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Rn First Assist Jobs (NOW HIRING)

Trinity Health

RN First Assist (RNFA)

Northampton, MA

$3K/wk

Registered Nurse Specialty: RN First Assist Duration: 13 weeks Shift: 07:00 AM - 05:30 PM Hours per Shift: 10 hours Experience: Minimum 5 years of diversified perioperative nursing experience with ...

Care Career

Travel Nurse RN - First Assist

Lenexa, KS · On-site

First Assist * Discipline: RN * Start Date: ASAP * Duration: 13 weeks * 40 hours per week * Shift: 10 hours, days * Employment Type: Travel The RN First Assistant carries out functions that will ...

Crystal Clinic Orthopaedic Center

RN First Assistant

OH · On-site

$38 - $58/hr

Description Position Summary The Registered Nurse First Assistant (RNFA) is a perioperative registered nurse who functions in an expanded role or an Advanced Practice Registered Nurse (APRN) ...

Care Career

Travel RN First Assistant

Lakeport, CA · On-site

Care Career is seeking a travel nurse RN First Assist for a travel nursing job in Lakeport, California. & Requirements * Specialty: First Assist * Discipline: RN * Start Date: 07/13/2026 * Duration ...

Crystal Clinic Orthopaedic Center

RN First Assistant

OH · On-site

$38 - $58/hr

Description Position Summary The Registered Nurse First Assistant (RNFA) is a perioperative registered nurse who functions in an expanded role or an Advanced Practice Registered Nurse (APRN) ...

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How much do rn first assist jobs pay per hour?

As of Jun 11, 2026, the average hourly pay for rn first assist in the United States is $44.48, according to ZipRecruiter salary data. Most workers in this role earn between $33.65 and $51.92 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in the Rn First Assist position, and why are they important?

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.

Do RNFA get paid more than RN?

Registered Nurse First Assistants (RNFAs) typically earn higher salaries than registered nurses (RNs) due to their specialized surgical assisting skills and additional certifications. The pay difference varies by location, experience, and healthcare facility, but RNFAs generally receive a salary premium for their advanced role in the operating room.

Is becoming an RNFA worth it?

Becoming an RN First Assist (RNFA) can enhance a registered nurse’s career by providing advanced perioperative skills and increasing earning potential. It requires additional certification and clinical experience, and can lead to more specialized roles in surgical teams, making it a valuable credential for those interested in surgical nursing.

Can an RN be a first assist?

Yes, registered nurses (RNs) can become first assistants in surgical procedures by completing specialized training and certification in surgical assisting. This role involves working alongside surgeons to provide intraoperative support, and RNs often use their clinical skills and knowledge of sterile techniques in this capacity.

What is an RN First Assist job?

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.

How much do RNFA nurses make?

Registered Nurse First Assist (RNFA) nurses typically earn between $80,000 and $130,000 annually, depending on experience, location, and healthcare setting. They assist surgeons during procedures and often require specialized certification and surgical skills, which can influence salary levels.

What does a typical day look like for an RN First Assist in the operating room?

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.

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Rn First Assist jobs near you
RN - First Assistant (RNFA)

RN - First Assistant (RNFA)

Carilion Roanoke Memorial Hospital

Templeton, CA

$3K/wk

Other

Posted 10 days ago

Carilion Clinic rating

6.9

Company rating: 6.9 out of 10

Based on 210 frontline employees who took The Breakroom Quiz

451st of 870 rated healthcare providers

Job description

Details
Client Name
Adventist - Twin Cities
Job Type
Travel
Offering
Nursing
Profession
RN
Specialty
First Assistant (RNFA)
Job ID
36096496
Job Title
RN - First Assistant (RNFA)
Weekly Pay
$3487.61
Shift Details
Shift
4x10 Hour Day Shift
Scheduled Hours
40
Job Order Details
Start Date
06/08/2026
End Date
09/07/2026
Duration
13 Week(s)
Job Description
The RN First Assistant carries out functions that will assist the surgeon in performing a safe surgical procedure with optimum results for the patient. The RN First Assistant practices perioperative nursing, functions directly under the supervision of the surgeon during the surgical procedure, and does not function simultaneously as the scrub nurse.
Client Details
Address
1100 Las Tablas Rd
City
Templeton
State
CA
Zip Code
93465

What Carilion Clinic employees say

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About Carilion Clinic

Sourced by ZipRecruiter

This is Carilion Clinic ... An organization where innovation happens, collaboration is expected and ideas are valued. A not-for-profit, mission-driven health system built on progress and partnerships. A courageous team that is always learning, never discouraged and forever curious. Headquartered in Roanoke, Va., you will find a robust system of award winning hospitals, Level 1 and 3 trauma centers, Level 3 NICU, Institute of Orthopedics and Neurosciences, multi-specialty physician practices, and The Virginia Tech Carilion School of Medicine and Research Institute. Carilion is where you can make your own path, make new discoveries and, most importantly, make a difference. Here, in a place where the air is clean, people are kind and life is good. Make your tomorrow with us.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Roanoke, VA, US

Year founded

1899

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