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RN First Assistant - Operating Room, Full Time, Day

Mary Washington Healthcare
United States, Virginia, Stafford
Jan 02, 2026

Start the day excited to make a difference...end the day knowing you did. Come join our team.

Commitment to Care Bonus potential for Qualifying External Candidates

Job Summary:

The RN First Assistant (RNFA) functions as the surgical first assistant under the direction and supervision of the surgeon during the intra-operative phase of surgery. The RNFA will also serve in the role of a Registered Nurse, according to the needs of the department.

The incumbent in this position will support the mission, vision, values and strategic initiatives of Mary Washington Healthcare and must demonstrate a commitment to quality service to patients, physicians, the public and co-workers.

Essential Functions and Responsibilities:

  • Assists with procedural set up and patient preparedness for specific procedures in positioning, prepping and draping.
  • Assists the surgeon in skin closure, subcutaneous closure and ties, facia closure and ties, closure and ties of peritoneum, tying deep vessels, incising tissue, and performs hemostatic techniques.
  • Establishes and maintains a safe peri-operative environment. Observes aseptic techniques in preparing for and assisting with procedures.
  • Participates in patient transport and room turnover as indicated by unit activity to facilitate utilization of services in a cost-effective manner.
  • Functions in the role of a Registered Nurse and circulates cases, as needed.
  • Serves as educator, mentor and resource to patients and colleagues.
  • Performs other duties assigned.

Qualifications:

  • Graduation from a surgical first assistant program required.
  • Valid RN License from Virginia or reciprocal compact state required.
  • Certified Perioperative Nurse (CNOR) certification required.
  • AHA BLS Provider CPR required at hire
  • BSN is preferred; all Registered Nurses with an Associate's Degree in Nursing will be required to obtain their BSN within five years of hire (Effective March 2014).
  • Certified Registered Nurse First Assistant (CRNFA) certification preferred.

As an EOE/AA employer, the organization will not discriminate in its employment practices due to an applicant's race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status.


Required

Physical Requirements: Constant (67-100% of workday) walking, standing, use of arms and hands; frequent (34-66% of workday) bending, stooping, kneeling, and squatting; ability to lift 35 lbs.; ability to push and pull 20 lbs.; auditory and visual skills to include color determination; ability to work in confined spaces; ability to reach above/overhead.

Mental Requirements: Possesses critical thinking and analytical skills. Ability to multi-task. Ability to communicate effectively and collaborate with a multi-disciplinary team. Capacity to cope with difficult situations. Ability to tolerate irregular hours including evenings, nights, and weekends.

Environmental Requirements and Exposure Hazards: Potential risk of exposure to radiation and toxic chemicals. Potential for exposure to bloodborne pathogens; must be able to wear appropriate personal protective equipment.

*Clinical positions in Mary Washington Home Health and/or Hospice must also meet driving requirements.

"It is the policy of Mary Washington Healthcare to provide reasonable accommodations to qualified individuals with a disability who are applicants for employment or Associates."

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