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Registered Nurse First Assistant - Duke Health Cary

Duke Health

  • Cary, NC
  • 1 day ago

    Highlights

    Opening in Spring 2027, the next phase of this 85-acre, mixed use walkable Duke Health Cary campus will add emergency services, inpatient care, surgical services, imaging, specialty care, and infusion services, creating more than 230 career opportunities. Duke Health is seeking an experienced Registered Nurse First Assistant (RNFA) to join the founding clinical team of the new Duke Health Cary Surgery Center , a state-of-the-art ambulatory surgery center scheduled to open in 2027.

    Numbers & Facts

    LocationCary, NC
    IndustryHealthcare Services
    Company Size10,000 employees or more
    Websitehttps://careers.dukehealth.org/

    Description

    At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

    Duke Health Cary

    Opening in Spring 2027, the next phase of this 85-acre, mixed use walkable Duke Health Cary campus will add emergency services, inpatient care, surgical services, imaging, specialty care, and infusion services, creating more than 230 career opportunities. Joining Duke Health Cary offers the opportunity to build something new, grow your career, and support our mission of advancing health across the communities we serve.


    RN First Assistant (RNFA)

    Duke Health Cary Surgery Center | Cary, NC

    Help Build the Future of Ambulatory Surgery

    Duke Health is seeking an experienced Registered Nurse First Assistant (RNFA) to join the founding clinical team of the new Duke Health Cary Surgery Center, a state-of-the-art ambulatory surgery center scheduled to open in 2027.

    This is a rare opportunity to be part of a new surgical facility from the beginning, helping shape the culture, workflows, and patient experience while delivering exceptional surgical care in a highly collaborative environment.

    The Duke Health Cary Surgery Center will feature six operating and procedure rooms, including advanced robotic surgery capabilities with two da Vinci surgical systems. The center will provide outpatient surgical services across multiple specialties, including:

    • Urology
    • Plastic Surgery
    • Breast Oncology
    • General Surgery
    • Gynecology
    • ENT
    • Pediatric Urology
    • Pediatric ENT
    • Orthopedic Surgery

    Why Join the Founding Team?

    As a member of the inaugural perioperative team, you will:

    • Help establish a culture of excellence, innovation, and teamwork
    • Work with cutting-edge surgical technology, including robotic-assisted procedures
    • Contribute to process design and continuous improvement initiatives
    • Collaborate with highly skilled surgeons and perioperative professionals
    • Deliver exceptional patient-centered care in a modern outpatient environment
    • Play a key role in launching one of the region's most advanced ambulatory surgery centers

    Position Summary

    The Registered Nurse First Assistant (RNFA) provides comprehensive perioperative patient care through the preoperative, intraoperative, and postoperative phases of surgery. Working collaboratively with surgeons and the perioperative team, the RNFA serves as the qualified first assistant during surgical procedures, helping optimize patient outcomes, surgical efficiency, and workflow effectiveness.

    This role supports surgical services across multiple specialties and serves patients of all ages while promoting quality, safety, and excellence in surgical care.

    Key Responsibilities

    Preoperative Care

    • Conduct patient assessments and evaluations
    • Collaborate with surgeons and care teams to develop plans of care
    • Prepare and document preoperative orders in accordance with established protocols
    • Coordinate care and communicate with multidisciplinary team members

    Intraoperative First Assisting

    • Serve as the qualified first assistant to the operating surgeon
    • Provide surgical exposure, hemostasis, tissue handling, and wound closure
    • Utilize surgical instruments, equipment, and technology safely and effectively
    • Support procedural efficiency and patient safety throughout the surgical procedure

    Postoperative Care

    • Collaborate with providers during the immediate postoperative period
    • Assist with postoperative documentation and orders following established protocols
    • Participate in patient rounds and discharge planning activities
    • Support continuity of care and positive patient outcomes

    The RNFA functions as the surgical first assistant and does not concurrently perform the role of scrub nurse during procedures.

    What We're Looking For

    Successful candidates will:

    • Have at least two years of ambulatory, outpatient, or perioperative surgical experience
    • Thrive in a fast-paced, highly collaborative surgical environment
    • Demonstrate accountability, professionalism, and reliability
    • Embrace flexibility and cross-functional teamwork
    • Support innovation, continuous improvement, and operational excellence
    • Enjoy building new programs and contributing to organizational growth
    • Be passionate about delivering exceptional patient care

    Our Culture

    At Duke Health Cary Surgery Center, we are building a team that:

    • Puts patients first in every decision
    • Works collaboratively across the perioperative continuum
    • Embraces innovation and advanced technology
    • Supports flexibility and operational excellence
    • Values continuous learning and professional growth
    • Promotes respect, inclusion, accountability, and psychological safety
    • Takes ownership of quality, safety, and patient experience outcomes

    Minimum Qualifications

    Education

    • Bachelor of Science in Nursing (BSN) required
    • Master of Science in Nursing (MSN) preferred
    • Graduate of an accredited school of nursing
    • Completion of an accredited RNFA program that includes both didactic and supervised clinical practice and is based on the AORN Core Curriculum for the RNFA

    Experience

    • Minimum of three years of perioperative nursing experience required
    • Previous operating room experience with both circulating and scrub responsibilities strongly preferred

    Licensure & Certifications

    • Current RN license in North Carolina or compact state licensure
    • Basic Life Support (BLS) certification required
    • CNOR certification required
    • Current RNFA certification, or ability to obtain within two years of employment

    Planned Start Dates

    • February 8, 2027
    • February 22, 2027

    First patient procedures anticipated in April 2027.

    Be Part of Something Extraordinary

    If you are an experienced RNFA who is excited by the opportunity to help launch a new surgical center, collaborate with exceptional colleagues, and shape the future of outpatient surgical care, we invite you to apply and join Duke Health Cary Surgery Center.




    Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.



    Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.


    Essential Physical Job Functions:

    Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.


    About Company

    Duke Health conceptually integrates the Duke University School of Medicine, Duke-NUS Medical School, Duke University School of Nursing, Duke University Health System, our physician practice, Duke Health Integrated Practice, and incorporates the health and health research programs within the Duke Global Health Institute as well as those in schools and centers across Duke University, including the Duke Robert J. Margolis Institute for Health Policy. Duke Health is committed to conducting innovative basic and clinical research, rapidly translating breakthrough discoveries to patient care and population health, providing a unique educational experience to future clinical and scientific leaders, improving the health of populations, and actively seeking policy and intervention-based solutions to complex global health challenges. Underlying these ambitions is a belief that Duke Health is a destination for outstanding people and a dedication to continually explore new ways to help our people grow, collaborate and succeed.

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