drains as surgically indicated.

  • Evaluates the outcomes of nursing care and ensures continuity of care by communicating pertinent patient information to PACU staff.

  • Effectively communicates with surgeon and surgical team.



  • Possession of a current license as an RN issued by the State of Oregon required.

  • Must have a current CNOR certification.

  • Must have current BLS within 30 days of hire date and ACLS within 6 months of hire date.


  • Five (5) years of experience as an OR nurse required.

  • Must have excellent knowledge of surgical anatomy, physiology and operative technique specific to cardiovascular procedures to work in collaboration with the surgeon.

  • Must have demonstrated leadership skills that enhance team functioning in an emergency.


  • Must be a graduate of a recognized RNFA program.

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CommonSpirit Health participates in E-verify.

Requisition ID 2021-163494

Employment Type Full Time

Department Surgical

Hours / Pay Period 80

Shift Day

Standard Hours 0645 - 1715 M-F

Facility / Process Level : Name CHI Mercy Health of Roseburg


Equal Opportunity CommonSpirit Health™ is an Equal Opportunity/ Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law.