Registered Nurse First Assistant (RNFA) or Certified Surgical Technologist First Assistant (CSTFA) - Granite City, IL
- BLS
- RN license
How this pay compares
This posting states $35–$55 an hour. Open operating room nurse jobs in Illinois post a median of $47.50 an hour, the middle half $42.29–$48.57, across 91 jobs that state their pay, so this one is within the middle half of what they post. Operating room nurses employed in Illinois earn a median of $46.15 an hour (source: BLS Occupational Employment and Wage Statistics), according to the Bureau of Labor Statistics (May 2025) (source: BLS Occupational Employment and Wage Statistics).
Operating room nurses in Illinois: pay by town and employer
The Registered Nurses & LPNs job market: pay, applicant demand and hiring, researched nightly
What Illinois law says about nurse staffing
- Nurse staffing committee or plan: Illinois hospitals must run a nursing care committee and follow a written unit-by-unit staffing plan with minimum nurse-to-patient needs. 210 ILCS 85/10.10(c)(1) (source: 210 ILCS 85/10.10(c)(1))
Registered nurse and LPN jobs in our research
- How long these jobs stay listed: Median days to removal 28.0 days · Still listed at 7 days 80.7%
- Applicant demand per open job on this site (1.00x is the average job): Index 0.45x · Clicks 136
- How often these jobs state their pay: Jobs stating any pay 54.8% · Stating an hourly rate 34.1%
From every open job we read and every apply click on this site, as of 11 Nov 2026. Every figure for Registered nurse and LPN jobs
About the job
Certified Surgical First Assistant / RN First Assistant
Department: Surgical Services
Schedule: Full-Time | Days
Location: Gateway Regional Medical Center
Pay Range: $35.00 - $55.00 per hour
About Gateway Regional Medical Center
Gateway Regional Medical Center is committed to providing high-quality, compassionate healthcare to the communities we serve. Our Surgical Services team works collaboratively to provide safe, efficient, and patient-centered care.
We are seeking a skilled Certified Surgical First Assistant or Registered Nurse First Assistant (RNFA) to join our Surgical Services team. This position provides advanced support to surgeons and the surgical team throughout operative procedures while promoting patient safety and quality care.
Position Summary
The Surgical First Assistant supports the surgeon and surgical team before, during, and after operative procedures. Depending on qualifications and credentials, this position may be filled by a Certified Surgical First Assistant, Certified Surgical Technologist with first-assist qualifications, or Registered Nurse First Assistant.
The successful candidate will demonstrate strong knowledge of surgical procedures, sterile technique, surgical instrumentation, and perioperative patient care. The ability to anticipate the needs of the surgeon and work effectively in a fast-paced operating room environment is essential.
Essential Duties & Responsibilities
- Serve as a first assistant during surgical procedures within the individual's scope of practice, education, training, and hospital privileges.
- Assist the surgeon with exposure, hemostasis, tissue handling, suturing, wound closure, and other first-assist functions as appropriate.
- Prepare the operating room for surgical procedures, including instruments, supplies, equipment, and sterile fields.
- Maintain strict sterile technique throughout surgical procedures.
- Anticipate the needs of the surgeon and provide appropriate instruments, supplies, and equipment.
- Assist with surgical counts in accordance with hospital policies and procedures.
- Assist with patient positioning and preparation while maintaining patient safety.
- Assist with specimen collection, identification, and handling according to established procedures.
- Maintain a safe, clean, and organized operating room environment.
- Properly prepare, clean, and maintain surgical instruments and equipment.
- Collaborate effectively with surgeons, nurses, anesthesia personnel, surgical technologists, and other members of the healthcare team.
- Assist with postoperative care and transition of care as appropriate to the individual's role and scope of practice.
- Follow infection prevention, patient safety, regulatory, and hospital requirements.
- Participate in quality improvement and patient safety initiatives.
- Maintain accurate and timely documentation.
- Perform other duties as assigned.
Qualifications
Candidates may qualify through one of the following pathways
Certified Surgical First Assistant / Surgical Technologist
- High school diploma or equivalent required.
- Graduate of an accredited Surgical Technology program required.
- Current Certified Surgical Technologist (CST) certification required.
- Surgical First Assistant certification or appropriate first-assist training/credentials preferred or required based on assigned duties.
- Previous operating room experience required.
- Current BLS certification required.
- Demonstrated knowledge of sterile technique, surgical instrumentation, and operating room procedures.
Registered Nurse First Assistant
- Current Registered Nurse license in the State of Illinois required.
- Graduate of an accredited nursing program required.
- Current RNFA certification or completion of an accredited RN First Assistant program preferred/required based on hospital credentialing requirements.
- Previous operating room/perioperative nursing experience required.
- Surgical first-assist experience strongly preferred.
- Current BLS certification required.
- CNOR certification preferred.
All Candidates
- Strong clinical judgment and critical-thinking skills.
- Excellent communication and interpersonal skills.
- Ability to anticipate the needs of the surgical team.
- Ability to work effectively in a fast-paced, team-oriented environment.
- Commitment to patient safety, quality care, and maintaining professional standards.
Why Join Gateway Regional Medical Center?
- Competitive pay
- Medical, dental, and vision insurance View Guide
- 401(k) retirement plan with employer match
- Paid time off
- Mental health/sick time
- Illinois Paid Leave
- Floating holiday after completion of the 90-day probationary period
- Collaborative healthcare environment
- Opportunity to make a meaningful impact in the community
Gateway Regional Medical Center is an equal opportunity employer.
From Gateway Regional Medical Center's job posting, checked 13 Nov 2026. The employer's own page is the final word on requirements and availability.
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About Gateway Regional Medical Center
Gateway Regional Medical Center is a nonprofit hospital with an emergency department in Granite City, IL. Its job board posts jobs for nurses, imaging techs and advanced practice providers. Source: Medicare Care Compare: Gateway Regional Medical Center
Based in Granite City, ILHires in IllinoisPay on its listings: shown on each listing that states it
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