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OR - RN First Assistant (RNFA)

Children's Mercy Hospital
remote work
United States, Missouri, Kansas City
2401 Gillham Road (Show on map)
Mar 17, 2026

OR - RN First Assistant (RNFA)






Requisition ID
2026-37532

Requisition Post Information* : Posted Date
3 minutes ago(3/17/2026 11:09 AM)

Posting Category
Nursing

Division
OPERATING ROOM

Work Type
Full Time

Work Hours
07-1730

FLSA Status
Non-Exempt


Location : Name

Adele Hall

Recruiter : Full Name: First Last
Brittany McKown

Recruiter : Email
bmmckown@cmh.edu



Thanks for your interest in Children's Mercy!

Do you envision finding a meaningful role with an inclusive and compassionate team? At Children's Mercy, we believe in making a difference in the lives of all children and shining a light of hope to the patients and families we serve. Our employees make the difference, which is why we have been recognized by U.S. News & World Report as a top pediatric hospital, for eleven consecutive years.

Children's Mercy is in the heart of Kansas City - a metro abounding in cultural experiences, vibrant communities and thriving businesses. This is where our patients and families live, work and play. This is a community that has embraced our hospital and we strive to say thanks by giving back. As a leader in children's health, we engage in meaningful programs and partnerships throughout the region so that we can improve the lives of children beyond the walls of our hospital.



Overview

Children's Mercy is one of only 30 locations in the nation to be verified by the American College of Surgeons as a Level 1 Children's Surgery Center. This verification means Children's Mercy meets the highest standards for safety and outcomes determined by the American College of Surgeons. Our surgical care is designed to manage routine to highly complex illnesses. We also have experts in every pediatric specialty ready to go at all times to provide comprehensive care for kids. We have 18 operating rooms at our downtown Adele Hall campus. As a level-one trauma center, our procedures encompass a wide range of acuity in the following surgical sub-specialties: General surgery, Neuro surgery, Otolaryngology, Ophthalmology, Oral surgery, Orthopedics, Plastic surgery, Urology, GYN, and Dermatology. Patients range in age from neonates to young adults with a 1:1 nurse to patient ratio. The operating room department is complimented by instrument processing specialists, orderlies and administrative assistants. We also work side by side with attending physicians, fellows, residents, and our anesthesia team to provide extraordinary care for our pediatric surgical patients daily. Critical care registered nurses provide illness management and health promotion for patients and families who require intensive care. Critical care registered staff nurses utilize the nursing process and knowledge of scientific principles to provide safe, high quality, comprehensive, and age appropriate nursing care for their assigned patients in the intensive care areas of the hospital.

The OR RNFA assists the surgeon with the operative procedure. When not assigned as a Registered Nurse First Assistant, assumes a perioperative staff nurse role.

At Children's Mercy, we are committed to ensuring that everyone feels welcomed within our walls. A successful candidate for this position will join us as we strive to create a workplace that reflects the community we serve, as well as our core values of kindness, curiosity, inclusion, team and integrity.

Additionally, it's important to us that we remain transparent with all potential job candidates. Because we value the safety of the patients and families we serve, as well as the Children's Mercy staff, we want to let you know that the seasonal influenza vaccine is a condition of employment for all employees in our organization. New employees must be willing to be vaccinated if found non-immune to measles, mumps, rubella (MMR) and chicken pox (varicella) and/or without evidence of tetanus, diphtheria, acellular pertussis (Tdap) vaccination since 2005. If you are selected for this position, you will be asked to supply your immunization records as proof of vaccination. If you and have any concerns about receiving these vaccines, medical and/or religious exemptions can be further discussed with Human Resources.



Responsibilities

    Under the direct supervision of the operating surgeon, assists with the operative procedure. Does not function concurrently as a scrub nurse.
  • Performs other perioperative staff nurse functions when not assisting in the Operating Room.
  • Participates in performance improvement and professional development activities.


Qualifications

  • Bachelor's Degree Nursing and 3-5 years experience perioperative nursing (scrub and circulating)
  • Other Completion of RNFA program that meets criteria set out in the "AORN Standards for RN First Assistant Education Programs" According to AORN RN First Assistant Guide to Practice (Second Edition). The RNFA scope of practice requires a distinct skill set that includes the intraoperative nursing behaviors of the following: 1.Handling tissue; 2.Providing exposure; 3.Using instruments; 4.Suturing-one and two hand tying; 5.Providing hemostasis. The admission requirements to enter an RNFA program vary widely. Many RNFA educational programs require nurses to be: 1.Assessed for perioperative nursing competencies and skill sets, including competency in scrubbing, prepping and draping; 2.Complete course prerequisites appropriate to the nurse's perioperative experience and/or demonstrated competencies; 3.Produce proof of completion of an introductory course for perioperative nursing; and/or 4.Provide a recommendation from a board-certified surgeon and nursing supervisor.
  • One of the following: Licensed RN - MO, Registered Nurse Multistate License Missouri required upon hire
  • One of the following: Licensed RN - Kansas, Registered Nurse Multistate License Kansas required upon hire
  • RN Compact license for all states besides KS and MO
  • Refer to Nursing and Advanced Practice Provider Licensure and Certification policy for required Life Support Certifications Required Upon Hire
  • CNOR Certification Required Upon Hire


Benefits at Children's Mercy

The benefits plans at Children's Mercy are one of many reasons we are recognized as one of the best places to work in Kansas City. Our plans are designed to meet the changing needs of our employees and their families.

Learn more about Children's Mercy benefits.


Starting Pay

Our pay ranges are market competitive. The pay range for this job begins at $46.13/hr, but your offer will be determined based on your education and experience.



Remote Work/Work from Home

This position is not eligible to work remotely, which means that the person hired will be required to work onsite at one of our Children's Mercy locations and may not work from home.



EEO Employer/Disabled/Vet

Children's Mercy hires individuals based on their job skills, expertise and ability to maintain professional relationships with fellow employees, patients, parents and visitors. A personal interview, formal education and training, previous work experience, references and a criminal background investigation are all factors used to select the best candidates. The hospital does not discriminate against prospective or current employees based on the race, color, religion, sex, national origin, age, disability, creed, genetic information, sexual orientation, gender identity or expression, ancestry or veteran status. A drug screen will be performed upon hire. Children's Mercy is smoke and tobacco free.

CM is committed to creating a workforce that supports the diverse backgrounds of our patients and families. We know that our greatest strengths come from the people who make up our team, so we hire great people from a wide variety of backgrounds, not just because it's the right thing to do, but because it makes our hospital stronger and our patient care more compassionate.

If you share our values and our enthusiasm for service, you will find a home at CM. In recruiting for our team, we welcome the unique contributions that you can bring, including education, ideas, culture, and beliefs.



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