RN OR Full-time
Beebe Healthcare

RN / REGISTERED NURSE - OR FIRST ASSISTANT

Why Beebe?

Become part of the Beebe team - an inclusive team positioned in a vibrant, coastal community. Enjoy a fulfilling career as you support the health of our patients and a team focused on excellence.

Benefits

In addition to competitive compensation and wellness benefits (medical, dental, vision and prescription) Beebe Healthcare also offers:

  • Sign-on and Referral Bonuses for select positions
  • Tuition Assistance up to $5,000
  • Paid Time Off
  • Long Term Sick accrual
  • Employer Contribution Plan
  • Free Short and Long-Term Disability for Full Time employees
  • Zero copay for drugs on prescription plan for certain conditions
  • College Bound 529 Savings Plan
  • Life Insurance
  • Beebe Perks via WorkAdvantage
  • Employee Assistance Program
  • Pet Insurance


Overview

RN First Assistant – Full Time | Beebe Healthcare

Beebe Healthcare is seeking a skilled and compassionate Registered Nurse First Assistant (RNFA) to join our dynamic surgical services team. In this full-time role, the RN First Assistant will play an essential part in providing expert perioperative nursing care, supporting surgeons, and ensuring optimal patient outcomes in the operating room.

The RNFA is a clinically competent professional nurse with demonstrated expertise in the perioperative setting. This role encompasses the full nursing process, including assessment, planning, intervention, implementation, and evaluation, while providing direct assistance during surgical procedures. The RNFA collaborates with surgeons, anesthesiologists, and the perioperative team to deliver safe, efficient, and high-quality patient care.

Key Responsibilities:

  • Deliver comprehensive perioperative care to surgical patients.
  • Perform first assistant duties, including tissue handling, wound exposure, suturing, and hemostasis.
  • Collaborate with the surgical team to ensure safe and effective operative outcomes.
  • Utilize critical thinking and clinical expertise in preoperative, intraoperative, and postoperative care.
  • Support Beebe Healthcare’s mission of excellence in patient-centered care.


Responsibilities

  • Demonstrates competency in performance of scrub/surgical routines and aseptic technique-
    • utilizes proper scrub, gown and gloving technique for self, surgeon, and assistant
    • ongoing monitoring of asepsis in all roles-scrub, circulator, and assistant
    • anticipates needs of surgeon
    • consistently recognizes sequence of procedures in all roles-scrub, circulator, and assistant
    • passes instruments correctly
    • appropriate review and preparation for assigned procedures.
  • Understands and utilizes established guidelines for operation of autoclaves and steris units
    • performs daily A-Test/Biological tests as required
    • performs proper care, handling, and assembly of instruments for processing
    • ensures complete/thorough documentation of all flash and steris cycles as per protocol.
  • Accepts personal accountability for proper handling, judicious use, and optimum care of all department supply, instrument, and equipment inventory.
  • Utilizes the nursing process throughout the perioperative setting per patient assessment
    • collecting, interpreting, recording, and communicating pertinent data relevant to patient care in surgery
    • care planning-utilization of collected data to plan appropriately for intraoperative nursing care
    • implementing-provides direct patient care to meet physical and psychological needs
    • evaluating care-continuously evaluates patient response to nursing intervention and modifies care plan to achieve desired outcome.
  • Demonstrates and conveys theoretical knowledge and skills related to perioperative nursing care--understands the "why" concept as well as the "how" process.
  • Thorough/Accurate/Complete documentation of intraoperative patient care.
  • Understands / Demonstrates / Conveys knowledge related to proper intraoperative patient positioninG
    • universal skin care precautions
    • prevention of nerve damage
    • prevention of pressure related skin breakdown.
  • Assists with completion and accuracy of surgical sponge, sharps/miscellaneous items, and instrument counts as per established policies and guidelines.
  • Assists with maintenance of up-to-date preference sheets in conjunction with Resource RNs and department Nurse Managers.
  • Effectively demonstrates critical thinking, prioritization of duties, and time management skills throughout the perioperative arena.
  • Maintains accuracy with patient charge process, cost efficient usage of case supplies, and ensures all pertinent data is provided to post case data personnel to facilitate a time efficient billing process.
  • Strives to ensure efficiency in turn around time between procedures-
    • readily available
    • communication with OR Desk/Charge RN and/or department Nurse Manager
    • gross cleaning of body fluid spills to confine contamination throughout the procedure
    • prioritization of case completion process
    • assists with room clean up tasks as necessary
    • prioritizes case set up process toward maximum efficiency.
  • Initiate appropriate intraoperative behaviors unique to first assisting:
    • provide hemostasis to reduce potential for fluid volume deficit by clamping and/or legating vessels using ESU, direct pressure, applying chemical agents that promote coagulation and other means as directed by the surgeon
    • provide exposure of the operative site through appropriate use of retractors, other instruments, and through suctioning and sponging
    • use surgical instruments skillfully in ways consistent with their design and purpose as directed by the surgeon.
  • Accreditation/Regulatory Compliance


Qualifications

  • Prefer minimum of 1 year recent perioperative experience as an RN First Assistant.
  • Must be knowledgeable regarding the nursing process and its application--assessment, planning, implementation, and evaluation.


Competencies Skills

Essential:
* Experience In Hospital Or Acute Care Setting
* Clear Communication Skills Both Written And Verbal
* Able To Keep Confidential Information Regarding Patients, Team Members
* Able To Withstand Crisis Situations
* Has Skills To Provides Customer Service To Patients, Team Members And Visitors
* Knowledge And Experience With Electronic Health Records



Credentials

Essential:
* RN - Registered Nurse
* BLS - Basic Life Saving certification
Nonessential:
* CNOR - Certified Nursing - OR



Education

Essential:
* RN Diploma/RN Graduate Program



Entry

USD $39.88/Hr.

Max

USD $65.80/Hr.

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JOB REQUIREMENTS For Registered Nurse III Applicants must have education, training and/or experience demonstrating competence in each of the following areas: Registered Nurse III - Psychiatric Nursing At least two years' experience as a Registered Nurse in Psychiatric Nursing OR a Bachelor's degree or higher in Nursing and at least one year experience as a Registered Nurse in Psychiatric Nursing OR a Master's degree or higher in Nursing. Possession of a Delaware Registered Nurse license OR multi-state compact license. Additional Posting Information This is a series posting. Applicants must check the box for each level they wish to be considered for. If you do not check each box, you will not be considered for the unchecked levels, even if you meet the requirements of that level. This posting may be closed on or before 11/8/2025 upon filling the vacant position(s). Conditions of Hire All new hires are required to attend an in-person, statewide mandatory New Employee Orientation on their first day of employment. The session will be held at a designated location in either Kent or New Castle County. A satisfactory criminal background check is required and must be covered by the applicant, with an estimated cost of $85.00. Pre-employment drug testing is also required. Additionally, all new hires are required to complete a 2-Step TB/PPD test, which will be administered on their first day at the facility. This position is a classification organized under an exclusive bargaining representative (labor organization) that has been elected by employees as their representative for collective bargaining and other applicable terms and conditions of employment, in accordance with Title 29, Chapter 59 and Title 19, Chapter 13 and 16.This position is covered by a collective bargaining agreement based on its individual terms. Applicants must be legally authorized to work in the United States. The State of Delaware participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. For more information refer to our Job Seeker Resources. DHSS does not provide employment-based sponsorship. Benefits To learn more about the comprehensive benefit package please visit our website at https://dhr.delaware.gov/benefits/ Selection Process The application and supplemental questionnaire are evaluated based upon a rating of your education, training and experience as they relate to the job requirements of the position. It is essential that you provide complete and accurate information on your application and the supplemental questionnaire to include dates of employment, job title and job duties. For education and training, list name of educational provider, training course titles and summary of course content. Narrative information supplied in response to the questions must be supported by the information supplied on the application including your employment, education and training history as it relates to the job requirements. Once you have submitted your application on-line, all future correspondence related to your application will be sent via email. Please keep your contact information current. You may also view all correspondence sent to you by the State of Delaware in the “My Applications” tab at StateJobs.Delaware.gov . Accommodations Accommodations are available for applicants with disabilities in all phases of the application and employment process. TDD users may request an auxiliary aid or service by calling (800) 232-5470 or by visiting delawarerelay.com . You may also call (302) 739-5458 or email DHR_ADAConcerns@delaware.gov for additional applicant services support. The State of Delaware is an Equal Opportunity employer and values a diverse workforce. We strongly encourage and seek out a workforce representative of Delaware including race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression.