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At NorthBay Health the Registered Nurse First Assistant (RNFA) has the responsibility, accountability, and the authority to deliver safe, effective, quality, excellent nursing care according to the philosophy and goals/objectives of the Department of Nursing.  The RNFA, utilizing the Jean Watson's Theory of Caring, Relationship Based Care, and NorthBay's professional nursing practice model to assess, plans, implements, and evaluate care for all patients assigned to his/her care. The RNFA makes determinations regarding the progress of the patient toward goals and utilizes a therapeutic professional relationship with the patient/ family and interdisciplinary team to facilitate the promotion, maintenance, and restoration of health.  The RNFA functions as a first assistant during surgical incision, excision, and repair of pathology throughout the perioperative period on procedures for which privileges have been granted.  Care is provided according to specific physiologic, developmental and psychosocial needs of the patient.  RNFA supports the mission, vision, values and expectations of excellence of the organization. 

At NorthBay Health, our vision is to be the trusted healthcare partner of choice for the communities we serve. We are dedicated to improving the well-being of our community by providing accessible, high-quality care to all who need it. Every member of our team plays a vital role in delivering compassionate and effective healthcare solutions. We invite you to join us in our mission to ensure that every patient and family member feels valued, respected, and cared for throughout their healthcare journey. Together, with your commitment to excellence, we will achieve our vision to be the trusted healthcare partner of choice for the communities we serve. 

Interpersonal Skills and Values

Demonstrates NorthBay Health's True North Values: Nurture Care, Own It, Respect Relationships, Build Trust, and Hardwire Excellence. These values guide behavior, accountability, teamwork, and commitment to high-quality patient care.

Why NorthBay Health

NorthBay Health is an independent, nonprofit health system serving the Napa, Solano, and Yolo County regions. We are expanding access to care across our communities through two acute-care hospitals, including a Level II Trauma Center and a Level III NICU maternity unit, along with a cancer center, urgent care locations, and a growing network of primary and specialty care clinics.

We provide advanced services in cardiovascular care, neuroscience, orthopedics, surgery, and outpatient specialties. NorthBay Health is nationally recognized for quality care, including Magnet with Distinction designation for nursing and multiple U.S. News and World Report high performing recognitions.

We are committed to being the trusted healthcare partner of choice and offer an environment where employees can grow, contribute meaningfully, and support the health of our communities.

NorthBay Health Benefits Options

NorthBay Health offers a comprehensive benefits package based on established eligibility requirements. Benefits may include medical, dental, and vision insurance, life, disability, and long-term care coverage, paid time off including vacation, sick leave, holidays, and bereavement, a 403(b) retirement plan with employer match, education reimbursement for eligible roles, professional development and training programs, Employee Assistance Program, wellness programs, recognition programs, shift differentials, and market-based compensation review and increases subject to approval and organizational performance.

Compensation Structure

NorthBay Health uses a structured compensation framework. Staff-level positions use a step-based system (Steps 1-5) based on years of directly related experience, with Step 5 representing 20 or more years of experience in the role. Manager level and above positions are paid a fixed annual base salary and are eligible for a variable incentive compensation plan. Physician compensation is structured based on specialty and role requirements.

Remote Work Disclosure

NorthBay Health is primarily an onsite organization due to the nature of healthcare. Some roles may allow hybrid or remote work based on business needs.

Remote work is not supported in Washington, Ohio, Wyoming, North Dakota, Puerto Rico, the U.S. Virgin Islands, or outside of the United States.

Notice to Recruitment Agencies

NorthBay Health utilizes a managed service provider (MSP) for agency partnerships and is not currently engaging external recruiting firms outside of established agreements. We do not accept unsolicited resumes or third-party candidate submissions. Please do not contact NorthBay Health employees, leaders, physicians, or hiring managers regarding recruitment or job postings.

More Information

Visit NorthBay Health Careers for recruitment FAQs and additional information.

Education: 

• Graduate from an accredited school of professional registered nursing.  BSN required.

Licensure/Credentials:  

• Current California RN license required. 
• Certified Nurse Operating Room required.
• Certification by a national certification board-certified Registered Nurse First Assistant (RNFA) preferred. 
• Current AHA or equivalent BLS and ACLS certification required.

Experience and Skills:

• Two (2) years' experience as an RN in the operating room. 
• Previous experience in caring for cardiovascular patients preferred.
• Successful completion of didactics of university based course in first assisting required. 
• Successful completion of endoscopic vein/artery harvesting course preferred.
• Demonstrates ability to evaluate patient's physical and emotional status. 
• Demonstrates ability to provide patient care based on age-related needs.
• Demonstrates current knowledge and skill in providing appropriate care for patients in the following age groups: Pediatric, Adult, and Geriatric. 
• Knowledge of surgical anatomy, physiology, surgical technique, wound healing, suture materials, physical assessment, and the nursing process.

Interpersonal Skills:  

• Excellent communication skills with patients, professional staff, and support staff.
• Demonstrates the True North values. The True North values are a set of value-based behaviors that are to be consistently demonstrated and role modeled by all employees that work at NorthBay Health. The True North values principles consist of Nurture/Care, Own It, Respect Relationships, Build Trust and Hardwire Excellence. 

Compensation:

• Hourly Salary Range Min $85.98 - Max $103.68(Offered hourly rate based on years of experience) 
• 15% per diem differential included in salary range
• Plus, Generous Shift Differentials