ZipRecruiter

Log In

1

Rn First Assist Jobs in Michigan (NOW HIRING)

Capstone Health

RN

Flint, MI · On-site

$2.0K - $2.4K/wk

Registered Nurse First Assistant (RNFA) Flint, MI Specialty: Operating Room (OR) Position Type: Travel Contract Length: 13 weeks Pay: $2016 - $2429 | Shift: 5x8 days Are you an experienced Registered ...

TNAA TotalMed RN

Travel OR RN

Ann Arbor, MI · 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 ...

TNAA TotalMed RN

Travel OR RN

Petoskey, MI · 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 ...

TNAA TotalMed RN

Travel OR RN

Ann Arbor, MI · 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 ...

TNAA TotalMed RN

Travel OR RN

Marquette, MI · 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 ...

TNAA TotalMed RN

Travel OR RN

Ann Arbor, MI · 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 ...

TNAA TotalMed RN

Travel OR RN

Ann Arbor, MI · 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 ...

TNAA TotalMed RN

Travel OR RN

Ann Arbor, MI · 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 ...

TNAA TotalMed RN

Travel OR RN

Jackson, MI · 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 ...

New

previous page

Showing results 41-60

All JobsRn First Assist JobsRn First Assist Jobs in Michigan

Rn First Assist information

See Michigan salary details

$17

$38

$64

How much do rn first assist jobs pay per hour?

As of Aug 22, 2026, the average hourly pay for rn first assist in Michigan is $38.77, according to ZipRecruiter salary data. Most workers in this role earn between $29.33 and $45.24 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 Michigan?

The most popular types of Rn First Assist jobs in Michigan are:

What are popular job titles related to Rn First Assist jobs in Michigan?

For Rn First Assist jobs in Michigan, the most frequently searched job titles are:

What job categories do people searching Rn First Assist jobs in Michigan look for?

The top searched job categories for Rn First Assist jobs in Michigan are:

What cities in Michigan are hiring for Rn First Assist jobs?

Cities in Michigan with the most Rn First Assist job openings:

Rn First Assist jobs near you
Infographic showing various Rn First Assist job openings in Michigan as of August 2026, with employment types broken down into 9% As Needed, 61% Full Time, 24% Contract, and 6% Nights. Highlights an 100% In-person job distribution, with an average salary of $80,644 per year, or $38.8 per hour.

Registered Nurse First Assistant Certified - Operating Room

McLaren Health Care Corporation

Bay City, MI • On-site

Full-time

Posted 17 days ago

McLaren Health Care rating

6.7

Company rating: 6.7 out of 10

Based on 221 frontline employees who took The Breakroom Quiz

532nd of 891 rated healthcare providers

Job description

Department: Operating Room
Daily Work Times: 6:48 am - 4:18 pm
Shift: Variable
Scheduled Bi-Weekly Hours: 72
Position Summary:
In collaboration with and under the supervision of the physician, the RNFA facilitates quality patient care of the surgicalpatient. Responsible for providing surgical assistance in the exposure, hemostasis, cannulation, closure, and other intraoperative technical functions that help the surgeon carry out a safe operation with optimal results for patients. Interacts with patients and significant others to provide information and emotional support. Serves as a professional resource and provides guidance when necessary to resolve routine patient care problems. Develops and provides continuing education to staff members involved in the care of the robotics patient.
Essential Functions and Responsibilities:
  1. Works in a collegial manner and develops collaborative relationships with nurses, physicians, and other disciplines to ensure an integrated approach to patient care.
  2. Functions primarily as a member of the Surgical Services team under the direction and supervision of the surgeon. When scheduling permits, will assist other members of the medical staff in patient management or in the performance of therapeutic and diagnostic procedures.
  3. Serves as a liaison between surgeon and family/significant others during operative procedures.
  4. Demonstrates ability to anticipate surgeon's needs and next moves in order to facilitate smooth flow of operations.
  5. Provides visualization of the operative site during the operative procedure.
  6. Demonstrates ability to respond quickly and appropriately to control unexpected intraoperative bleeding. Using appropriate techniques to assist with hemostasis (clamping, cauterizing, tying, litigating, applying hemostatic clips, and placing hemostatic agents).
  7. Use appropriate technique to assist with closure of body planes.
  8. Demonstrates competency in the utilization of specified equipment required for patient care.
  9. Functions as first assist on all Robotic procedures, Orthopedics, Neurosurgery, General, ENT, Cardio Thoracic, Vascular GYN procedures or any specialty where a first assist is requested.
  10. Performs specific tasks according to individual surgeon preference utilizing appropriate techniques including, but not limited to: incision and layered closure of surgical sites, providing exposure, achieving hemostasis by means of injection, manual and topical methods, and application of appropriate energy sources.
  11. Reviews charts of preoperative patients in preparation for discussion with the surgeon including clinical review of medical history, lab results and medications.
  12. Serves as a professional resource for nurses and other hospital personnel related to robotic patients.
  13. Responsible for quality assessment activities by monitoring patient care and identifying issues or problems. Prepare case presentations for the Mortality and Morbidity conference as assigned.
  14. Participates in research and data collection for quality improvement program. Participates in the quality improvement program through participation of interdisciplinary teams aimed at improving processes to reach desired outcomes.
  15. Develops and broadens skills and knowledge through research, professional conference and seminars, and through participation and observation of patient care.
  16. Assists in the development of standards of practice, policies, protocols and documentation guidelines related to specialty.
  17. May Function as OR Circulator RN as needed.
  18. Performs other related job duties as requested as directed by Surgical Services Management team.

Required:
  • Bachelors Degree of Science in Nursing
  • Successful completion of an RNFA program that meets AORN standards for RN First Assistant education programs and is accepted by the Competency and Credentialing Institute (CCI), or National Assistant at Surgery Certification (NASC)
  • Three years of prior clinical experience
  • Current State of Michigan Registered Nurse license
  • BLS and ALS certifications from American Heart Association (AHA), American Red Cross (ARC), or Canadian equivalent, is required before start date and valid at least 60 days beyond start date.
  • Certification in Perioperative Nursing (CNOR)

Preferred:
  • Masters of Science in Nursing
  • Certified Registered Nurse First Assistant certification from the National Assistant at Surgery Certification (NASC) organization or Competency and Credentialing Institute (CCI)

Knowledge, Skills, and Abilities:
Required
  • Knowledge of surgical services theory, practice and education in order to develop educational programs, conduct patient assessments, and develop plans of care.
  • Substantial interpersonal skills required in instructing patients and families, conduct formal educational programs for employees, and maintain effective contacts with a variety of hospital personnel.
  • High level of analytical skills necessary to resolve patient care problems and develop comprehensive plans of care.
  • Typing, computer skills.

What McLaren Health Care employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply