Registered Nurse First Assistant Orthopedics & Sports Medicine
Altru Health System
Grand Forks, ND, USA
USD 35.49-53.23 / hour
Posted on Sep 6, 2025
Everything we do is underscored by a why — and that why is one another.
Location:
Altru Professional Center4400 S. Washington St.Grand Forks, ND 58201Pay Range: $35.49 - $53.23Summary:
The Registered Nurse First Assistant (RNFA) is a perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal patient outcomes. The RNFA demonstrates the necessary knowledge, judgement, and skills specific to the expanded role of RNFA practice. These behavior practices include certain delegated medical functions that can be assumed by the RNFA. RNFA behaviors vary depending on patient populations, practice environments, service provided, accessibility of human and fiscal resources, institutional policy, and state nursing regulations.Essential Job Functions:
Assesses, intervenes, and reassesses the patient's self-report/symptoms of pain promptly and takes appropriate action according to standard operating procedure.
Assess, plan, implement and evaluate the care of patients in the perioperative setting in collaboration with other health care providers. Communicates plan of care with surgical team. Provides pre-op and post-op care.
Demonstrates a knowledge base of various procedures and surgical first assist techniques. Follows principles of sterile technique.
Demonstrates suturing skills including tying techniques, ligaturing vessels, wound closure and hemostasis.
Works collaboratively with other health care providers to provide postoperative patient management which may include participating in postoperative rounds and assisting with patient discharge planning and identifying appropriate community resources as needed.
Identifies and communicates unusual techniques/instruments with the operative team.
Participates in measuring and monitoring Quality Indicator, outcomes.
Performs other duties as assigned or needed to meet the needs of the department/organization.
Certifications
Registered Nurse | North Dakota Board of Nursing (NDBON) or Compact State Agreement | Prior to Start Date | HR Primary Sources
Registered Nurse First Assistant (RNFA) | National Institute of First Assisting (NISA) | Prior to Start Date | Employee Provides HR a Copy
Certified Registered Nurse First Assistant (CRNFA) | Competency & Credentialing Institute | Preferred | Employee Provides HR a Copy
Basic Life Support (BLS) | American Heart Association (AHA) | Within 90 Days of Start Date | Learning Management System
Notes
Must hold an unencumbered nursing license prior to start.
Position will be credentialed through Altru Health System’s credentialing process
Language Requirements:
This position requires proficiency in reading, writing, and speaking English to ensure effective communication in the workplace and with patients, families, and team members.
Physical Demands :
• Sit: Rarely (1-4%)• Stand: Occasionally (5-33%)• Walk: Continuously (67-100%)• Stoop/Bend: Frequently (34-66%)• Reach: Continuously (67-100%)• Crawl: Rarely (1-4%)• Squat/Crouch/Kneel: Occasionally (5-33%)• Twist: Occasionally (5-33%)• Handle/Finger/Feel: Continuously (67-100%)• See: Continuously (67-100%)• Hear: Continuously (67-100%)Weight Demands:
• Lift -Floor to Waist Level: Medium (20-40 pounds)• Carry: Medium (20-40 pounds)• Push/Pull: Medium (20-40 pounds)• Slide/Transfer: Medium (20-40 pounds)Working Conditions:
• Indoor: Continuously (67-100%)• Outdoor: Not Applicable• Extreme Temperature: Not ApplicableDriving Requirement Definitions:
- Professional Drivers: Persons who drive as their main responsibility OR transport passengers or hazardous materials.
- Frequent Drivers: Persons whose main responsibility is not driving, but drive daily or almost daily.
- Occasional Drivers: Persons who drive from once per month to as frequently as once per week.
- Infrequent Drivers: Persons who are generally not expected to drive.
Driving Requirement for this position:
Infrequent DriverReference ID: R6398Making a real difference. For one another.
To take the best care of our patients and community — including friends, family, and neighbors — we need people who are committed to growth, excellence, and one another.
At Altru, you’ll find a culture where support and teamwork are at the heart of what we do. You’ll have opportunities to advance your skills, work with the latest technologies, experience the fulfillment that comes from giving back, and take your career wherever you want it to go.
Join our team and be a part of a small community with a big heart.
Altru offers a comprehensive benefits package to its full- and part-time employees. Excellent benefits include a health plan and 401(k) retirement plan. Other benefits include a dental plan, vision plan, life and disability insurance, education assistance, paid time off (PTO)
