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Rn First Assist Jobs in Madison, WI (NOW HIRING)

TNAA TotalMed RN

Travel OR RN

Madison, WI · 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

Madison, WI · 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

Operating Room (OR) Registered Nurse RN

Madison, WI · On-site

$68.71/hr

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

Operating Room (OR) Registered Nurse RN

Madison, WI · On-site

$68.13/hr

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

Operating Room (OR) Registered Nurse RN

Madison, WI · On-site

$68.13/hr

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 ...

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How much do rn first assist jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for rn first assist in Madison, WI is $44.76, according to ZipRecruiter salary data. Most workers in this role earn between $33.85 and $52.26 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.

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Rn First Assist jobs near you
Infographic showing various Rn First Assist job openings in Madison, WI as of August 2026, with employment types broken down into 10% As Needed, 61% Full Time, 24% Contract, and 5% Nights. Highlights an 100% In-person job distribution, with an average salary of $93,231 per year, or $44.8 per hour.

RN First Assist, Surgery/Operating Room, 4-10hr shifts and on-call schedule

North Healthcare

Madison, WI • On-site

Full-time

This job post has expired today. Applications are no longer accepted.

Job description

RN First Assist

The RN First Assist is a specially trained individual who under the supervision/delegation of a surgeon, may perform tasks to include but not limited to the following: using instruments and medical devices, providing surgical site exposure, handling and/or cutting tissue, providing hemostasis, suturing, and wound management.

As an employee, you will have access to a variety of programs to enhance your experience and well-being, including learning and career growth opportunities, an employee wellness program, employee resource groups, and volunteer opportunities.

You may be eligible for some of our programs:

  • Tuition Assistance to aid with school costs.
  • Relocation Assistance to help you make the Louisville Metropolitan or Southern Indiana area your new home.
  • Encompass Program: Supports new graduate nurses during transition from the role of student to practicing nurse, helping them gain confidence and develop professional relationships in the process.
  • Employee Referral Incentive to support your networking and help others join our team.
  • Comprehensive Benefits to choose from to support your needs.

Required:

  • One year RN experience
  • Bachelor of Science in Nursing
  • RNAS-C (Registered Nurse Assistant at Surgery–Certified) & CRNFA (Certified Registered Nurse First Assist) OR Hold and maintain a certification by one (1) of the following: The National Commission for the Certification of Surgical Assistants (NCCSA) OR The National Board of Surgical Technology and Surgical Assisting (NBSTSA) AND Demonstrate State Certification as Applicable (Required in KY, not IN)
  • Must have hospital and/or payer credentialing completed before functioning in this role

Desired:

  • Three years of RN experience in surgical services

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