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How much do rn first assist jobs pay per hour?

As of Jul 8, 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.

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.

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
Infographic showing various Rn First Assist job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 75% Full Time, 21% Part Time, 1% Temporary, and 2% Contract. Highlights an 88% Physical, 1% Hybrid, and 11% Remote job distribution, with an average salary of $92,525 per year, or $44.5 per hour.
Registered Nurse First Assistant

Registered Nurse First Assistant

Incredible Health

Naples, FL • On-site

$60K - $101K/yr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 15 days ago

Job description

Hospitals on Incredible Health are actively hiring and accepting applications in the Bradenton, FL area for the following position: Registered Nurse First Assistant.
  • Shift(s) available: day shift
  • Job types available: full time, part time, and per diem
  • Employer features: 401(K), Career Advance Program, Cross training, Nurse self-care program , Retirement Plan, Teaching Hospital, Tuition Assistance
Qualifications:
  • Current Registered Nurse (RN) license in good standing
  • Completion of an accredited RNFA program, including both didactic and clinical components
  • Minimum of 2 years of operating room experience with surgical scrub and/or circulating duties
  • Certification as a Registered Nurse First Assistant (CRNFA) from a recognized body preferred
  • Current Basic Life Support (BLS) and Advanced Cardiovascular Life Support (ACLS) certification
Responsibilities:
  • Assist the surgeon in the operating room by providing exposure, hemostasis, and other technical functions according to the surgeon's directives
  • Conduct preoperative assessments, including reviewing patient history, to determine the appropriate plan of care
  • Ensure all surgical instruments and equipment are properly sterilized and prepared before surgery
  • Provide postoperative care by assessing for complications, applying dressings, and offering pain management solutions
  • Collaborate with the surgical team, anesthesiologists, and other healthcare professionals to ensure comprehensive patient care throughout the surgical process
Benefits:
  • Healthcare coverage: Medical, Dental, Vision
  • 401K
  • Paid Time Off
  • Tuition Assistance
Salary: $60,000 to $101,000 /year

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