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Nurse Practitioner First Assistant Jobs in Silver Spring, MD

Inova

Thoracic Surgery APP (NP/PA)

Fairfax, VA

$111K - $144K/yr

Opportunities to first assist in the operating room. Minimum Qualifications: Graduate of an accredited Physician Assistant or Nurse Practitioner program Board Certified Physician Assistant or Nurse ...

CT Assist

CVOR PA, locums

Falls Church, VA · On-site

$115 - $135/hr

* CVOR Physician Assistant * 5+ years EVH and first assist experience * 4 10-12 hour days * OR Only ... every location in which CT Assist conducts business. KEYWORDS: PA, NP, cardiothoracic ...

NP On Call

Aesthetic Nurse Practitioner

Waldorf, MD · On-site

$70 - $80/hr

Aesthetic Nurse Practitioner (Full-Time) NPOC Wellness and Aesthetics Location: Waldorf, Maryland ... Collaborate with physicians, nurses, and medical assistants * Mentor and support clinical staff

NP On Call MD

Aesthetic Nurse Practitioner

Waldorf, MD · On-site

$70 - $80/hr

Aesthetic Nurse Practitioner (Full-Time) NPOC Wellness and Aesthetics Location: Waldorf, Maryland ... Collaborate with physicians, nurses, and medical assistants * Mentor and support clinical staff

NP On Call MD

Aesthetic Nurse Practitioner

Waldorf, MD · On-site

$70 - $80/hr

Aesthetic Nurse Practitioner (Full-Time) NPOC Wellness and Aesthetics Location: Waldorf, Maryland ... Collaborate with physicians, nurses, and medical assistants * Mentor and support clinical staff

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All JobsNurse Practitioner First JobsNurse Practitioner First Assistant JobsNurse Practitioner First Assistant Jobs in Silver Spring, MD

Nurse Practitioner First Assistant information

See Silver Spring, MD salary details

$81.9K

$131.6K

$181.4K

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 Silver Spring, MD is $131,591.00, according to ZipRecruiter salary data. Most workers in this role earn between $112,300.00 and $145,300.00 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.
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Nurse Practitioner First Assistant jobs near you

Thoracic Transplant Advanced Practice Provider (NP/PA)

Inova

Falls Church, VA • On-site

$116K - $150K/yr

Other

Medical, Dental, Vision, PTO

Re-posted 10 days ago

Inova Health System rating

7.5

Company rating: 7.5 out of 10

Based on 260 frontline employees who took The Breakroom Quiz

232nd of 887 rated healthcare providers

Job description


Inova Schar Heart and Vascular Institute is seeking an experienced advanced practice provider for a full-time position in the cardiovascular surgery operating room. This position is a highly specialized role within the Thoracic Transplant program. You will work closely with a first assisting team comprised of cardiac APP first assistants, RNFA cardiac first assistants, and thoracic APP first assistants.
Our Program
Our board-certified and fellowship-trained surgeons have performed thousands of procedures and pioneered many new treatment and recovery approaches with results rarely matched nationwide.
  • STS 3-star overall score for CABG, AVR/CABG, and Multiprocedure
  • Top 2% in the country for TAVR volume
  • Mitral valve repair center of excellence
  • Platinum level ELSO award for excellence in life support
  • Busy heart and lung transplant program with 2 transplant focused surgeons
  • Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation.
Featured Benefits:
  • Committed to Team Member Health: Offering medical, dental and vision coverage, and a robust team member wellness program.
  • Retirement: Inova matches the first 5% of eligible contributions - starting on your first day.
  • Tuition and Student Loan Assistance: Offering up to $5,250 per year in education assistance and up to $10,000 for student loans.
  • Mental Health Support: Offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost.
  • Work/Life Balance: Offering paid time off, paid parental leave, flexible work schedules, and remote and hybrid career opportunities.
  • Competitive Compensation Package: Includes a market-competitive base salary, comprehensive performance incentive plan, and productivity-based RVU compensation structure designed to reward quality, patient access, and clinical productivity. Additionally, opportunities for Sign-On, Retention Relocation
Thoracic Transplant Advanced Practice Provider Job Requirements and Responsibilities:
You will first assist our surgeons on a variety of advanced heart and lung cases including but not limited to: heart and lung transplant, various mechanical circulatory support devices such as Impella 5.5, ECMO, and temporary and durable ventricular assist devices, pulmonary thromboembolectomy
  • Flexible work week schedule, depending on the needs of the department. Additional OR call coverage is required
  • Performs high-quality clinical practices and effective patient management, under physician supervision, in accordance with state regulations, including primary and secondary specialty care in clinical and/or surgical practice settings
  • Demonstrates technical expertise in the operating room
  • Excellent communication and teamwork
  • Displays respect and appreciation for the contribution from all team members to foster positive working relationships
  • Participates in quality and best practice initiatives by adhering to standards and guidelines to deliver excellent patient care and enhanced outcomes
  • Seeks and accepts feedback related to performance and demonstrates a high level of coachability
Minimum Qualifications:
  • Applicants must have previous experience as a first assistant, preferably in cardiac or thoracic surgery and have a desire to focus on advanced heart and lung failure therapies
  • Graduate of an accredited Physician Assistant or Nurse Practitioner program
  • Board Certified Physician Assistant or Acute Care Nurse Practitioner with RNFA certification Employees must maintain certification requirements
  • ACLS Certification for physician assistants, ACLS and BLS certification for nurse practitioners
  • Current Virginia medical license
  • Current DEA number

About Us
We are Inova, Northern Virginia's leading nonprofit healthcare provider. Every day, our 26,000+ team members provide world-class healthcare to the communities we serve. Our people are the reason we're a national leader in healthcare safety, quality and patient experience. And from best-in-class facilities to professional development opportunities, we support them at every step. At Inova, we're constantly striving to be ever better - to shape a more compassionate future for healthcare.
Inova Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, pregnancy (including childbirth, pregnancy-related conditions and lactation), race, religion, sex, sexual orientation, veteran status, genetic information, or any other characteristics protected by law.

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