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Nurse Practitioner First Assistant Jobs in Rochester, NY

Highland Hospital

Physician Asst/NP Lead

Rochester, NY · On-site

$109K - $153K/yr

18146BR Title: Physician Asst/NP Lead Department/Cost Center: 816 - Dept Of Medicine Highland ... first-line resources to the attending physicians regarding changes in a patient's condition.

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Nurse Practitioner First Assistant information

See Rochester, NY salary details

$78.5K

$126K

$173.7K

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

As of Aug 8, 2026, the average yearly pay for nurse practitioner first assistant in Rochester, NY is $126,037.00, according to ZipRecruiter salary data. Most workers in this role earn between $107,600.00 and $139,200.00 per year, depending on experience, location, and employer.

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

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 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 $126,037 per year, or $60.6 per hour.

Nurse Practitioner- Hand/ General Orthopedics

Rochester Regional Health

Rochester, NY • On-site

$100K - $150K/yr

Other

Re-posted 13 days ago

Rochester Regional Health rating

7.3

Company rating: 7.3 out of 10

Based on 218 frontline employees who took The Breakroom Quiz

305th of 887 rated healthcare providers

Job description

SUMMARY
The Department of Orthopedics at Rochester Regional Health is seeking an additional nurse practitioner to join our growing, collaborative orthopedic provider team. Our nurse practitioners are an integral part of our orthopedic team, and in this position you will provide comprehensive patient care.
STATUS: Full Time
LOCATION: RGH, Monroe County, Finger Lakes
DEPARTMENT: Orthopedics
SCHEDULE: Days
ATTRIBUTES
  • Able to interact with patients in such a way as to instill confidence and ease of communication
  • Deeply concerned for the health and well-being of others
  • Critical thinking skills, decisive judgment, and the ability to work with minimal supervision
  • Exceptional documentation skills and professional behavior
  • Ability to work in a fast-paced environment
  • Must have proven ability to work in a team environment
  • Experience required
  • RNFA Required
RESPONSIBILITIES
  • Patient Care Perform a complete history and problem-focused examination; establishing a working diagnosis of non-operative and operative orthopedic conditions Interpret x-rays and other diagnostic studies. Orders appropriate laboratory and diagnostic procedures Develop treatment plans to provide optimal patient medical management; orders consultations and interacts with members of other specialty medical teams. First assist orthopedic surgical cases enhancing the efficiency, continuity, and quality of surgical care in the operating room. Provide high quality, patient-focused perioperative care for orthopedic surgery patients in conjunction with our multidisciplinary team. Provide bedside treatments such as joint injections. Respond to and manage acute care needs of hospitalized orthopedic patients.
  • Patient Satisfaction. Coordinates and communicates all aspects of patient care to patient, family, and health care team. Educates and encourages patients to become active participants in their own healthcare-related behavior and provides patient education materials related to diagnosis, treatment plans, and need for follow-up care, for use in encouraging wellness.
  • Medication & Orders. Prescribe medication, write orders, perform procedures and respond to emergency and/or acute condition changes. Documentation. Thoroughly and concisely documents in the patient's medical record all patient contact encounters, progress notes, orders, prescriptions, test results, and patient instructions according to standard medical practice guidelines and to support appropriate billing practices.
  • Quality and Education. Actively contributes to quality reporting metrics and participates in Grand Rounds, APP Council Meetings, unit meetings and M&M presentations. Demonstrates professional practice behavior including preceptor/mentoring, education and instruction of students, nursing staff, nurses, graduate and novice physician assistants and nurse practitioners.

EDUCATION:
MS: Nursing (Required)
LICENSES / CERTIFICATIONS:
NP - Nurse Practitioner Certification - New York State Education Department (NYSED)New York State Education Department (NYSED)New York State Education Department (NYSED), RN - Registered Nurse - New York State Education Department (NYSED)New York State Education Department (NYSED)New York State Education Department (NYSED)
PHYSICAL REQUIREMENTS:
M - Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects; Requires frequent walking, standing or squatting.
For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements.
Any physical requirements reported by a prospective employee and/or employee's physician or delegate will be considered for accommodations.
PAY RANGE:
$100,000.00 - $150,000.00
CITY:
Rochester
POSTAL CODE:
14621
The listed base pay range is a good faith representation of current potential base pay for a successful full time applicant. It may be modified in the future and eligible for additional pay components. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts.
Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.

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