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RN First Assistant - Outpatient Surgery - Fairfield Hospital

Confidential ClientHealthcare
Entry LevelFull-timeOn-Site$31,992
Hamilton, Ohio
15 Hours Ago

The RN First Assistant at Confidential Client provides comprehensive perioperative nursing care, coordinating with the surgical team to ensure patient safety and optimal surgical outcomes. This role involves patient assessment, medication administration, sterile technique, and assisting in surgical procedures, while adhering to regulatory standards and quality improvement initiatives. The position requires collaboration across interdisciplinary teams and active participation in patient care coordination throughout the surgical process.

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Description

About Careertakes

👉 Important disclosure: Careertakes is a third-party recruiting platform supporting this hiring process. If selected, you will be employed directly by our client, Healthcare & Nursing.

Applicants for this role may also receive access to additional matched opportunities through the Careertakes platform.


What You’ll Do

Confidential Client is seeking an experienced perioperative RN who can function as an RN First Assistant and/or Surgical Assistant in an outpatient surgery setting. You will deliver safe, patient-centered perioperative care across pre-op, intra-op, and post-op phases and support the surgical team by anticipating needs, maintaining the sterile field, and assisting the surgeon as assigned.

  • Provide comprehensive perioperative nursing care: assessment, planning, implementation, and evaluation of patient care before, during, and after surgical procedures.
  • Serve as RN First Assistant or Surgical Assistant on assigned cases (first or second assist), under the supervising surgeon’s direction.
  • Prepare the OR using surgeon preference lists; open sterile supplies and establish/maintain the sterile field.
  • Anticipate and support scrub needs; handle instrumentation, counts (sponges, sharps, instruments), and specimen handling according to policy.
  • Assist with patient positioning, skin preparation, Foley catheter insertion, draping, and wound closure assistance as authorized.
  • Operate and monitor basic OR equipment and power instruments per training and facility policy.
  • Administer medications and monitor patient condition consistent with state scope of practice and facility protocols.
  • Coordinate care and communicate effectively with circulating nurses, anesthesia, providers, and other departments to ensure safe, efficient surgical flow.
  • Participate in quality improvement, safety initiatives, and Universal Protocol (time-out) compliance.
  • If assigned to Endoscopy, perform reprocessing and related responsibilities per applicable standards.

Required Licenses & Certifications

  • Current RN license in the state of employment (or active in an applicable Nurse Licensure Compact state) — required for RN First Assistant roles.
  • BLS (Basic Life Support) from an approved source — required prior to direct patient care or as stated by the facility.
  • Certified Surgical Assistant (CSA) or equivalent credential may be required for Surgical Assistant roles (per state or facility policy).
  • Additional certifications preferred: ACLS, PALS, CNOR, SGNA — preferred but not always required.
  • Note: Candidates must meet any additional state-specific registration requirements (for example, registration with a state medical/health board where required for surgical assistant practice).

Education & Experience

  • High school diploma or equivalent — required (for Surgical Assistant entry-level roles).
  • Associate degree or BSN preferred for RN First Assistant/perioperative RN roles; BSN preferred by many facilities.
  • Preferred: 2 years of critical care or perioperative experience and/or completion of an OR internship program.
  • Preferred training: successful completion of Periop 101 or equivalent perioperative education.

Skills & Abilities

  • Clinical/technical: sterile technique, surgical counts, instrument familiarity, basic equipment operation, suturing assistance, wound care and dressing application.
  • Interpersonal: strong communication, teamwork, active listening, relationship building, professional demeanor.
  • Cognitive: attention to detail, critical thinking, ability to follow instructions and protocols, prioritize under pressure.
  • Other: surgical conscience, flexibility, ability to work in a fast-paced OR environment, maintain confidentiality of protected health information.

Work Type & Location

  • Work setting: Outpatient Surgery / Ambulatory Operating Room (on-site).
  • Employment type: Full-time (schedule may include variable shifts per surgical schedule; weekend or evening coverage as required by the facility).
  • Location: Hamilton / Fairfield area, OH (local candidates or those eligible to work in Ohio).

Compensation & Benefits

Confidential Client offers competitive pay and a benefits package that may include:

  • Competitive base pay and potential incentives
  • Retirement savings (403(b) where applicable) with employer contributions (per eligibility)
  • Medical, dental, vision, prescription coverage; HSA/FSA options
  • Life insurance, short- and long-term disability
  • Paid time off, parental leave, FMLA protections per law
  • Tuition assistance, professional development, and continuing education support
  • Employee assistance and mental health resources

(Actual benefits may vary by location and employment status. Specific pay ranges may be provided during the hiring process or in locations with pay transparency requirements.)


Candidate Considerations & Equal Treatment

Confidential Client and Careertakes are committed to fair hiring. We will consider qualified applicants for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, protected veteran status, or disability. If you need a reasonable accommodation to participate in the application or interview process, please notify the recruiter or the Careertakes platform.


What Success Looks Like

  • Demonstrates safe perioperative nursing and first-assist skills, maintaining sterile technique and surgical counts.
  • Supports efficient OR flow through strong communication and anticipation of the surgical team’s needs.
  • Maintains accurate documentation and follows facility policies and state regulations.
  • Participates in continuous improvement and helps maintain an environment focused on patient safety and quality outcomes.

Equal Opportunity & Hiring Transparency

Careertakes and our client are Equal Opportunity Employers committed to building a diverse and inclusive workforce. We prohibit discrimination or harassment of any kind. To support a fair and efficient hiring process, AI tools may be used to assist with application review or resume screening. These tools do not replace human decision-making. Final hiring decisions are made by people.

If you have questions about how your data is used, please contact us directly.

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