Registered Nurse First Assistant,RNFA (Per Diem, Days)

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. 

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 Pay Range $79.02 - $95.42 (Offered hourly rate based on years of experience

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At NorthBay Health, we are guided by our values: Nurturing Care; Own It; Respect; Build Trust; and Hardwire Excellence. These principles lead us to our TRUE NORTH and inspire us to provide exceptional care. 

These values serve as the foundation of everything we do, guiding us to deliver individualized care with integrity and accountability. We are committed to fostering a culture of collaboration, where every team member is valued and empowered to contribute their best to the health and well-being of those we serve. 

This is an exciting time to join NorthBay Health.

As an independent, nonprofit health system north of the San Francisco Bay Area, in the Napa/Solano Region, we are expanding our footprint across Solano, Yolo, and Napa counties to meet the evolving needs of our communities. With two acute-care hospitals—including a Level II Trauma Center and a modern maternity unit with a Level III Neonatal Intensive Care Unit (NICU)—along with a comprehensive cancer center, multiple urgent care facilities, and a growing network of primary and specialty clinics, we are investing in the future of care across the region.

NorthBay Health we are home to advanced clinical programs and nationally recognized cardiovascular, neuroscience, and orthopedic services, as well as comprehensive surgical and outpatient specialties. Our commitment to excellence is reflected in our Magnet with Distinction designation for nursing (one of only 12 organizations nationwide) and recognition from U.S. News & World Report as “High Performing” in multiple clinical areas, including maternity care, heart failure, and stroke. NorthBay Medical Center has earned the High Performing designation in maternity care for four consecutive years.

As the only locally governed health system in the region, we remain deeply rooted in our communities while growing into a trusted regional healthcare leader. If you are seeking meaningful work, collaborative teams, and the opportunity to help shape the future of healthcare in Northern California, you will find it at NorthBay Health.

Join us with our commitment to excellence, to achieve our vision to be the trusted healthcare partner of choice for the communities we serve.

To learn more about NorthBay Health's benefits, diversity statement and community please visit