Registered Nurse First Assist
Company: Novant Health
Location: Wrightsville Beach
Posted on: April 4, 2026
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Job Description:
What We Offer: Join our team of First Assistants at a brand-new,
state-of-the-art medical facility, where you’ll help shape the
future of exceptional patient care in our Operating Room This is an
exciting opportunity to be part of a founding nursing team, build a
supportive culture from the ground up, and make a lasting impact in
a modern environment designed for both patients and staff.
Location: 109 Scotts Hill Medical Drive Wilmington, North Carolina
28411 Schedule : Full-Time , Days, variable Department : Operating
Room Requirements: RNFA certification or Surgical First Assist
certification Benefits : For more benefit information, please visit
our website here:
https://www.novanthealth.org/team-members/benefits/ Onboarding:
Comprehensive orientation and training program designed to set new
team members up for success, with ongoing support from experienced
preceptors and leadership. The Registered Nurse First Assistant and
Certified Surgical First Assistant are 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. Functions as a 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.
Able to provide care to patients on designated units. What We're
Looking For: Education: Must be an AD, BSN, MSN, NP, CNS, CNA, CNM
registered nurse who has graduated from an accredited school of
nursing. Completion of a RNFA course. Experience: Two years,
required. Perioperative RN experience. Licensure/Certification:
Current RN licensure in appropriate state, preferred CNOR through
the Certification Board of Perioperative Nursing, required.
Completion of Novant Health's credentialing process, required.
Advanced Cardiac life Support (ACLS) certification, Pediatric
Advanced Life Support (PALS) certification, preferred. Additional
Skills/Requirements (required): Promote the mission, vision, and
values of the organization. Assess patients at intervals in
accordance with facility or health care organization policies and
procedures. Participate in preoperative assessment and planning for
surgical patients specific to RNFA activities (eg, anatomical
exposure, wound closure) in collaboration with perioperative team
members. Develop an individualized perioperative patient plan of
care. Implement the plan of care by: protecting the patient from
injury caused by extraneous objects and chemical, electrical,
laser, mechanical, and thermal sources. participating in accounting
procedures to protect the patient from unintended retained surgical
items. performing interventions necessary to ensure that the
patient’s procedure is performed on the correct site, side, and
level. assisting with management of the patient’s specimens as
necessary. communicating the patient’s current status to relevant
parties throughout the continuum of care. administering medications
safely and correctly. performing interventions to maintain the
patient’s wound and tissue perfusion at or above baseline levels.
performing interventions to maintain the status of the patient’s
genitourinary, gastrointestinal, musculoskeletal, endocrine,
respiratory, cardiovascular, and neurological systems and fluid,
electrolyte, and acid-base balances at or above baseline levels.
performing interventions to ensure the patient is at or returned to
normothermia at the conclusion of the immediate postoperative
period. performing interventions to protect the patient from
surgical site infection. assessing the knowledge level of the
patient or designated support person. providing education regarding
the expected psychosocial response, nutritional management,
medication management, pain management, wound management, and
expected responses to the operational or invasive procedure.
involving the patient or designated support person actively in
decisions affecting his or her perioperative care and the
rehabilitation process. protecting the patients’ rights, dignity,
and privacy. providing age-specific, culturally competent, ethical
care within legal standards of practice; and providing consistent
and comparable care regardless of the setting. Function as an RN
first assistant during operative and other invasive procedures by
providing exposure through correct use of instruments, retractors,
suction, and sponging techniques. handling and dissecting tissues
in collaboration with the surgeon. clamping blood vessels,
coagulating bleeding points, and ligating vessels in collaboration
with the surgeon. placing drains as directed by the surgeon; and
suturing muscle, fascia, subcutaneous, and skin in collaboration
with the surgeon. Follow selected surgical patients postoperatively
specific to RNFA activities (eg, postoperative rounding, dressing
changes) in collaboration with the interdisciplinary team. Evaluate
the patient’s progress toward attaining outcomes. Transfer care as
applicable. Delegate tasks according to the state Nurse Practice
Act and job descriptions. Document nursing care accurately,
completely, and legibly. Collaborate effectively with other
disciplines as applicable. Participate in quality review and
performance improvement projects. Participate in the performance
appraisal process. Use problem-solving and conflict resolution
skills to foster effective work relationships with team members.
Serve as an educator, mentor, consultant, and resource to peers,
colleagues, and others in relation to RNFA activities. Maintain
regulatory, credentialing, and privileging requirements required
for practice as an RNFA. Participate in ongoing educational and
competency verification activities applicable to RN and RNFA
activities. Act as a patient advocate and maintain privacy and
confidentiality of individuals and health information.
Keywords: Novant Health, Wilmington , Registered Nurse First Assist, Healthcare , Wrightsville Beach, North Carolina
