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First Assist Rnfa Jobs in Texas (NOW HIRING)

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First Assist Rnfa information

What is a First Assist RNFA?

A First Assist RNFA, or Registered Nurse First Assistant, is a specialized registered nurse who assists surgeons during surgical procedures. They play a crucial role in the operating room by providing direct patient care, including handling tissues, using instruments, and suturing incisions under the supervision of a surgeon. RNFAs also help with preoperative and postoperative care, ensuring patient safety and optimal surgical outcomes. To become an RNFA, a nurse must have advanced education and training in perioperative nursing and first assisting.

What are the key skills and qualifications needed to thrive as a First Assist RNFA?

To thrive as a First Assist RNFA, you need advanced perioperative nursing skills, a solid understanding of surgical procedures, and completion of a Registered Nurse First Assistant (RNFA) program with current RN licensure. Familiarity with surgical instruments, sterile techniques, and documentation systems is essential, along with certifications such as CNOR or RNFA credentialing. Strong communication, teamwork, and critical thinking abilities help you anticipate surgeon needs and respond quickly to changes during surgery. These skills and qualifications are vital to ensuring patient safety, efficient surgical workflows, and positive outcomes in the operating room.

What are some common challenges First Assist RNFAs encounter in the operating room, and how can they effectively address them?

First Assist RNFAs often face challenges such as adapting to rapidly changing surgical environments, managing intraoperative complications, and communicating efficiently with surgeons and surgical teams. To address these, it’s important to stay updated on surgical protocols, maintain strong situational awareness, and proactively communicate any concerns or observations. Building trust with the surgical team and participating in ongoing training can also help RNFAs handle high-pressure situations and contribute to positive patient outcomes.

What is the difference between First Assist Rnfa vs Surgical Technologist?

AspectFirst Assist RnfaSurgical Technologist
CredentialsRN license, First Assist certificationPost-secondary education, surgical tech certification
Work EnvironmentHospitals, surgical centers, assisting during surgeriesOperating rooms, assisting surgeons, preparing instruments
Employer & IndustryHospitals, surgical clinics, healthcare providersHospitals, outpatient surgical centers, clinics

First Assist Rnfa and Surgical Technologists both work in surgical settings, but First Assist Rnfa typically holds an RN license and provides direct patient care during surgeries, while Surgical Technologists focus on preparing the operating room and assisting surgeons with instruments. The roles overlap in the surgical environment but differ in scope and credentials.

Is a First Assist RNFA in demand?

First Assist RNs (RNFAs) are in increasing demand due to the growing need for skilled perioperative professionals in surgical teams. They typically require specialized training and certification, and their role enhances surgical efficiency and patient outcomes, making them a valuable asset in hospitals and surgical centers.

Is becoming a first assist RNFA worth it?

Becoming a first assist RNFA can enhance surgical career opportunities by providing advanced perioperative skills and increasing earning potential. It requires additional certification and training, but it can lead to more responsibilities and job satisfaction in surgical settings.

What cities in Texas are hiring for First Assist Rnfa jobs?

Cities in Texas with the most First Assist Rnfa job openings:

First Assist Rnfa jobs near you
Infographic showing various First Assist Rnfa job openings in Texas as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 19% Part Time, and 4% Contract. Highlights an 87% Physical, 1% Hybrid, and 12% Remote job distribution.

Registered Nurse First Assistant (RNFA)

San Antonio, TX • On-site

Tenet Health
Health Care and Social Assistance • 10K+ employees
Learn more about Tenet Healthexternal

Full-time

Re-posted 21 days ago

Tenet Healthcare rating

6.3

Company rating: 6.3 out of 10

Based on 359 frontline employees who took The Breakroom Quiz

Job description

This position may qualify for a sign-on bonus.

POSITION SUMMARY 

Registered nurses practicing as first assistants in surgery are functioning in an expanded perioperative nursing role. First assisting 
behaviors include certain delegated medical functions that can be assumed by the RN who is qualified to practice as an RNFA. Other 
related duties as assigned. 

Who We Are

We are a community built on care. Our caregivers and supporting staff extend compassion to those in need, helping to improve the health and well-being of those we serve, and provide comfort and healing. Your community is our community.

Our Story

We started out as a small operation in California. In May 1969, we acquired four hospitals, some additional care facilities and real estate for the future development of hospitals. Over the years, we've grown tremendously in size, scope and capability, building a home in new markets over time, and curating those homes to provide a compassionate environment for those entrusting us with their care.

We have a rich history at Tenet. There are so many stories of compassionate care; so many "firsts" in terms of medical innovation; so many examples of enhancing healthcare delivery and shaping a business that is truly centered around patients and community need. Tenet and our predecessors have enabled us to touch many different elements of healthcare and make a difference in the lives of others.

Our Impact Today

Today, we are leading health system and services platform that continues to evolve in lockstep with community need. Tenet's operations include three businesses - our hospitals and physicians, USPI and Conifer Health Solutions.

Our impact spreads far and deep with 65 hospitals and approximately 510 outpatient centers and additional sites of care. We are differentiated by our top notch medical specialists and service lines that are tailored within each community we serve. The work Conifer is doing will help provide the foundation for better health for clients across the country, through the delivery of healthcare-focused revenue cycle management and value-based care solutions.

Together as an enterprise, we work to save lives and can accept nothing less than excellence from ourselves in service of our patients and their families, every day.
Careers at Tenet

At Tenet Healthcare, the heart of what we do centers on caring with compassion, which ultimately creates a bond between our caregivers and patients. Everyone contributes to these moments, whether providing care directly or supporting those who do.

As an organization, we provide employees with resources, tools and support to serve our patients and customers in the best way possible. We also take care of one another, helping team members further develop their career pathways and maximize their potential.

MINIMUM EDUCATION: Graduate of accredited school of nursing and completion of an RNFA program that 
meets the AORN standards for RN first assistant education programs.

PREFERRED EDUCATION: Bachelors Degree

MINIMUM EXPERIENCE: 1 year assisting experience. 

PREFERRED EXPERIENCE: 3 years of circulating experience. 

REQUIRED CERTIFICATIONS/LICENSURE: Possession of current Texas State License for Registered Nurse. 
CNOR certified.

PREFERRED CERTIFICATIONS/LICENSURE: N/A 

REQUIRED COURSES/COMPLETIONS (e.g., CPR):

  • Must have active healthcare provider Basic Life Support on hire (ARC or AHA); however, must have 
    AHA Healthcare Provider BLS within 60 days of hire.
  • AHA ACLS must be completed within 60 days of hire or transfer into role. 

#LI-AG1

MINIMUM EDUCATION: Graduate of accredited school of nursing and completion of an RNFA program that 
meets the AORN standards for RN first assistant education programs.

PREFERRED EDUCATION: Bachelors Degree

MINIMUM EXPERIENCE: 1 year assisting experience. 

PREFERRED EXPERIENCE: 3 years of circulating experience. 

REQUIRED CERTIFICATIONS/LICENSURE: Possession of current Texas State License for Registered Nurse. 
CNOR certified.

PREFERRED CERTIFICATIONS/LICENSURE: N/A 

REQUIRED COURSES/COMPLETIONS (e.g., CPR):

  • Must have active healthcare provider Basic Life Support on hire (ARC or AHA); however, must have 
    AHA Healthcare Provider BLS within 60 days of hire.
  • AHA ACLS must be completed within 60 days of hire or transfer into role. 

#LI-AG1

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