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$17

$38

$65

How much do first assist nurse jobs pay per hour?

As of Jul 28, 2026, the average hourly pay for first assist nurse in the United States is $38.62, according to ZipRecruiter salary data. Most workers in this role earn between $29.57 and $43.27 per hour, depending on experience, location, and employer.

How to make an extra $2000 a month as a nurse?

First Assist Nurses can increase their income by taking on per diem or overtime shifts, working in high-demand specialties, or obtaining additional certifications such as ACLS or PALS to qualify for higher-paying roles. Freelance or consulting opportunities, such as health education or training, can also supplement income outside regular hours.

Is becoming an RNFA worth it?

Becoming a First Assist Nurse (RNFA) can enhance career opportunities by allowing nurses to participate directly in surgical procedures, often leading to higher compensation and expanded responsibilities. It requires additional certification and clinical experience, and job demand varies by healthcare facility and region.

What are the key skills and qualifications needed to thrive as a First Assist Nurse, and why are they important?

To thrive as a First Assist Nurse, you need advanced clinical skills in perioperative nursing, surgical procedures, and wound management, typically requiring RN licensure, perioperative certification, and completion of a First Assistant training program. Familiarity with surgical instruments, sterile techniques, and electronic medical records is essential. Strong teamwork, attention to detail, and the ability to communicate effectively under pressure help you excel in the surgical environment. These competencies are crucial for ensuring patient safety, supporting surgeons efficiently, and achieving optimal surgical outcomes.

What are some common challenges First Assist Nurses face during surgical procedures?

First Assist Nurses often encounter challenges such as adapting quickly to changing surgical situations, maintaining sterile technique under pressure, and effectively communicating with surgeons and the operating room team. They must anticipate the surgeon’s needs and respond promptly to any complications that arise. Staying current with evolving surgical techniques and protocols is essential to ensure patient safety and positive outcomes.

What is the difference between First Assist Nurse vs Surgical Nurse?

AspectFirst Assist NurseSurgical Nurse
CredentialsRN license, surgical assisting certificationRN license, perioperative certification
Work EnvironmentOperating room, assisting surgeons during proceduresOperating room, preparing and supporting surgical procedures
Employer & IndustryHospitals, surgical centers, clinicsHospitals, outpatient surgical facilities
Common Search & ComparisonYesYes

First Assist Nurses and Surgical Nurses both work in surgical settings, often in hospitals or outpatient centers. While First Assist Nurses focus on directly assisting surgeons during procedures, Surgical Nurses prepare the operating room and support patient care before, during, and after surgery. Both roles require RN licensure, but First Assist Nurses typically need additional surgical assisting certification. Understanding these differences helps healthcare facilities and professionals choose the right role for their needs.

How much does a first assist nurse make?

A first assist nurse, also known as a surgical first assistant, typically earns between $70,000 and $120,000 annually, depending on experience, location, and healthcare setting. Certification as a surgical technologist or nurse practitioner can influence salary levels, and many work in hospitals or surgical centers with variable schedules.

What is a First Assist Nurse?

A First Assist Nurse, also known as a Registered Nurse First Assistant (RNFA), is a perioperative nurse who works alongside surgeons during surgical procedures. Their primary responsibilities include assisting with surgical instruments, controlling bleeding, handling tissues, and suturing incisions as directed by the surgeon. First Assist Nurses play a crucial role in ensuring patient safety and positive surgical outcomes by providing skilled support throughout the operation. They typically require advanced training and certification beyond basic registered nursing education.

What does a nurse first assistant do?

A nurse first assistant, also known as a surgical technologist or scrub nurse, assists surgeons during procedures by preparing the operating room, sterilizing equipment, and passing instruments. They work closely with the surgical team to ensure a sterile environment and may have specialized training or certification in perioperative nursing. Their role is essential for patient safety and efficient surgical operations.
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First Assist Nurse jobs near you
Infographic showing various First Assist Nurse job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 75% Full Time, 21% Part Time, 1% Temporary, and 2% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $80,321 per year, or $38.6 per hour.
Plastic Surgery First Assist Nurse Practitioner

Plastic Surgery First Assist Nurse Practitioner

ADDISON KENWAY & ASSOCIATES LLC

Columbus, OH • On-site

Other

This job post has expired today. Applications are no longer accepted.

Job description

Plastic Surgery First Assist Nurse Practitioner - Columbus, Ohio

A premier plastic surgery center in central Ohio is recruiting an experienced Plastic Surgery First Assist Nurse Practitioner or Physician Assistant to join its high-volume practice. The role involves serving as first assist in operating room procedures, managing perioperative care, performing closures, and supporting comprehensive patient follow-up. A competitive compensation package is offered.

  • Experienced as a First Assist in the Operating Room
  • Physician Assistants with a rotation as a First Assist, please apply
  • Advanced skills in flap design, grafting, and complex wound closures
  • Proficiency in perioperative management and anesthesia assistance
  • Strong knowledge of plastic surgery procedures including breast, body, and facial cases
  • Active state NP/PA license and DEA registration

This region features extensive parks, trails, and family-friendly recreation areas. Housing offers affordable suburban options alongside upscale developments. Excellent public schools and a diverse economy with robust healthcare and tech sectors provide strong employment stability.

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About Addison Kenway & Associates

Sourced by ZipRecruiter

Here at Addison Kenway & Associates, LLC we specialize in placing Physicians, Nurse Practitioners, Physician Assistants, Certified Midwives and RN Management in permanent positions throughout the United States. If you are a provider looking for a great career or your organization is in need of a medical provider we can help. Our goal is to provide exceptional service resulting in successful placements in a minimum amount of time.

Industry

Hospitality services

Company size

11 - 50 Employees

Headquarters location

Lafayette, LA, US

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