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First Assistant Nurse Jobs in Raleigh, NC (NOW HIRING)

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First Assistant Nurse information

See Raleigh, NC salary details

$19.2K

$33.1K

$47.2K

How much do first assistant nurse jobs pay per year?

As of Aug 13, 2026, the average yearly pay for first assistant nurse in Raleigh, NC is $33,059.00, according to ZipRecruiter salary data. Most workers in this role earn between $27,500.00 and $36,300.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a first assistant nurse?

To thrive as a First Assistant Nurse, you need advanced clinical skills in perioperative care, surgical procedures, and patient assessment, typically supported by RN licensure and completion of a First Assistant training program. Familiarity with surgical instruments, sterile technique, and electronic medical records is essential, and certification such as CNFA (Certified Nurse First Assistant) is often preferred. Strong attention to detail, effective communication, and the ability to work under pressure set outstanding First Assistant Nurses apart. These skills are crucial for ensuring patient safety, supporting surgeons efficiently, and maintaining optimal surgical outcomes.

What are some common challenges first assistant nurses face during surgical procedures, and how can they effectively address them?

First Assistant Nurses often encounter challenges such as rapidly changing surgical conditions, communicating efficiently with the surgical team, and managing instruments under pressure. To address these, it's important to stay organized, anticipate the needs of the surgeon, and maintain clear, assertive communication throughout the procedure. Continuous learning and building strong relationships with both surgeons and surgical technologists can also help improve adaptability and teamwork in the operating room.

What is a first assistant nurse?

First Assistant Nurses, also known as Registered Nurse First Assistants (RNFAs), are specially trained nurses who assist surgeons during surgical procedures. Their responsibilities include providing direct patient care, helping with surgical instruments, controlling bleeding, suturing incisions, and ensuring the safety of the patient throughout the operation. They work alongside surgeons, anesthesiologists, and surgical technologists to ensure procedures run smoothly and safely. Typically, First Assistant Nurses have advanced education and certification beyond the standard registered nurse (RN) credentials.

What is the difference between First Assistant Nurse vs Surgical Technologist?

AspectFirst Assistant NurseSurgical Technologist
CredentialsRN license, specialized surgical trainingPost-secondary certificate or diploma, surgical tech certification
Work EnvironmentHospitals, surgical centers, assisting during surgeriesOperating rooms, preparing surgical instruments, assisting surgeons
Employer & IndustryHospitals, clinics, healthcare facilitiesSurgical centers, hospitals, outpatient clinics
Common Search & ComparisonYesNo

The First Assistant Nurse and Surgical Technologist both work in surgical settings, but the First Assistant Nurse holds an RN license and provides direct patient care and assistance during surgeries. Surgical Technologists mainly prepare the operating room and assist surgeons with instruments. While both roles support surgical teams, the First Assistant Nurse has a broader scope of practice and requires nursing credentials, making it a more advanced position in the surgical environment.

Is becoming a first assistant nurse worth it?

Becoming a first assistant nurse can be worthwhile for those interested in advanced clinical roles, as it often involves specialized training and certification, such as a perioperative nursing certification. The position offers opportunities for increased responsibility, higher pay, and working closely with surgical teams, but requires a commitment to ongoing education and skill development.
What are popular job titles related to First Assistant Nurse jobs in Raleigh, NC? For First Assistant Nurse jobs in Raleigh, NC, the most frequently searched job titles are:
What cities near Raleigh, NC are hiring for First Assistant Nurse jobs? Cities near Raleigh, NC with the most First Assistant Nurse job openings:

Nurse Practitioner or Physician Assistant- Wake County Hematology

Duke University

Raleigh, NC

$106K - $137K/yr

Full-time

Re-posted 11 days ago


Duke University rating

6.7

Company rating: 6.7 out of 10

Based on 55 frontline employees who took The Breakroom Quiz

485th of 618 rated colleges and universities


Job description

As a part of Duke Health's outpatient clinic network, you will enjoy competitive compensation, comprehensive benefits plans, convenient work hours, and many opportunities for career advancement. Become a part of a team that values and invests in you.

Duke Advanced Practice Highlights:

  • The nation's first Physician Assistant Program was created at Duke in 1965 and is consistently ranked No. 1 in the country.
  • The Duke School of Nursing is consistently ranked as one of the top nursing schools and their MSN and DNP programs offers eight advanced practice registered nurse majors and specialty certifications, as well as post master's certificates and certification alignment programs.
  • Commitment to ongoing learning for APPs through annual CME funding and access to high-quality Duke CME offerings including APP Grand Rounds and a professional advancement program.  APPs are leaders in multiple arenas within Duke.
  • Duke offers APPs opportunities to practice within team based integrative care in a tremendous variety of specialties.  APPs are expected to work to top of scope in order to contribute to Duke's missions which include clinical practice, education, and research.
  • Practice locations can include Duke Health's three hospitals or over 140 primary care and specialty care clinics throughout North Carolina.

PHYSICIAN ASSISTANT/NURSE PRACTITIONER

As a part of Duke Health's outpatient clinic network, you will enjoy competitive compensation, comprehensive benefits plans, convenient work hours, and many opportunities for career advancement. Become a part of a team that values and invests in you.

Duke Advanced Practice Highlights:

The nation's first Physician Assistant Program was created at Duke in 1965 and is consistently ranked No. 1 in the country.

The Duke School of Nursing is consistently ranked as one of the top nursing schools and their MSN and DNP programs offers eight advanced practice registered nurse majors and specialty certifications, as well as post master's certificates and certification alignment programs.

Commitment to ongoing learning for APPs through annual CME funding and access to high-quality Duke CME offerings including APP Grand Rounds and a professional advancement program. APPs are leaders in multiple arenas within Duke.

Duke offers APPs opportunities to practice within team based integrative care in a tremendous variety of specialties. APPs are expected to work to top of scope in order to contribute to Duke's missions which include clinical practice, education, and research.

Practice locations can include Duke Health's three hospitals or over 140 primary care and specialty care clinics throughout North Carolina.

Job Location     

Duke Raleigh Hospital
3400 Wake Forest Road
Raleigh, NC 27609

Job Summary

We are seeking an Advanced Practice Provider in our Hematology Hospital Based Clinic and Inpatient Service located in Raleigh, North Carolina (3400 Wake Forest Rd.
Raleigh, NC 27609) to work in collaboration with attending physicians (both in person and via Telehealth), collect and document data, conduct diagnostic and therapeutic procedures, order and schedule laboratory studies and provide direct patient care services along with helping in the coordination of a new inpatient in person and telehealth service for hematology consultation. 

Primary hours for this position will be Monday through Friday, day shift. The Division of Hematology provides diagnosis, evaluation and treatement for patients with a wide variety of blood disorders which are primarily non-malignant in nature 

Job Duties & Responsibilities

  • In collaboration with attending physicians, the NP/PA performs triage, physical exam, collects and documents data, conducts diagnostic and therapeutic procedures, orders and schedules laboratory studies, diagnostic procedures and professional consultations, prescribe appropriate interventions and medications, coordinate the care of patients and provide direct patient care services.
  • Analyze clinical practice patterns so as to provide the best medical care and to increase effectiveness and efficiency
  • Communicate verbally and in writing all pertinent patient information to the supervising attending, consulting physician, nurse staff, patient resource manager, home health agency and other relevant healthcare providers.
  • Provide timely documentation in the electronic medical record of all relevant data including results of diagnostic tests, laboratory results, patient's condition and response to therapies/interventions as well as communications with physician colleagues
  • Provide inpatient consultation and follow up when either rounding APP is unavailable or requires additional help and be able to present the patient to the covering attending, either in person or via Telehealth.
    • There may be a need for helping in setting up the inpatient Telehealth technological aides in the event the interaction is done remotely instead of in person

Job Eligibility Requirements

Education           

Nurse Practitioners: Work requires completion of an accredited Nurse Practitioner program, with a Master's degree in Nursing.

Physician Assistants: Work requires completion of an accredited Physician Assistant program. A Bachelor's degree required; Master's degree strongly preferred.

Certification 

BLS required.

License                

Nurse Practitioners: Must have current or compact RN licensure & NP approval to practice in the state of North Carolina. BLS required. National certification as a NP required.

Physician Assistants: Must be licensed in the state of NC, and be certified as a Physician Assistant by the National Commission on Certification of Physician Assistants. BLS required.

DEA licensure with full prescriptive authority required.

Experience          

1+ years of APP experience preferred

Job Hours

Monday Through Friday, day shift.  No weekends and no holidays

Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, (including pregnancy and pregnancy related conditions), sexual orientation, or military status.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.

Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, (including pregnancy and pregnancy related conditions), sexual orientation, or military status.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.

Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.


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About Duke University

Sourced by ZipRecruiter

Duke is regarded as one of America's leading research universities. Located in Durham, North Carolina, Duke is positioned in the heart of the Research Triangle, which is ranked annually as one of the best places in the country to work and live. Duke has more than 15,000 students who study and conduct research in its 10 undergraduate, graduate, and professional schools. With about 40,000 employees, Duke is the third largest private employer in North Carolina, and it now has international programs in more than 150 countries.

Industry

Colleges, universities, and professional schools and hospitals

Company size

10,000+ Employees

Headquarters location

Durham, NC, US