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First Assist Rnfa information

See Dallas, TX salary details

$656

$2.2K

$3.7K

How much do first assist rnfa jobs pay per week?

As of Sep 11, 2026, the average weekly pay for first assist rnfa in Dallas, TX is $2,153.75, according to ZipRecruiter salary data. Most workers in this role earn between $1,646.15 and $2,415.38 per week, depending on experience, location, and employer.

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.
First Assist Rnfa jobs near you
Infographic showing various First Assist Rnfa job openings in Dallas, TX 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, with an average salary of $111,995 per year, or $53.8 per hour.

Nurse Practitioner- CV/CT Surgery - First Assist

Plano, TX • On-site

Baylor Scott & White Health
Outpatient Health Care • 10K+ employees
Learn more about Baylor Scott & White Healthexternal

Full-time

Medical, Retirement, PTO

Re-posted 23 days ago

Key responsibilities

  • Assist in cardiovascular and cardiothoracic surgical procedures as a first responder.

  • Manage preoperative and postoperative patient care related to cardiovascular and cardiothoracic surgeries.

  • Participate in on-call coverage for the cardiovascular surgery service.

Baylor Scott & White Health rating

7.5

Company rating: 7.5 out of 10

Based on 778 frontline employees who took The Breakroom Quiz

Job description

CV/CT Surgery First Assist Nurse Practitioner (RNFA Required)

Baylor Scott & White Health - The Heart Hospital Baylor Plano

Baylor Scott & White Health is seeking an experienced Nurse Practitioner (NP) to join our Cardiovascular/Cardiothoracic Surgery team as a First Assist at The Heart Hospital Baylor Plano, with occasional floating to our Heart Hospitals in Dallas and Frisco.

Position Overview

The CV/CT Surgery First Assist Nurse Practitioner will work closely with a highly collaborative surgical team, providing perioperative care and first-assist support for cardiovascular and cardiothoracic surgical procedures. This role offers a predictable weekday schedule with structured call coverage in a well-established heart program.

Schedule

  • Monday-Friday, typically 7:00 AM - 3:30 PM

  • Schedule may vary when assigned to call

Call Requirements

  • Rotating weekday call (approximately once per week)

  • Rotating weekend call (Friday-Sunday) every 4th or 5th weekend

Practice Setting

  • Primary location: The Heart Hospital Baylor Plano

  • Occasional floating to Dallas and Frisco Heart Hospitals

Case Volume

  • 1-2 cardiovascular surgery cases per day, depending on call coverage

Team Structure

  • 14 Surgeons

  • 12 Advanced Practice Providers (APPs)

  • Established, collaborative CV surgery service

Key Responsibilities

  • First assist in cardiovascular and cardiothoracic surgical procedures

  • Preoperative and postoperative patient management

  • Participate in on-call coverage for the CV surgery service

  • Collaborate with surgeons, APPs, nursing staff, and multidisciplinary teams

  • Deliver high-quality, patient-centered surgical care

Experience and Qualifications

  • Graduate of an accredited Nurse Practitioner program

  • Active or eligible Texas RN and APRN license

  • Certified Registered Nurse First Assistant (RNFA) required

  • Cardiovascular/Cardiothoracic surgical experience strongly preferred

  • Will consider candidates with 2+ years of general surgery or other surgical specialty experience

  • Demonstrated first-assist and perioperative skill set

  • Ability to work independently in a fast-paced surgical environment while contributing to a team-based culture

Why Baylor Scott & White Health

  • Nationally recognized heart and vascular program

  • Supportive, team-oriented culture

  • Predictable weekday schedule with structured call rotation

  • Opportunity to practice in a premier Heart Hospital setting

BENEFITS

Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: 

  • Immediate eligibility for health and welfare benefits
  • 401(k) savings plan with dollar-for-dollar match up to 5%
  • Tuition Reimbursement
  • PTO accrual beginning Day 1

Note: Benefits may vary based upon position type and/or level

Belonging Statement

We believe that all people should feel welcomed, valued, and supported. 

QUALIFICATIONS

  • EDUCATION - Grad of an Accredited Program
  • EXPERIENCE - More than 1 Year of Experience
  • CERTIFICATION/LICENSE/REGISTRATION -

       Nurse Practitioner (NP)
Registered Nurse (RN)
RN-First Assist (RNFA)
Basic Life Support (BLS): BLS or BLS within 30 days of hire or transfer.
 

Employment Type: FULL_TIME

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