Job Summary The RN First Assist (RNFA) provides advanced perioperative nursing care, assisting surgeons during operative procedures to ensure optimal patient outcomes. This role includes pre ...
Job Summary The RN First Assist (RNFA) provides advanced perioperative nursing care, assisting surgeons during operative procedures to ensure optimal patient outcomes. This role includes pre ...
RN First Assistant
Gadsden, AL · On-site
Job Summary The RN First Assist (RNFA) provides advanced perioperative nursing care, assisting surgeons during operative procedures to ensure optimal patient outcomes. This role includes pre ...
RN First Assistant
Gadsden, AL · On-site
Job Summary The RN First Assist (RNFA) provides advanced perioperative nursing care, assisting surgeons during operative procedures to ensure optimal patient outcomes. This role includes pre ...
Travel OR RN
Homewood, AL · On-site
The right RN should have 1-2 years recent acute care experience as a circulating nurse, and/or scrub nurse, and potentially RN first assistant. Read below for more requirements. As an OR Travel Nurse ...
Travel OR RN
Homewood, AL · On-site
The right RN should have 1-2 years recent acute care experience as a circulating nurse, and/or scrub nurse, and potentially RN first assistant. Read below for more requirements. As an OR Travel Nurse ...
Travel OR RN
Selma, AL · On-site
The right RN should have 1-2 years recent acute care experience as a circulating nurse, and/or scrub nurse, and potentially RN first assistant. Read below for more requirements. As an OR Travel Nurse ...
Travel OR RN
Selma, AL · On-site
The right RN should have 1-2 years recent acute care experience as a circulating nurse, and/or scrub nurse, and potentially RN first assistant. Read below for more requirements. As an OR Travel Nurse ...
Travel OR RN
Homewood, AL · On-site
The right RN should have 1-2 years recent acute care experience as a circulating nurse, and/or scrub nurse, and potentially RN first assistant. Read below for more requirements. As an OR Travel Nurse ...
Travel OR RN
Homewood, AL · On-site
The right RN should have 1-2 years recent acute care experience as a circulating nurse, and/or scrub nurse, and potentially RN first assistant. Read below for more requirements. As an OR Travel Nurse ...
Travel OR RN
Homewood, AL · On-site
The right RN should have 1-2 years recent acute care experience as a circulating nurse, and/or scrub nurse, and potentially RN first assistant. Read below for more requirements. As an OR Travel Nurse ...
Travel OR RN
Homewood, AL · On-site
The right RN should have 1-2 years recent acute care experience as a circulating nurse, and/or scrub nurse, and potentially RN first assistant. Read below for more requirements. As an OR Travel Nurse ...
Travel OR RN
Homewood, AL · On-site
The right RN should have 1-2 years recent acute care experience as a circulating nurse, and/or scrub nurse, and potentially RN first assistant. Read below for more requirements. As an OR Travel Nurse ...
Travel OR RN
Homewood, AL · On-site
The right RN should have 1-2 years recent acute care experience as a circulating nurse, and/or scrub nurse, and potentially RN first assistant. Read below for more requirements. As an OR Travel Nurse ...
The right RN should have 1-2 years recent acute care experience as a circulating nurse, and/or scrub nurse, and potentially RN first assistant. Read below for more requirements. As an OR Travel Nurse ...
The right RN should have 1-2 years recent acute care experience as a circulating nurse, and/or scrub nurse, and potentially RN first assistant. Read below for more requirements. As an OR Travel Nurse ...
Travel OR RN - Neuro/Spine
Homewood, AL · On-site
The right RN should have 1-2 years recent acute care experience as a circulating nurse, and/or scrub nurse, and potentially RN first assistant. Read below for more requirements. As an OR Travel Nurse ...
Travel OR RN - Neuro/Spine
Homewood, AL · On-site
The right RN should have 1-2 years recent acute care experience as a circulating nurse, and/or scrub nurse, and potentially RN first assistant. Read below for more requirements. As an OR Travel Nurse ...
Travel OR RN
Muscle Shoals, AL · On-site
The right RN should have 1-2 years recent acute care experience as a circulating nurse, and/or scrub nurse, and potentially RN first assistant. Read below for more requirements. As an OR Travel Nurse ...
Travel OR RN
Muscle Shoals, AL · On-site
The right RN should have 1-2 years recent acute care experience as a circulating nurse, and/or scrub nurse, and potentially RN first assistant. Read below for more requirements. As an OR Travel Nurse ...
Travel Neuro / Spine OR RN
Homewood, AL · On-site
The right RN should have 1-2 years recent acute care experience as a circulating nurse, and/or scrub nurse, and potentially RN first assistant. Read below for more requirements. As an OR Travel Nurse ...
Travel Neuro / Spine OR RN
Homewood, AL · On-site
The right RN should have 1-2 years recent acute care experience as a circulating nurse, and/or scrub nurse, and potentially RN first assistant. Read below for more requirements. As an OR Travel Nurse ...
Travel OR RN - Neuro/Spine
Homewood, AL · On-site
The right RN should have 1-2 years recent acute care experience as a circulating nurse, and/or scrub nurse, and potentially RN first assistant. Read below for more requirements. As an OR Travel Nurse ...
Travel OR RN - Neuro/Spine
Homewood, AL · On-site
The right RN should have 1-2 years recent acute care experience as a circulating nurse, and/or scrub nurse, and potentially RN first assistant. Read below for more requirements. As an OR Travel Nurse ...
Travel OR RN - Neuro/Spine
Homewood, AL · On-site
The right RN should have 1-2 years recent acute care experience as a circulating nurse, and/or scrub nurse, and potentially RN first assistant. Read below for more requirements. As an OR Travel Nurse ...
Travel OR RN - Neuro/Spine
Homewood, AL · On-site
The right RN should have 1-2 years recent acute care experience as a circulating nurse, and/or scrub nurse, and potentially RN first assistant. Read below for more requirements. As an OR Travel Nurse ...
Travel OR RN - Neuro / Spine
Homewood, AL · On-site
The right RN should have 1-2 years recent acute care experience as a circulating nurse, and/or scrub nurse, and potentially RN first assistant. Read below for more requirements. As an OR Travel Nurse ...
Travel OR RN - Neuro / Spine
Homewood, AL · On-site
The right RN should have 1-2 years recent acute care experience as a circulating nurse, and/or scrub nurse, and potentially RN first assistant. Read below for more requirements. As an OR Travel Nurse ...
Travel OR RN - $2,254 per week
Selma, AL · On-site
$2.2K/wk
The right RN should have 1-2 years recent acute care experience as a circulating nurse, and/or scrub nurse, and potentially RN first assistant. Read below for more requirements. As an OR Travel Nurse ...
Travel OR RN - $2,254 per week
Selma, AL · On-site
$2.2K/wk
The right RN should have 1-2 years recent acute care experience as a circulating nurse, and/or scrub nurse, and potentially RN first assistant. Read below for more requirements. As an OR Travel Nurse ...
Travel Nurse RN - OR - Operating Room - $2,328 per week
Montgomery, AL · On-site
$2.3K/wk
The right RN should have 1-2 years recent acute care experience as a circulating nurse, and/or scrub nurse, and potentially RN first assistant. Read below for more requirements. As an OR Travel Nurse ...
Travel Nurse RN - OR - Operating Room - $2,328 per week
Montgomery, AL · On-site
$2.3K/wk
The right RN should have 1-2 years recent acute care experience as a circulating nurse, and/or scrub nurse, and potentially RN first assistant. Read below for more requirements. As an OR Travel Nurse ...
Travel Nurse RN - OR - Operating Room - $2,254 per week
Muscle Shoals, AL · On-site
$2.2K/wk
The right RN should have 1-2 years recent acute care experience as a circulating nurse, and/or scrub nurse, and potentially RN first assistant. Read below for more requirements. As an OR Travel Nurse ...
New
Travel Nurse RN - OR - Operating Room - $2,254 per week
Muscle Shoals, AL · On-site
$2.2K/wk
The right RN should have 1-2 years recent acute care experience as a circulating nurse, and/or scrub nurse, and potentially RN first assistant. Read below for more requirements. As an OR Travel Nurse ...
New
Travel Neuro / Spine OR RN - $1,632 per week
Homewood, AL · On-site
$1.6K/wk
The right RN should have 1-2 years recent acute care experience as a circulating nurse, and/or scrub nurse, and potentially RN first assistant. Read below for more requirements. As an OR Travel Nurse ...
New
Travel Neuro / Spine OR RN - $1,632 per week
Homewood, AL · On-site
$1.6K/wk
The right RN should have 1-2 years recent acute care experience as a circulating nurse, and/or scrub nurse, and potentially RN first assistant. Read below for more requirements. As an OR Travel Nurse ...
New
The right RN should have 1-2 years recent acute care experience as a circulating nurse, and/or scrub nurse, and potentially RN first assistant. Read below for more requirements. As an OR Travel Nurse ...
The right RN should have 1-2 years recent acute care experience as a circulating nurse, and/or scrub nurse, and potentially RN first assistant. Read below for more requirements. As an OR Travel Nurse ...
Travel OR RN - Neuro/Spine - $1,887 per week
Homewood, AL · On-site
$1.8K/wk
The right RN should have 1-2 years recent acute care experience as a circulating nurse, and/or scrub nurse, and potentially RN first assistant. Read below for more requirements. As an OR Travel Nurse ...
New
Travel OR RN - Neuro/Spine - $1,887 per week
Homewood, AL · On-site
$1.8K/wk
The right RN should have 1-2 years recent acute care experience as a circulating nurse, and/or scrub nurse, and potentially RN first assistant. Read below for more requirements. As an OR Travel Nurse ...
New
Rn First Assist information
See Alabama salary details
$18.30 - $22.70
1% of jobs
$22.70 - $27.10
9% of jobs
$30.46 is the 25th percentile. Wages below this are outliers.
$27.10 - $31.49
19% of jobs
$31.49 - $35.89
19% of jobs
The median wage is $36.33 / hr.
$35.89 - $40.29
16% of jobs
$44.39 is the 75th percentile. Wages above this are outliers.
$40.29 - $44.69
12% of jobs
$44.69 - $49.08
7% of jobs
$49.08 - $53.48
6% of jobs
$53.48 - $57.88
4% of jobs
$57.88 - $62.27
3% of jobs
$62.27 - $66.67
3% of jobs
$18
$40
$66
How much do rn first assist jobs pay per hour?
As of Aug 18, 2026, the average hourly pay for rn first assist in Alabama is $40.32, according to ZipRecruiter salary data. Most workers in this role earn between $30.48 and $47.07 per hour, depending on experience, location, and employer.
What is an RN First Assist?
An RN First Assist (RNFA) is a specialized registered nurse who works alongside surgeons during procedures to provide hands-on assistance. Their responsibilities include suturing, controlling bleeding, handling instruments, and ensuring patient safety in the operating room. RNFAs must have advanced training, typically including certification in perioperative nursing (CNOR) and a formal RNFA program. They work in hospitals, surgical centers, and specialty practices to enhance surgical team efficiency.
What does an RN First Assist do?
A typical day for an RN First Assist involves preparing the operating room, assisting surgeons throughout various surgical procedures, and helping to manage patient care before, during, and after surgery. You will often be responsible for tasks such as tissue handling, suturing, and controlling bleeding under the surgeon’s supervision. Collaboration with surgeons, surgical technologists, anesthesiologists, and other nurses is a key part of the role. The work environment is fast-paced and requires quick critical thinking, adaptability, and a commitment to patient safety. As an RN First Assist, your role is central to ensuring optimal surgical outcomes and supporting the entire surgical team.
What are the key skills and qualifications needed to thrive as an RN First Assist?
To thrive as an RN First Assist, you need advanced perioperative nursing skills, a current RN license, and completion of a recognized RNFA (Registered Nurse First Assistant) program. Familiarity with surgical instruments, electronic health records, sterile technique protocols, and current certifications such as CNOR are typically required. Strong teamwork, attention to detail, and effective communication are highly valued soft skills in this role. These competencies are essential for supporting surgeons during procedures, ensuring patient safety, and maintaining smooth surgical workflows.
How much does an RN First Assist make?
An RN First Assist typically earns between $80,000 and $130,000 annually, depending on experience, location, and healthcare facility. They often work in surgical or hospital settings, requiring specialized training and certification in perioperative nursing. Salaries can vary based on demand and the complexity of procedures performed.
Is RN First Assist in demand?
RN First Assist is a specialized nursing role that is in growing demand due to an increasing need for advanced perioperative care. RNs with this certification are often sought after in hospitals and surgical centers, and the role typically requires additional training and certification in surgical assisting. Employment prospects are strong for qualified RNs in this field.
Is becoming an RN First Assist worth it?
Becoming an RN First Assist is generally considered worthwhile for registered nurses seeking advanced roles in surgical settings, as it allows them to participate directly in surgeries and improve patient care. The role requires additional training, certification, and experience, but offers increased responsibility, specialized skills, and higher compensation. It is a demanding position that can enhance career advancement opportunities in perioperative nursing.
What are the most commonly searched types of Rn First Assist jobs in Alabama?
The most popular types of Rn First Assist jobs in Alabama are:
What are popular job titles related to Rn First Assist jobs in Alabama?
For Rn First Assist jobs in Alabama, the most frequently searched job titles are:
What job categories do people searching Rn First Assist jobs in Alabama look for?
The top searched job categories for Rn First Assist jobs in Alabama are:
What cities in Alabama are hiring for Rn First Assist jobs?
Cities in Alabama with the most Rn First Assist job openings:
Gadsden Regional Medical Center rating
5.0
Based on 22 frontline employees who took The Breakroom Quiz
993rd of 1,060 rated hospitals
Job description
Job Description
Job Summary
The RN First Assist (RNFA) provides advanced perioperative nursing care, assisting surgeons during operative procedures to ensure optimal patient outcomes. This role includes preoperative, intraoperative, and postoperative responsibilities, supporting a variety of surgical specialties and units. The RNFA collaborates with multidisciplinary teams, utilizing advanced skills in tissue handling, wound management, and surgical techniques while maintaining compliance with regulatory and institutional standards.
Essential Functions
- Provides advanced surgical assistance to the operating surgeon, including tissue handling, suturing, and wound management.
- Collaborates with the surgical team to plan, implement, and evaluate individualized perioperative care plans.
- Ensures the operative field is maintained aseptically, adhering to infection control protocols and surgical standards.
- Assesses patient needs preoperatively and postoperatively, providing education and emotional support as needed.
- Monitors and manages intraoperative patient status, responding to changes and communicating effectively with the surgical team.
- Maintains accurate and thorough documentation of perioperative care in compliance with organizational policies.
- Provides mentorship and education to nursing staff and students, promoting best practices in perioperative care.
- Collaborates with various units and specialties to provide RNFA support tailored to specific surgical procedures and patient populations.
- Performs other duties as assigned.
- Maintains regular and reliable attendance.
- Complies with all policies and standards.
Qualifications
- 2-4 years of perioperative nursing experience in an operating room setting required
- 1-2 years of experience as a certified RN First Assist providing intraoperative surgical assistance preferred
Knowledge, Skills and Abilities
- Advanced knowledge of surgical techniques, aseptic principles, and perioperative nursing practices.
- Strong clinical decision-making and problem-solving skills in high-pressure environments.
- Excellent communication and teamwork abilities for collaborating with multidisciplinary teams.
- Proficiency in surgical instruments, technologies, and documentation systems.
- Commitment to patient safety and quality improvement in the surgical setting.
Licenses and Certifications
- RN - Registered Nurse - State Licensure and/or Compact State Licensure required and
- CRNFA - Certified Registered Nurse First Assistant required
- BCLS - Basic Life Support required and
- ACLS - Advanced Cardiac Life Support required
- CNOR - Certified Operating Room Nurse preferred
What Gadsden Regional Medical Center employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Gadsden Regional Medical Center
Sourced by ZipRecruiter
Gadsden Regional Medical Center is a 346 bed Acute Care Hospital with Inpatient and Outpatient care. We are accredited by the Joint Commission and Certified in hip and knee replacements. We have recognized programs in Cardiology, Pulmonology, Sleep Medicine and Stroke Services. We believe in the Power of People to create great care. We're nearly 2,000 Healthcare Professionals Strong, and We work hard every day to be a place of Healing, Caring and Connection for Patients and Families in Gadsden, Albertville, Attalla, Boaz, Fort Payne, Glencoe, Hokes Bluff, Jacksonville, Leesburg, Piedmont, Rainbow City, Southside, Steele, Wellington and surrounding Communities.
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
Gadsden, AL, US
Year founded
1906