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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.

Surgical First Assist - (1099 Contractor) Spine, Robotics (GYN, General), Orthopedics - RNFA/PA-C/NP

Dallas, TX • On-site

MPOWERHealth
Health Care and Social Assistance • 201 - 500 employees
Learn more about MPOWERHealthexternal

Full-time

Re-posted 14 days ago

Job description

Overview
First Assist Opportunities (1099 Contractor)
Are you an experienced Surgical First Assist looking for the flexibility and independence of a 1099 contractor role? If so, we'd love to connect with you.
We are currently seeking Licensed Surgical Assists (LSA), Physician Assistants (PA), Nurse Practitioners (NP), and Registered Nurse First Assists (RNFA) to partner with our team and support surgeons across a variety of surgical specialties.
This is an OR-only opportunity that allows you to focus on what you do best: providing skilled first-assist support during surgical procedures. As an independent contractor, you'll have the flexibility to accept cases that fit your schedule while continuing to maintain and support your existing surgeon relationships.
What We Offer:
  • Flexible scheduling based on your availability
  • 1099 independent contractor status
  • OR-focused responsibilities with no clinic requirements
  • Opportunities to work alongside highly skilled surgeons
  • The ability to supplement your current practice while helping us deliver exceptional surgical support

If you're passionate about patient care, thrive in the operating room, and are looking for a flexible way to leverage your expertise, we'd love to hear from you.
Apply today to learn more about partnering with our surgical team.
Responsibilities
  • Surgical First Assist: Primary function is to provide first assist support during surgical procedures.
  • Pre-operative Coordination: Confirm cases, meet patients, explain procedures, obtain necessary documentation, and coordinate with OR staff.
  • Intraoperative Support: Assist with patient positioning, maintain sterile field, anticipate surgeon needs, and collaborate with the OR team.
  • Post-operative Care: Assist with patient transfer, provide PACU handover, and complete necessary documentation.
  • Continuous Improvement: Participate in clinical and operational projects, such as education, training, and process improvement.
  • Skill Expansion: Demonstrate willingness to learn new surgical specialties and expand skill set.

Qualifications
Requirements:
  • Must have at least 2 years of surgical assisting experience.
  • Must have experience assisting in spine, ortho, GYN, General and robotics.
  • Orthopedics experience is a plus.

Education/Training:
  • Must have excellent computer skills, specifically MS Office, and EMR.
  • Must be a graduate of an Accredited Master's Degree program for Physician Assistant Studies for PAs, or a Master/Doctoral Degree Program in Nurse Practitioner Studies for NPs. Nurse Practitioners must have their CNOR or RNFA.
  • Must possess current state license where practicing and PAs must hold National Commissioned Certification of Physician Assistants (NCCPA)

Physical Requirements:
Able to perform all essential duties with or without accommodations, including but not limited to:
  • Ability to lift, sit, stand, or squat
  • Constantly seeing, hearing, and speaking
  • Frequent lifting to 20+ lbs. in addition to bending, reaching, standing, walking, and kneeling.

Preferred Skills:
  • Strong interpersonal skills with ability to adapt to different personalities and needs.
  • Customer service-oriented mindset.
  • Able to function independently, autonomously, and confidently.

It is the policy of MPOWERHealth not to discriminate against any applicant for employment, or any employee because of age, color, sex, disability, national origin, race, religion, or veteran status.
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