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Afternoon Rn First Assist Jobs in Virginia (NOW HIRING)

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Afternoon Rn First Assist information

What is an afternoon RN first assist?

Afternoon RN First Assistants are registered nurses who work primarily in the afternoon and assist surgeons during surgical procedures. They are specially trained to provide intraoperative care, including tasks such as suturing, controlling bleeding, and handling surgical instruments. Their role is critical for ensuring patient safety and supporting the surgical team, especially during afternoon or later shifts. These nurses generally hold additional certifications in perioperative nursing and first assist duties.

What skills and qualifications are needed to be an afternoon RN first assist?

To excel as an Afternoon RN First Assist, you need a registered nursing license, perioperative experience, and completion of a First Assistant certification program such as CNOR or CRNFA. Familiarity with surgical instruments, sterile techniques, and electronic health record (EHR) systems is typically required. Strong attention to detail, teamwork, and effective communication are essential soft skills for this role. These skills ensure safe and efficient surgical procedures, optimal patient outcomes, and seamless collaboration with surgical teams.

What are common challenges faced by an afternoon RN first assist, and how can they be managed?

As an Afternoon RN First Assist, you may encounter challenges such as adjusting to variable surgical schedules, managing post-operative patient care during shift transitions, and ensuring clear communication between surgical teams and evening staff. Effective time management and strong collaboration skills are essential to provide continuity of care and address any complications that arise late in the day. Proactively communicating with surgeons, anesthesiologists, and nursing staff helps streamline workflows and maintain patient safety, even as the hospital environment becomes quieter in the afternoon and evening hours.

What is the difference between Afternoon Rn First Assist vs Afternoon Surgical Tech?

AspectAfternoon Rn First AssistAfternoon Surgical Tech
CredentialsRegistered Nurse (RN) license, First Assist certificationSurgical Technologist certification (CST), OR experience
Work EnvironmentOperating rooms, assisting surgeons during proceduresOperating rooms, preparing instruments and assisting surgical team
Employer & IndustryHospitals, surgical centers, healthcare providersHospitals, outpatient surgical centers, clinics

Afternoon Rn First Assist and Afternoon Surgical Tech roles both work in surgical environments, but the RN First Assist provides direct surgical assistance with patient care and has RN licensure, while Surgical Techs focus on preparing instruments and supporting the surgical team. The RN First Assist typically requires advanced certifications and licenses, whereas Surgical Techs need specialized training and certification. Both roles are essential in supporting surgical procedures in healthcare settings.

What cities in Virginia are hiring for Afternoon Rn First Assist jobs?

Cities in Virginia with the most Afternoon Rn First Assist job openings:

Afternoon Rn First Assist jobs near you
Infographic showing various Afternoon Rn First Assist job openings in Virginia as of August 2026, with employment types broken down into 53% Full Time, 35% Part Time, and 12% Contract. Highlights an 100% In-person job distribution.

Registered Nurse First Assistant SH-OC

Kaiser Permanente

Mclean, VA

Full-time

Posted 7 days ago

Kaiser Permanente rating

8.2

Company rating: 8.2 out of 10

Based on 928 frontline employees who took The Breakroom Quiz

55th of 898 rated healthcare providers

Job description

Job Summary:
To provide qualified surgical assistance when requested by the surgeon, in order to ensure optimal results for the patient. This position is adjunct to the basic functions of the OR Nurse.
Essential Responsibilities:

  • See OR Nurse representative duties.

  • RNs as first assistants in the OR will work interdependently with the surgeon, providing a safe operation with optimal results for the patient.

  • The Registered Nurse First Assistant will at all times act under the direct supervision of the Surgeon performing only those functions specifically stated in a manner consistent with his/her education and experience.

  • All assignments will be made by the ASC Supervisor or designee, with regard to optimum patient care.

  • Knowledge of surgical anatomy, physiology and operative technique pertaining to the procedure being.

  • Skill and knowledge in applying principles of asepsis and infection control.

  • Assists in positioning, propping and draping of the patient.

  • Provides hemostasis by applying hemostatic clamps and/or clips, coagulates bleeding points and, ligates vessels.

  • Provides exposure by suctioning sponging and retracting.

  • Handles tissue, implants, etc., as directed by the surgeon during operative procedure.

  • Performs other related duties as directed.

Basic Qualifications:Experience

  • Minimum two (2) years of perioperative nursing experience required.

Education
  • Graduate of accredited school of nursing required.
  • Successful completion of an RN First Assistant Program to include a multi-specialty didactic component and seventy-five (75) hours clinical experience required.
License, Certification, Registration
  • This job requires credentials from multiple states. Credentials from the primary work state are required at hire. Additional Credentials from the secondary work state(s) are required post hire.
  • Registered Nurse License (Virginia) within 6 months of hire AND Registered Nurse License (Maryland) within 6 months of hire
OR
  • Compact License: Registered Nurse within 6 months of hire
  • Registered Nurse License (District of Columbia) within 6 months of hire
  • Basic Life Support
  • Nurse Operating Room Certificate
Additional Requirements:
  • In order to work effectively with patients, must have effective interpersonal and communication skills and be able to stand, walk, bend, lift at least 50 pounds, hears, speak, and see.
Preferred Qualifications:
  • N/A

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