RN First Assistant

Regular Full-Time


901 West Main Street, Freehold, NJ

Job Category:

CentraState Medical Center

Primary Shift:


Work Schedule:


Days and Hours:

M-F 7-3

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Under the direction of the Nurse Manager of the Operating Room, and in collaboration with the physician surgical staff, and the
established guidelines, provides support as an RNFA during surgical procedures. The RNFA is a perioperative registered nurse who:
• Works in collaboration with the surgeon and other healthcare team members to achieve optional patient outcomes
• Has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA defined practice
• Interoperatively practices at the discretion of the surgeon
• Does not concurrently function as a scrub person.

Adheres to AORN standards of practice for RNFA.


  • Provides considerate respectful care focused upon the patient’s individual needs to ensure patient satisfaction.
  • Affirms the patient’s right to make decisions regarding his/her medical care, including the decision to discontinue treatment, to the
    extent permitted by law.
  • Identifies clinical competencies related to RNFA.
  • Collaborates with the Nurse Managers to monitor and evaluate programs/services against identified needs (eg.: number of cases utilizing RNFA vs. number of cases still requiring assistant).
  • Acts as patient advocate. Supports a service that positions the patient at the core of decision-making.
  • Identifies key areas for continuous performance improvement utilizing all available mechanisms.
  • Shows and sustains improvement gains.
  • Supports cost containment through efficient use of equipment, supplies and other pertinent resources.
  • Understands the business and how he/she impacts the overall operations and success of the organization.
  • Supports team work when appropriate by researching and sharing information, cooperatively solving problems and helping out when time permits.
  • Demonstrates ability to work with others effectively within and outside the department.
  • Demonstrates willingness to be flexible with unplanned assignments as necessary.
  • Participates in activities, committees, projects, teams and department staff meetings.
  • Participates in preoperative patient management in collaboration with other health care providers.
  • Performs focused preoperative patient assessments.
  • Communicates and collaborates with other healthcare providers regarding plan of care.
  • Intraoperatively performs surgical first assistant techniques: uses instruments and medical devices; provides surgical site exposure, handling and cutting tissue, providing hemostasis suturing wound management as appropriate; may participate in post op rounds and assist with discharge planning and identification of appropriate community needs.
  • Maintains and upgrades own nursing practice and development.
  • Recognizes changes in patient condition and/or emergencies situations and takes immediate and appropriate actions.
  • Makes decisions that demonstrate knowledge of nursing practice; utilizes sound nursing judgment in clinical and patient care management situations.
  • Demonstrates critical thinking skills in the care of patients and in the coordination of care to assure the best patient outcomes.
  • Provides for the protection of self and others by adhering to the unit-based safe work practices regarding protective equipment by using proper sharps disposal technique.
  • Exercises care and caution working with and around other sharps and following manufacturer’s safety precautions.
  • Works collaboratively with the In


  • BSN Required
  • RN NJ License
  • Completion of an approved program for RNFA. Effective January 1, 2020 the education for entry into an RNFA program and subsequently practice as an RNFA will be the Bachelor’s degree. (AORN action statement)
  • Three years Perioperative experience required.
  • CNOR certification required
  • BLS certification required
  • RNFA certification (RNFAC) and successful completion of exam after required clinical hours for eligibility
  • Strong professional, organizational, and interpersonal skills to effectively relate with all members of the healthcare team


About Us

CentraState Healthcare System, a partner of Atlantic Health System, is a fully accredited, not-for-profit, community-based health system that provides comprehensive health services in the central New Jersey region. In addition to offering a full range of leading-edge diagnostic and treatment options, CentraState serves as a valuable health partner focused on the latest ways to prevent disease, promote healthy behaviors, and help people of all ages live life well. Based in Freehold, CentraState is comprised of a 284-bed acute-care hospital, a vibrant health and wellness campus, three award-winning senior living communities, a charitable foundation, and convenient satellite health pavilions offering primary care and specialty physician practices, along with access to outpatient services, such as lab and physical therapy. The system also offers a family medicine residency and geriatric fellowship training program in affiliation with Rutgers Robert Wood Johnson Medical School. Among its many honors and accreditations, CentraState is one of less than two percent of hospitals nationwide to earn Magnet® designation for nursing excellence four times and was designated a Great Place to Work-Certified™ Company by Great Place to Work® for the second consecutive year.


When you bring your talent to CentraState, you are joining a trailblazing healthcare facility, committed to providing high-quality, patient-focused care. Join us in making incredible strides in health care, and making a difference in our community. We believe in enriching the lives of our employees through work/life balance initiatives, tuition assistance, career advancement opportunities and much more.


Find out why our employees love their jobs and being part of the CentraState family!


What We Offer:

  • Highly competitive compensation
  • Excellent benefits package and rewards program
  • 403(b) retirement plan with company match
  • 401(a) retirement plan with employer contribution
  • Life Insurance 
  • Tuition Reimbursement Program
  • Profit Sharing Program
  • Growth Opportunity and Workforce Development Initiatives
  • Continuing Education / Onsite Training
  • A warm, welcoming company culture based upon mutual respect and a collaborative goal of providing excellent patient care
  • Concierge Services with Work & Family Benefits
  • Magnet recognized healthcare facility
Commitment to Diversity and Inclusion

At CentraState Healthcare System, we welcome and promote the diversity of our employee family!  Each unique person contributes to the overall success of this organization. Our inclusive culture fosters an environment of professionalism and respect for personal differences.


CentraState Healthcare System, is an equal employment opportunity employer and federal contractor or subcontractor and, therefore, abides by applicable laws to protect applicants and employees from discrimination in hiring, promotion, discharge, pay, fringe benefits, job training, classification, referral, and other aspects of employment.  All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, gender identity or expression, sexual or affectional orientation, national origin or nationality, citizenship status, disability, age, genetics, protected veteran status, ancestry, marital status.