RN First Assistant | Surgical Services | Full Time 40 Hours

Rapid City, SD USA Full time 21_3258


Current Employees:

If you are a current employee, please apply via the internal career site by logging into your Workday Account and clicking the "Career" icon on your homepage.

Starting Pay Rate Range




(Determined by the knowledge, skills, and experience of the applicant.)

Job Summary

Provides comprehensive professional nursing care to patients during the peri-operative phase of hospitalization. This is accomplished by directly assisting the patient’s surgeon, working under his/her direction and supervision, and providing direct care to surgical patients. The primary emphasis will be on the intraoperative phase but also assume responsibility for independent nursing functions of preoperative assessment and post-operative evaluation. This role is interdependent with the surgeon.

Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include:

*Supportive work culture

*Medical, Vision and Dental Coverage

*Retirement Plans, Health Savings Account, and Flexible Spending Account

*Instant pay is available for qualifying positions

*Paid Time Off Accrual Bank

*Opportunities for growth and advancement

*Tuition assistance/reimbursement

*Excellent pay differentials on qualifying positions (extra pay for working evening, nights or weekends)

*Flexible scheduling

Job Description

Essential Functions:

  • Demonstrates mastery of sterile technique in all areas of surgery (e.g. preps, sterile supplies), as evidenced by observation of the surgical team. Follows proper procedure in identifying and correcting breaks in aseptic technique.
  • Performs first assisting intervention under the direction and supervision of the operating surgeon(s) which includes the following: a. Understands and provides careful tissue manipulation. Handles tissue as directed by the surgeon, recognizing that his/her actions have the potential for injury and compromised blood supply. b. Proficient in retracting, maintaining exposure of the operative area through use of instruments, suctioning, and sponging. c. Provides hemostasis by several methods and possesses the knowledge to select and perform this by electrocautery, sponging/pressure, collagen application, clamping, tying, laser units, and other chemical agents which promote coagulation. d. Sutures skillfully using appropriate sutures and techniques for the tissue and situation. e. Performs wound closure under the direct supervision of the surgeon which may include fascia, subcutaneous tissue and skin.
  • Performs interventions, skills, and procedures consistent with accepted standards of surgical practice, policies and procedures in the surgical suite. These include, but are not limited to: preparing the Operating Room to include necessary supplies and equipment as indicated by the patient's status; providing appropriate safety and comfort measures to the patient; providing proper patient transfer and positioning; assuring maintenance of asepsis and sterile field; assuring well-being of patient including fluid balance and skin integrity; competency in equipment, supplies and their usage; investigating unfamiliar procedures, techniques, and medications; demonstrating organizational ability by using time, equipment, and personnel effectively; knowing and performing correct sterilization procedures; assuring minimal time loss between cases; utilizing physician preference cards.
  • Performs the technical procedures necessary for job responsibilities in a safe, effective, efficient, legal and professional manner. Is responsible for own education, personal growth and development. Takes timely action and appropriately plans for cases with consideration of individual needs.
  • Willing to assist in other roles to keep costs down and quality high.
  • According to facility policy, assists with and/or performs wound closure. Understands and differentiates one type of suture from another, having knowledge of the physical characteristics and biological responses to various suture materials. Selects appropriate suture and needles for the type of closure to be performed. Is skillful at knot-tying techniques with consideration to knot security, suture selection, and tissue characteristics.
  • Acts as a resource to staff, patients and families regarding patient care. Facilitates efficient, appropriate, coordinated care to help ensure positive patient outcomes.
  • Handles unanticipated events and crisis situations in a professional manner. Is alert to potential problems and notifies appropriate individual as necessary.
  • All other duties as assigned.

Additional Requirements

Education - Completion of a nursing education program that is approved by a board of nursing
Certifications - Registered Nurse (RN) - South Dakota Board of Nursing


Education - Bachelors degree in Nursing

Experience - 5+ years of Surgical Nursing Experience
Certifications - Certified Registered Nurse First Assistant (CRNFA) Credential - Accredited University or accredited training professionals; CNOR Certification - Accredited University or accredited training professionals

Physical Requirements: Very Heavy work - exerting over 25 pounds of force constantly (67-100% of the time), and/or more than 50 pounds frequently (34-66% of the time), and/or more than 100 pounds of force occassionally (up to 33% of the time), and/or more than 100 pounds of force seldomly to move objects. Possible exposure to radiation and frequent exposure to contaminated needles and infectious body substances. Requires the ability to work designated shift lengths (including 8 and 12 hours), which may include night shifts or occasional irregular hours.

Job Category


Job Family

Surgical Services


RCH Surgical Services

Scheduled Weekly Hours



Employee Type


10 Monument Health Rapid City Hospital, Inc.

Make a differenceEvery day.

Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.