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First Assist Rnfa Jobs in Dallas, TX (NOW HIRING)

For Nurse Practitioners, Registered Nurse First Assistant (RNFA) training or experience is preferred. Candidates with prior First Assist experience in the operating room, endocrine surgery experience ...

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First Assist Rnfa information

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$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.
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.

Advanced Practice Provider, Endocrine Surgery & Oncology

Dallas, TX • On-site

UT Southwestern Medical Center
Hospitals • 10K+ employees

$86K - $118K/yr

Full-time

Medical, Retirement, PTO

Posted 8 days ago


UT Southwestern rating

7.9

Company rating: 7.9 out of 10

Based on 152 frontline employees who took The Breakroom Quiz


Job description

WHY UT SOUTHWESTERN?
With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to U.S. News & World Report, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you'll discover a culture of teamwork, professionalism, and a rewarding career!
JOB SUMMARY

The Harold C. Simmons Comprehensive Cancer Center at UT Southwestern Medical Center is seeking an Advanced Practice Provider (APP) to join our Endocrine Surgery team.

The APP serves as a key member of a multidisciplinary team caring for patients with endocrine disorders and endocrine-related oncologic conditions. This primarily outpatient role offers a unique combination of clinic-based patient management, perioperative care, and First Assist responsibilities in the operating room.

The APP will independently evaluate and manage patients, collaborate with endocrine surgeons and other clinical specialists, coordinate care plans, review and interpret laboratory and imaging results, provide patient education, and support patients throughout their treatment journey. Responsibilities include serving as a First Assist in the operating room, managing follow-up care, reviewing diagnostics, and partnering with multidisciplinary teams to deliver high-quality, patient-centered care.

This position offers the opportunity to work across the continuum of care, including the outpatient clinic, operating room, and limited inpatient rounding, while practicing with a high degree of autonomy alongside nationally recognized endocrine surgeons. Veteran's encouraged to apply.

Schedule: Monday through Friday, primarily 7:00 a.m. to 4:00 p.m., with responsibilities in the outpatient clinic, operating room, and limited inpatient rounding.

BENEFITS
UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include:

  • PPO medical plan, available day one at no cost for full-time employee-only coverage
  • 100% coverage for preventive healthcare-no copay
  • Paid Time Off, available day one
  • Retirement Programs through the Teacher Retirement System of Texas (TRS)
  • Paid Parental Leave Benefit
  • Wellness programs
  • Tuition Reimbursement
  • Public Service Loan Forgiveness (PSLF) Qualified Employer
  • Learn more about these and other UTSW employee benefits!


EXPERIENCE AND EDUCATION

Experience

Clinical experience in endocrine surgery, surgical oncology, endocrinology, ENT, head and neck surgery, or a related surgical specialty is highly preferred. Experience serving as a First Assist in the operating room is strongly preferred. The ideal candidate will be adaptable, motivated, comfortable working in a multidisciplinary environment, and interested in caring for patients across the outpatient clinic, operating room, and inpatient settings.

Education

Graduate of a master's degree or higher Accreditation Review Commission on Education for the Physician (ARC-PA) accredited Physician Assistant program.   OR

Master's degree or higher in nursing, documentation of completion of accredited Advanced Practice Education Program. Graduate education and related Texas Board of Nursing authorization must be consistent with clinical practice area and patient population.

Licensure and Certification

Certification by the National Commission of Certification of Physician Assistants (NCCPA) Certification required. Licensed by the Texas Physician Assistant Board. OR 

Licensure as Advanced Practice Registered Nurse by Texas State Board of Nursing. Authorization for prescriptive authority by the Texas Board of Nursing.

For Nurse Practitioners, Registered Nurse First Assistant (RNFA) training or experience is preferred. Candidates with prior First Assist experience in the operating room, endocrine surgery experience, or a surgical background applicable to endocrine surgery are strongly preferred.

Current applicable Advanced Cardiac Life Support (ACLS) American Heart Association or American Red Cross Life Support certification(s) based on UT Southwestern policy for Advanced Practice Providers. 

JOB DUTIES

  • Conducts and documents comprehensive initial and ongoing physical examinations based on age and diagnosis, including psychological status.
  • Synthesizes data and utilizes evidence to develop, implement, and evaluate the patient plan of care, including ordering and interpreting laboratory, radiology, and other diagnostic studies/results.
  • Demonstrates proficiency in technical/procedural skills, as appropriate and based on specialty and training.
  • Provides relevant management, referrals, counseling, and education to patients, families, and caregivers related to current care and preventive health measures.
  • Facilitates/participates in quality related initiatives and/or clinical research protocols through planned group processes, workshops, seminars, and staff meetings, to improve clinical and system practice performance.
  • Collaborates in research projects and protocols; and routinely applies evidence based best practices to patient care
  • Performs other duties as assigned.


SECURITY AND EEO STATEMENT
Security
This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information. To the extent this position requires the holder to research, work on, or have access to critical infrastructure as defined in Section 113.001(2) of the Texas Business and Commerce Code, the ability to maintain the security or integrity of the critical infrastructure is a minimum qualification to be hired and to continue to be employed in the position.
EEO Statement
UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.
 


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