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$41.5K

$130.3K

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How much do nurse practitioner rnfa jobs pay per year?

As of Aug 8, 2026, the average yearly pay for nurse practitioner rnfa in the United States is $130,295.00, according to ZipRecruiter salary data. Most workers in this role earn between $108,000.00 and $150,000.00 per year, depending on experience, location, and employer.

What is a nurse practitioner RNFA?

A Nurse Practitioner RNFA, or Registered Nurse First Assistant, is an advanced practice nurse who assists surgeons during surgical procedures. In addition to performing traditional nursing duties, RNFAs are trained to help with tasks such as suturing, controlling bleeding, and providing wound exposure. Nurse Practitioner RNFAs must complete specialized education and certification to perform these responsibilities. They work closely with surgeons, anesthesiologists, and surgical teams to ensure patient safety and optimal outcomes during surgery.

How does a nurse practitioner RNFA typically interact with surgical teams during procedures?

As a Nurse Practitioner RNFA (Registered Nurse First Assistant), you play a vital role in the operating room by working closely with surgeons, anesthesiologists, and perioperative nurses. You may assist with surgical procedures, provide direct patient care before, during, and after surgery, and help with tasks such as suturing, controlling bleeding, and tissue handling. Effective communication and collaboration with the surgical team are essential to ensure patient safety and smooth workflow. This role offers opportunities to develop advanced clinical skills and often serves as a bridge between surgical and nursing teams for optimal patient outcomes.

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

AspectNurse Practitioner RnfaPhysician Assistant
CredentialsMaster's or Doctorate in Nursing, RN license, Rnfa certificationMaster's or Bachelor's degree in Physician Assistant Studies, PA certification
Work EnvironmentClinics, hospitals, primary care settingsHospitals, clinics, specialty practices
Scope of PracticeDiagnose, treat, prescribe, often with some autonomy depending on state lawsDiagnose, treat, prescribe, generally under physician supervision or collaboration

Both Nurse Practitioner Rnfa and Physician Assistant roles involve diagnosing and treating patients, but Nurse Practitioners often have more autonomy in primary care settings, especially with Rnfa certification. PAs typically work under physician supervision but have a broader scope in certain specialties. The choice depends on your preferred work environment and scope of practice.

What are the key skills and qualifications needed to thrive as a nurse practitioner RNFA, and why are they important?

To thrive as a Nurse Practitioner RNFA, you need advanced clinical assessment skills, surgical assisting expertise, and at minimum a master's degree in nursing along with RNFA certification. Familiarity with surgical instruments, electronic health records (EHRs), and perioperative care systems is essential for this role. Critical thinking, strong communication, and teamwork are key soft skills that help coordinate patient care and collaborate with surgical teams. These skills and qualities ensure safe, effective patient outcomes and seamless support throughout the perioperative process.
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What cities are hiring for Nurse Practitioner Rnfa jobs? Cities with the most Nurse Practitioner Rnfa job openings:
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Nurse Practitioner Rnfa jobs near you
Infographic showing various Nurse Practitioner Rnfa job openings in the United States as of August 2026, with employment types broken down into 3% As Needed, 58% Full Time, 16% Part Time, and 23% Contract. Highlights an 98% Physical, and 2% Remote job distribution, with an average salary of $130,295 per year, or $62.6 per hour.

Nurse Practitioner- CV/CT Surgery - First Assist

Baylor Scott & White Health

Plano, TX

Full-time

Medical, Retirement, PTO

Re-posted 19 days ago

Baylor Scott & White Health rating

7.5

Company rating: 7.5 out of 10

Based on 758 frontline employees who took The Breakroom Quiz

232nd of 887 rated healthcare providers

Job description

CV/CT Surgery First Assist Nurse Practitioner (RNFA Required)

Baylor Scott & White Health - The Heart Hospital Baylor Plano

Baylor Scott & White Health is seeking an experienced Nurse Practitioner (NP) to join our Cardiovascular/Cardiothoracic Surgery team as a First Assist at The Heart Hospital Baylor Plano, with occasional floating to our Heart Hospitals in Dallas and Frisco.

Position Overview

The CV/CT Surgery First Assist Nurse Practitioner will work closely with a highly collaborative surgical team, providing perioperative care and first-assist support for cardiovascular and cardiothoracic surgical procedures. This role offers a predictable weekday schedule with structured call coverage in a well-established heart program.

Schedule

  • Monday-Friday, typically 7:00 AM - 3:30 PM

  • Schedule may vary when assigned to call

Call Requirements

  • Rotating weekday call (approximately once per week)

  • Rotating weekend call (Friday-Sunday) every 4th or 5th weekend

Practice Setting

  • Primary location: The Heart Hospital Baylor Plano

  • Occasional floating to Dallas and Frisco Heart Hospitals

Case Volume

  • 1-2 cardiovascular surgery cases per day, depending on call coverage

Team Structure

  • 14 Surgeons

  • 12 Advanced Practice Providers (APPs)

  • Established, collaborative CV surgery service

Key Responsibilities

  • First assist in cardiovascular and cardiothoracic surgical procedures

  • Preoperative and postoperative patient management

  • Participate in on-call coverage for the CV surgery service

  • Collaborate with surgeons, APPs, nursing staff, and multidisciplinary teams

  • Deliver high-quality, patient-centered surgical care

Experience and Qualifications

  • Graduate of an accredited Nurse Practitioner program

  • Active or eligible Texas RN and APRN license

  • Certified Registered Nurse First Assistant (RNFA) required

  • Cardiovascular/Cardiothoracic surgical experience strongly preferred

  • Will consider candidates with 2+ years of general surgery or other surgical specialty experience

  • Demonstrated first-assist and perioperative skill set

  • Ability to work independently in a fast-paced surgical environment while contributing to a team-based culture

Why Baylor Scott & White Health

  • Nationally recognized heart and vascular program

  • Supportive, team-oriented culture

  • Predictable weekday schedule with structured call rotation

  • Opportunity to practice in a premier Heart Hospital setting

BENEFITS

Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: 

  • Immediate eligibility for health and welfare benefits
  • 401(k) savings plan with dollar-for-dollar match up to 5%
  • Tuition Reimbursement
  • PTO accrual beginning Day 1

Note: Benefits may vary based upon position type and/or level

Belonging Statement

We believe that all people should feel welcomed, valued, and supported. 

QUALIFICATIONS

  • EDUCATION - Grad of an Accredited Program
  • EXPERIENCE - More than 1 Year of Experience
  • CERTIFICATION/LICENSE/REGISTRATION -

       Nurse Practitioner (NP)
Registered Nurse (RN)
RN-First Assist (RNFA)
Basic Life Support (BLS): BLS or BLS within 30 days of hire or transfer.
 

Employment Type: FULL_TIME

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