Job Description
Embark on a transformative journey as a Registered Nurse – First Assist in Saint Louis, Missouri, where your expertise will directly influence patient outcomes in the operating room. This is more than a role; it is a mission to collaborate with seasoned surgeons, guide complex procedures, and deliver compassionate, high-quality care before, during, and after surgery. As a First Assist, you will leverage technical skill, clinical judgment, and steady teamwork to support sterile technique, hemostasis, tissue handling, and precise instrument delivery. Your hands-on involvement will be central to successful operations, patient safety, and streamlined recovery. This position starts April 20, 2026 and is built as a weeks-long assignment designed for experienced professionals who thrive in fast-paced, ever-changing environments. Your dedication will be rewarded with a competitive weekly pay range of $3,092-$3,313, and the opportunity to apply your talents across varied surgical settings while maintaining a flexible schedule to match patient needs and personal goals. The arrangement operates without guaranteed hours, offering you the autonomy to align work intensity with your professional preferences and life commitments.
Missouri’s Saint Louis presents a compelling backdrop for your career ascent. The city blends a vibrant urban landscape with lush green spaces, historic neighborhoods, and a welcoming community spirit. You’ll have access to a thriving cultural scene, renowned cuisine, and an abundance of outdoor activities along the Mississippi River and across nearby parks and trails. Beyond the local appeal, there is the exciting possibility to work in multiple locations across the United States, expanding your professional network and exposing you to diverse patient populations, hospital cultures, and specialty practices. This exposure enriches clinical perspective and enhances adaptability—qualities that are highly valued in advanced surgical nursing. The Missouri backdrop offers a balance of metropolitan resources and Midwestern hospitality, making it a prime environment to grow your First Assist skills while enjoying a high quality of life.
In this role, you will perform critical responsibilities with precision and care. Key duties include assisting surgeons with exposure, retraction, hemostasis, suturing, and wound closure; maintaining strict sterile technique and infection control; preparing operative teams and equipment; verifying patient information, documenting intraoperative details, and communicating perioperative status to the circulating nurse and surgical team. You’ll tailor your approach to each procedure, anticipate needs, and support rapid decision-making under pressure. The position offers ongoing opportunities for professional development within the First Assist specialty, including additional procedural exposure, advanced certifications, and potential pathway to leadership roles within perioperative services. You’ll benefit from a robust package that prioritizes well-being and career growth, including a sign-on or completion bonus where applicable, housing assistance to ease transition, and the chance to extend assignments based on performance, hospital needs, and personal interest. The travel-oriented nature of the assignment is supported by a dedicated, 24/7 help desk and clinical liaison team, ensuring you always have dependable guidance, troubleshooting, and real-time support while you travel with the company.
Our organization is built on a foundation of empowerment and respect for the professionals we serve. We’re committed to elevating your career through continuous learning, mentorship, and a culture that values your input and clinical judgment. You’ll join a care-driven community that prioritizes collaborative practice, ethical standards, and a supportive environment designed to accelerate skill refinement while preserving work–life balance. Whether you’re refining first-assist techniques, embracing a broader spectrum of surgical specialties, or pursuing leadership trajectories within perioperative services, you’ll find opportunities to advance and to contribute meaningfully to patient care journeys. The company’s values center on integrity, compassion, and professional excellence, with a practical emphasis on providing resources that enable you to deliver the best possible outcomes for every patient.
If you’re ready to bring advanced first-assist competencies to the table and join a company that recognizes and rewards your expertise, this is your moment. Apply now to secure a position that prioritizes your professional development, offers competitive compensation, and supports you with comprehensive onboarding, housing assistance, and ongoing extension opportunities. Picture yourself thriving in Saint Louis’s dynamic medical community, while keeping doors open to other exciting locations across the U.S.—all within a framework that emphasizes safety, teamwork, and the satisfaction of making a tangible difference in people’s lives. Ready to elevate your surgical nursing career and contribute to a culture of excellence? Apply today and take the next step in shaping the future of perioperative care.
Note: The hours and pay rates listed are estimates and may vary. Final compensation packages and guaranteed hours will be confirmed during the hiring process.
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About TLC Nursing
TLC Nursing is a nationwide travel healthcare staffing agency pairing RNs, LPNs, CNAs, and Allied Health professionals with high-quality travel and local contracts across the U.S.
ShiftShield™ – Traveler Protection
ShiftShield™ protects travelers from preventable facility-driven cancellations and ensures fair compensation for schedule disruptions.
Why Travelers Choose TLC
- Competitive weekly pay
- Fast credentialing
- 24/7 recruiter & clinical support
- Nationwide assignments
Referral Bonus
Earn up to $1,000 per referral — no employment required.
EEO Statement
TLC Nursing is an Equal Opportunity Employer.
Job Tags
Hourly pay, Weekly pay, Contract work, Local area, Relocation package, Flexible hours,