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Nurse Practitioner First Assistant Jobs in Rochester, NY

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Nurse Practitioner First Assistant information

See Rochester, NY salary details

$78.4K

$126K

$173.7K

How much do nurse practitioner first assistant jobs pay per year?

As of Jul 27, 2026, the average yearly pay for nurse practitioner first assistant in Rochester, NY is $125,980.00, according to ZipRecruiter salary data. Most workers in this role earn between $107,500.00 and $139,100.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Nurse Practitioner First Assistant, and why are they important?

To thrive as a Nurse Practitioner First Assistant, you need advanced clinical knowledge, surgical assisting expertise, and an active RN license with completion of a Nurse Practitioner program and a First Assistant certification (such as RNFA). Familiarity with surgical instruments, electronic health records (EHRs), and perioperative care protocols is essential. Excellent communication, critical thinking, and teamwork skills help ensure safe and efficient collaboration with surgeons and operating room staff. These competencies are crucial for optimizing patient outcomes and providing high-quality surgical support.

What is the difference between Nurse Practitioner First Assistant vs Physician Assistant?

AspectNurse Practitioner First AssistantPhysician Assistant
CredentialsRegistered Nurse (RN) + specialized training or certification as a First AssistantMaster's degree in Physician Assistant Studies + certification (PANCE)
Work EnvironmentOperating rooms, surgical teams, hospitalsHospitals, clinics, surgical settings
Roles & ResponsibilitiesAssisting surgeons during procedures, pre- and post-operative carePerforming exams, diagnosing, assisting in surgeries

Both Nurse Practitioner First Assistants and Physician Assistants work closely in surgical settings, assisting during procedures and providing patient care. While Nurse Practitioner First Assistants typically have advanced nursing credentials and specialized surgical training, Physician Assistants hold a master's degree and are trained to perform a broad range of medical tasks. Understanding these differences helps clarify their roles in healthcare teams.

What is a Nurse Practitioner First Assistant?

A Nurse Practitioner First Assistant (NPFA) is an advanced practice registered nurse who assists surgeons during surgical procedures. In this role, they provide direct patient care before, during, and after surgery, and perform specific tasks such as suturing, controlling bleeding, and handling tissues under the supervision of a surgeon. NPFA professionals are required to have specialized training and certification in surgical first assisting, in addition to their nurse practitioner credentials. Their expertise helps ensure surgeries run smoothly and patients receive comprehensive care throughout the surgical experience.

How does a Nurse Practitioner First Assistant typically collaborate with surgeons and other operating room staff during procedures?

As a Nurse Practitioner First Assistant (NPFA), you work closely with surgeons, anesthesiologists, and surgical nurses to ensure optimal patient outcomes during operations. Your responsibilities include providing direct surgical assistance, such as suturing, controlling bleeding, and handling tissues, as well as anticipating the surgeon's needs throughout the procedure. Effective communication and teamwork are crucial, as you help coordinate patient care before, during, and after surgery. This collaborative environment not only enhances patient safety but also offers valuable opportunities for professional development and skill-building within a multidisciplinary team.
What are popular job titles related to Nurse Practitioner First Assistant jobs in Rochester, NY? For Nurse Practitioner First Assistant jobs in Rochester, NY, the most frequently searched job titles are:
What job categories do people searching Nurse Practitioner First Assistant jobs in Rochester, NY look for? The top searched job categories for Nurse Practitioner First Assistant jobs in Rochester, NY are:
What cities near Rochester, NY are hiring for Nurse Practitioner First Assistant jobs? Cities near Rochester, NY with the most Nurse Practitioner First Assistant job openings:
Nurse Practitioner First Assistant jobs near you
Infographic showing various Nurse Practitioner First Assistant job openings in Rochester, NY as of July 2026, with employment types broken down into 6% As Needed, 29% Full Time, 18% Part Time, and 47% Contract. Highlights an 100% In-person job distribution, with an average salary of $125,980 per year, or $60.6 per hour.
Physician Assistant / Nurse Practitioner - Orthopedic APP - Full Time

Physician Assistant / Nurse Practitioner - Orthopedic APP - Full Time

Highland Hospital

Rochester, NY • On-site

$98K - $130K/yr

Full-time

Posted 18 days ago

Highland Hospital (New York) rating

7.7

Company rating: 7.7 out of 10

Based on 24 frontline employees who took The Breakroom Quiz

218th of 1,051 rated hospitals

Job description


*Highland Hospital is seeking a Full Time APP (Physician Assistant or Nurse Practitioner) to join our Orthopedic Surgery team. Candidates for this role will primarily work a four (4), tens (10's) Day schedule, with overnight Sunday / Monday Night requirements (7p - 7a) every 6 to 9 weeks.
Some duties include but are not limited to:
The Nurse Practitioner (NP), Physician Assistant (PA) works in a collaborative relationship with the Chief of Orthopedics, Orthopedic Residents and Advanced Practice providers to deliver exceptional care to patients with musculoskeletal complaints evaluated at or admitted to Highland Hospital.
The NP/PA is responsible for coordination of direct patient care, documentation of care delivered, adherence to hospital and nursing policies, procedures and practice standards, education of patients and staff, creation of Orthopedic Patient Protocols and pathways, Quality Assurance tracking and monitoring , assurance of service excellence, completion of state and hospital-required reviews of practice, and participation in performance improvement and other activities as required. Works within the scope of NP or PA practices in NY State.
Management of post-operative patients and preparation of patients for discharge:
  • Facilitates discharge paperwork including dictations and interaction with social work for post discharge care.
  • Post-operative management of all orthopedic patients.
  • Available at all times to address all medical problems related to Orthopedics and any general medical issues that arise during the post op period.
  • Orders all necessary tests to assist orthopedic team with appropriate evaluation of patients.
  • Performs PM Sign out of all pertinent findings/consults from the day.
  • Signs out any unfinished work/post op checks to residents/ on call staff.

Salary Range:
$98,000.00 - $130,083.20 annually
The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.
Job Requirements
  1. Education: Fulfilled the requirements to be a licensed PA or NP in NYS.
  2. Experience: No experience required, though preferred.
  3. License/Certification Required: Current valid license to practice as a PA/NP in NYS. ACLS preferred, BLS required.
  4. Skills: Clinical Information System. Team will educate and orient provider to be able to perform fracture reductions, hip reductions, application and removal of casts, splinting, wound debridement, and nerve blocks as appropriate.
  5. ***For NP's, must have a valid first assist. Will consider those without it, but they would have to agree to enroll in first assist class and complete course (Sponsored by HH).

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