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First Assist Rnfa information

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$663

$2.2K

$3.8K

How much do first assist rnfa jobs pay per week?

As of Sep 13, 2026, the average weekly pay for first assist rnfa in the United States is $2,177.19, according to ZipRecruiter salary data. Most workers in this role earn between $1,663.46 and $2,442.31 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.

What cities are hiring for First Assist Rnfa jobs?

Cities with the most First Assist Rnfa job openings:

What states have the most First Assist Rnfa jobs?

States with the most job openings for First Assist Rnfa jobs include:

What are popular job titles related to First Assist Rnfa jobs?

For First Assist Rnfa jobs, the most frequently searched job titles are:

First Assist Rnfa jobs near you
Infographic showing various First Assist Rnfa job openings in the United States 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 $113,214 per year, or $54.4 per hour.

Travel RN First Assist (RNFA)

Chico, CA • On-site

FutureSoft Consulting Inc
See more jobs at FutureSoft Consulting Incexternal

Contractor

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Job description

Job Summary

We are seeking an experienced Registered Nurse First Assistant (RNFA) for a 16-week travel nursing assignment in Chico, California.

This role is ideal for an experienced perioperative RN who has completed RN First Assistant training and is comfortable working directly with surgeons during operative procedures. The RNFA will provide advanced nursing support throughout the surgical process, including preoperative preparation, intraoperative first-assist responsibilities, and postoperative patient care.

Candidates must have strong operating room experience, active California RN licensure, CNOR certification, and current BLS/CPR and ACLS credentials.

What You'll Do

As an RN First Assist, you will:

        Work directly with surgeons and the perioperative team during surgical procedures.

        Provide first-assist support within the RNFA scope of practice.

        Assist with exposure of the surgical site, tissue handling, retraction, and other approved intraoperative functions.

        Assist with hemostasis and bleeding control using approved techniques and equipment.

        Perform wound closure and other delegated surgical tasks within applicable regulations and facility policies.

        Prepare patients for surgical procedures and verify required documentation before surgery.

        Participate in surgical time-outs and patient safety protocols.

        Maintain sterile technique throughout surgical procedures.

        Assist with positioning, prepping, and draping patients for surgery.

        Anticipate surgeon needs and support efficient progression of surgical cases.

        Monitor patient safety throughout the perioperative process.

        Collaborate with surgeons, anesthesiologists, circulating nurses, surgical technologists, and other members of the operating room team.

        Assist with postoperative patient assessment and transition of care when required.

        Maintain accurate and timely clinical documentation.

        Follow infection-prevention, surgical safety, and regulatory standards.

        Participate in emergency procedures and respond appropriately to changes in patient condition.

Required Qualifications

Candidates must have:

        Current Registered Nurse (RN) license through the California Board of Registered Nursing

        Current RN First Assistant (RNFA) qualification or recognized RNFA training

        Certified Nurse Operating Room (CNOR) certification

        Current BLS / CPR

        Current ACLS

        Previous professional experience functioning as an RN First Assist

        Strong operating room and perioperative nursing experience

        Knowledge of sterile technique and surgical infection-prevention practices

        Ability to work effectively with surgeons and multidisciplinary operating room teams

Preferred Experience

Strong candidates will have experience with:

        Acute-care operating room environments

        Multiple surgical specialties

        General surgery

        Orthopedic procedures

        Cardiovascular or vascular procedures

        Gynecologic surgery

        Urologic surgery

        Trauma or emergency surgical procedures

        Surgical wound closure

        Tissue handling and surgical exposure

        Hemostasis techniques

        Preoperative and postoperative patient assessment

Specific surgical service assignments may vary based on facility needs and the candidate's clinical background.

Core RNFA Skills

Candidates should be comfortable with:

        Surgical first assisting

        Maintaining sterile technique

        Surgical site exposure

        Retraction

        Tissue handling

        Hemostasis

        Surgical wound closure

        Suturing within RNFA scope

        Patient positioning

        Surgical skin preparation

        Intraoperative patient safety

        Operating room workflow

        Infection-control standards

        Emergency response

        Interdisciplinary communication

        Perioperative documentation

Schedule

        Day Shift

        Approximately 8-10 hour shifts

        40 hours per week

        Schedule may vary based on surgical case volume and facility needs.

        Weekend, holiday, call, or emergency coverage may be required depending on department scheduling.

Ideal Candidate

The ideal candidate is an experienced RN First Assistant with strong perioperative nursing skills and the ability to work confidently alongside surgeons in a fast-paced acute-care operating room.

You should be highly comfortable with sterile technique, surgical procedures, patient safety, and intraoperative decision-making. Strong communication, teamwork, clinical judgment, and the ability to anticipate the needs of the surgical team are essential.

This opportunity may be a strong fit for professionals currently working as an RN First Assist, RNFA, Perioperative RN, Operating Room RN First Assistant, Surgical RN, or CNOR-Certified OR Nurse.

Equal Opportunity

We are an equal opportunity employer and consider qualified applicants based on experience, education, licensure, certifications, skills, and the requirements of the position.

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