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Registered Nurse First Assistant II

We Are Hiring

Registered Nurse First Assistant II - Surgery IP 001 - Full-Time Day 40 Hours Weekly - Ascension Borgess Hospital - Kalamazoo, MI

7a-5p. Weekend, holidays, and call per unit rotation. Float position between Main Operating room and Same Day Surgery.

Why Join Ascension?

Based in Kalamazoo, Borgess provides care for nearly 1 million people annually in cardiac, neurologic, orthopedic, vascular and bariatric services, among others. We are one of the region’s largest health systems and employers and have been serving as part of Ascension since 1999.

What You Will Do

As an Associate with Ascension Borgess, the Registered Nurse First Assistant is first and foremost a Registered Nurse. The Registered Nurse First Assistant provides nursing care within Borgess Medical Center. The practice of professional nursing is the systematic application of specialized knowledge and skill, derived from biological, physical and behavioral sciences to care, treat, counsel and health teaching of individuals who are experiencing changes in normal health processes or who require assistance in the maintenance of health and the prevention or management of illness, injury or disability and demonstrates this through application of the Standards of Clinical Nursing Practice and Standards of Professional Performance defined by the American Nurses Association. Recognizes that each patient is a unique individual and has the right to quality nursing care that ensures the mutual goal set between the Registered Nurse First Assistant and patient. Assures patient rights and privacy are protected, recognizing personal, interpersonal and social systems. The nursing process facilitates the promotion, maintenance and restoration of an individual’s health, incorporating knowledge of growth and development through the life span. Knowledgeable of nursing practice, procedures, competencies and patient care standards as well as regulations and guidelines pertaining to nursing care. Successful completion of competency based orientation and maintenance of core competencies for RNFA. The scope of nursing practice includes the teaching, direction and supervision of less skilled personnel in the performance of delegated nursing activities. May delegate acts, tasks or functions and bears responsibility for the acts, tasks or functions within the scope of delegation. Accountable to the ethical and professional standard as defined on the ANA code, the ANA Nursing’s Social Policy Statement, the State of Michigan Public Health Code and the ANA and AORN Standards of Clinical Practice. Accountable to adhering to the standards set by the regulatory agencies such as, but not limited to, the Joint Commission, Conditions of Participation of Health Care Financial Administration and Michigan Occupational Health and Safety (MOSHA). These accountabilities require individual competence in nursing practice and the recognition and responsible acceptance of individual actions and judgments.


  • In collaboration with the patient and/or family, and healthcare team, participates in open discussion to identify mutual goals based on the nursing assessment and nursing diagnosis.
  • Diagnoses, treats and evaluates the human response to actual or potential health problems and needs.
  • Evaluates the outcomes of the nursing plan of care and revises it as necessary.
  • Assesses, detects, monitors and attempts to prevent complications associated with health situations or treatment plans.
  • Implement physicians' orders using nursing judgment through nursing interventions and coordination of others to do the same.
  • Notify the physician of patient condition and response to nursing intervention appropriately and documents this action.
  • Responsible for coordinating patient teaching and documentation in collaboration with other health care providers and disciplines.
  • Responsible for insuring that patient's pain is assessed, treated, reassessed, documented and evaluated. Adheres to policies and procedures.
  • The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities or requirements.

What You Will Need


  • Required Credential(s):
    • BLS Provider credentialed from the American Heart Association (AHA) obtained within 3 Months (90 days) of hire date or job transfer date. 
    • Licensed Registered Nurse obtained within 3 Months (90 days) of hire date or job transfer date. 


    • Must be proficient in the Perioperative practice of nursing as a scrub/circulator for a minimum of four (4) years. Consideration regarding length of training period will be given to Registered Nurses who have previous experience as an RNFA.
    • One (1) year of continuous employment at LHM preferred for internal associates prior to advancing into this role.
    • 2 years of operating room experience preferred. 
    • Scrub experience preferred.


  • 2 Year College Degree 
  • The Registered Nurse must have an Associates of Applied Science in Nursing (AAS) Degree or Bachelors of Science in Nursing (BSN) or RN Diploma at start date. BSN is required within six (6) years of start date. Incumbents hired into position prior to 1/1/2015 are grandfathered with their existing educational degrees.

Equal Employment Opportunity

Borgess Health is an equal opportunity employer, dedicated to the nondiscrimination in employment on the basis of race, color, age, religion, sex, national origin, handicap, disability, veteran or marital status.

Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.

Job ID: 314919
Category: Nursing
Facility: MIKAL Ascension Borgess Hosp
Ministry: Ascension Borgess, MI
Location: Kalamazoo, MI

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