Job Description

RN, Certified First Assistant (FT) Sign-On Bonus Eligible

Cancer care is all we do

Hope in healing

Cancer Treatment Centers of America® (CTCA), part of City of Hope, takes a unique and integrative approach to cancer care. Our patient-centered care model is founded on a commitment to personalized medicine, tailoring a combination of treatments to the needs of each individual patient. At the same time, we support patients’ quality of life by offering therapies designed to help them manage the side effects of treatment, addressing their physical, spiritual and emotional needs, so they are better able to stay on their treatment regimens and get back to life. At the core of our whole-person approach is what we call the Mother Standard® of care, so named because it requires that we treat our patients, and one another, like we would want our loved ones to be treated. This innovative approach has earned our hospitals a Best Place to Work distinction and numerous accreditations. Each of us has a stake in the successful outcomes of every patient we treat.

Job Description:

**This position qualifies for a $10,000 Sign-On Bonus**

The RNFA (Registered Nurse First Assist) is a professional caregiver who assumes responsibility for providing patient focused health care.  The first assistant provides aid in exposure, hemostasis, and other technical functions, which will help the surgeon carry out a safe operation with optimal results for the patient.  This role will vary considerably with the surgical operation and the specialty area. The RNFA nurse will utilize the nursing process, communication skills, and problem solving techniques to deliver quality care.  The RNFA will also be responsible for the knowledge and technical skills needed to operate a variety of mechanical devices to accomplish this task. 

Directs the care of the patient through the nursing process and through collaboration with the patient, their family and other health care professionals.  Provides leadership to non-licensed staff by setting an example of excellence.

When not acting as RNFA, the caregiver will function as an RN in the surgery department, therefore this job description is inclusive of the information contained in the Registered Nurse Surgical Services job description. 

Initiates appropriate intra-operative behaviors unique to first assisting:

  • Applies knowledge of surgical anatomy, physiology, and operative technique relative to operative procedures.

  • Performs positioning, prepping and draping the patient.

  • Has an understanding of the variety of suture and tissue types and uses the appropriate suture material and suturing technique as directed by the surgeon.

  • Provides wound exposure through appropriate use of instruments, retractors, suctioning and sponging techniques.

  • Provides hemostasis by clamping blood vessels, coagulating hemostasis and knot tying.

  • Protects patient by demonstrating knowledge of safe tissue handling.

  • Assists with procedures by demonstrating knowledge of suturing techniques.

  • Assists with procedures by demonstrating knowledge of wound dressing and drains.

  • Assists with procedures by demonstrating knowledge and skill in postoperative subcutaneous injections of local anesthesia as directed by the surgeon.

Assess the health status of the patient in order to develop an individualized plan of care by collecting, categorizing and interpreting data from documented information, observation, patient/family interview and other health team members. Supports the department by providing direct patient care, evaluating outcomes and adjusting nursing care processes to adhere to legal, ethical, and clinical standards.

Assures optimum conditions by monitoring and controlling the surgical environment.

Develop a nursing care plan based upon the assessment of the patient that includes nursing diagnosis, patient goals, and nursing intervention necessary to achieve these goals.  Implement the nursing care plan to provide optimal individualized care for the patient.  Provides patient/family education in regards to disease process, side effects of treatment and health promotion as well as support and reassurance, ensuring an informed decision Is being made regarding the individual’s therapeutic plan and documents according to department standard.

Organizes and coordinates supplies, equipment and team members to maintain an efficient, and safe intraoperative environment through ongoing patient situation assessment, priority setting, and arrangement of equipment, by teaching, directing, communicating and collaborating with health care team members and support service personnel.

Promotes teamwork, nurtures relationships with others and is viewed positively by co-workers. Carries own share of responsibility and willingly offers assistance to others. Supports the goals of the department and participates in department performance improvement.  Ensures compliance with hospital policies and accrediting agencies.  Participates in the development, review and updating of policies and procedures. 

Demonstrates the spirit of Cancer Treatment Centers of America’s values and standards through actions and speech. Connects with customers (patients, caregivers, co-workers) with a smile or pleasant demeanor Addresses customers (patients, care-givers, co-workers) by their preferred names whenever possible. Finds ways to focus solely on the needs of our patients and their caregivers. Listens attentively and educates patients and caregivers to ensure their understanding. Offers choices to patients and caregivers and respects their decisions.

Provides information to physicians and other health care professionals of any changes in patient condition.  Adjusts treatment based on multidisciplinary plan of care.  Plans, delivers, directs, coordinates and evaluates therapeutic interventions based on needs identified in the assessment process.  Obtains allergy information and takes care of the medication reconciliation with patient and family member then communicates this to other providers.  Verifies and notes physician’s orders.  Provides safe delivery of prescribed medications and treatments and evaluates the outcomes in a timely manner.  Documents interventions provided.  Supervises care delivery by unlicensed support staff. 

Education/Experience Level

  • Current Georgia Registered Nurse License

  • You agree to enroll in a BSN program within 1 year of your hire date and obtain your Bachelor’s Science in Nursing within 3 years of your BSN program enrollment date

  • Proficient in peri-operative nursing practice both as scrub nurse and circulating nurse.  Minimum 3 year diversified OR experience

  • CNOR preferred

  • BLS / ACLS certified

  • Completed RNFA through accredited program

Pay Range

$35.65 - $58.71

Placement within the identified pay range is based on individual and market factors including, but not limited to, experience, education, credentials (including licenses and certifications), geographic location, market competition, skill set (including market availability of required skills), assigned/anticipated job tasks, and level of responsibility.  These factors are considered without regard to an individual’s status as a member of any protect group pursuant to federal, state, and/or local law.

We win together

Each CTCA employee is a Stakeholder, driven to make a true difference and help win the fight against cancer. Each day is a challenge, but this unique experience comes with rewards that you may never have thought possible. To ensure each team member brings his or her best self, we offer exceptional support and immersive training to encourage your personal and professional growth. If you’re ready to be part of something bigger and work with a passionate, dynamic group of care professionals, we invite you to join us. 

Visit: to begin your journey.

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

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