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Rn First Assist Jobs (NOW HIRING)

RN First Assist (RNFA) City: Chico State: CA Job Type: Travel Discipline: RN Speciality: First Assist Facility Setting: Acute Care Accepting Locals per Radius Rule?: Yes Contract Length: 16 Week ...

Registered Nurse First Assistant

San Antonio, TX · On-site

$72K - $118K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Registered Nurse First Assistant Hospitals on Incredible Health are actively hiring and accepting applications in the San Antonio, TX area for the following position: Registered Nurse First Assistant.

Registered Nurse First Assistant

Clearwater, FL · On-site

$60K - $101K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

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 ...

Registered Nurse First Assistant

Bradenton, FL · On-site

$60K - $101K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

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 ...

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Rn First Assist information

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$20

$44

$73

How much do rn first assist jobs pay per hour?

As of Aug 17, 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 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 cities are hiring for Rn First Assist jobs?

Cities with the most Rn First Assist job openings:

What are the most commonly searched types of Rn First Assist jobs?

The most popular types of Rn First Assist jobs are:

What states have the most Rn First Assist jobs?

States with the most job openings for Rn First Assist jobs include:

Infographic showing various Rn First Assist job openings in the United States as of August 2026, with employment types broken down into 11% As Needed, 55% Full Time, 28% Contract, and 6% Nights. Highlights an 100% In-person job distribution, with an average salary of $92,525 per year, or $44.5 per hour.

Travel RN First Assist (RNFA)

FutureSoft Consulting Inc

Chico, CA • On-site

Full-time

Posted 4 days ago


Job description

Job Summary

We are seeking an experienced Registered Nurse First Assistant (RNFA) for a 16-week travel nursing assignment in Chico, California.

This role is ideal for an experienced perioperative RN who has completed RN First Assistant training and is comfortable working directly with surgeons during operative procedures. The RNFA will provide advanced nursing support throughout the surgical process, including preoperative preparation, intraoperative first-assist responsibilities, and postoperative patient care.

Candidates must have strong operating room experience, active California RN licensure, CNOR certification, and current BLS/CPR and ACLS credentials.

What You’ll Do

As an RN First Assist, you will:

· Work directly with surgeons and the perioperative team during surgical procedures.

· Provide first-assist support within the RNFA scope of practice.

· Assist with exposure of the surgical site, tissue handling, retraction, and other approved intraoperative functions.

· Assist with hemostasis and bleeding control using approved techniques and equipment.

· Perform wound closure and other delegated surgical tasks within applicable regulations and facility policies.

· Prepare patients for surgical procedures and verify required documentation before surgery.

· Participate in surgical time-outs and patient safety protocols.

· Maintain sterile technique throughout surgical procedures.

· Assist with positioning, prepping, and draping patients for surgery.

· Anticipate surgeon needs and support efficient progression of surgical cases.

· Monitor patient safety throughout the perioperative process.

· Collaborate with surgeons, anesthesiologists, circulating nurses, surgical technologists, and other members of the operating room team.

· Assist with postoperative patient assessment and transition of care when required.

· Maintain accurate and timely clinical documentation.

· Follow infection-prevention, surgical safety, and regulatory standards.

· Participate in emergency procedures and respond appropriately to changes in patient condition.

Required Qualifications

Candidates must have:

· Current Registered Nurse (RN) license through the California Board of Registered Nursing

· Current RN First Assistant (RNFA) qualification or recognized RNFA training

· Certified Nurse Operating Room (CNOR) certification

· Current BLS / CPR

· Current ACLS

· Previous professional experience functioning as an RN First Assist

· Strong operating room and perioperative nursing experience

· Knowledge of sterile technique and surgical infection-prevention practices

· Ability to work effectively with surgeons and multidisciplinary operating room teams

Preferred Experience

Strong candidates will have experience with:

· Acute-care operating room environments

· Multiple surgical specialties

· General surgery

· Orthopedic procedures

· Cardiovascular or vascular procedures

· Gynecologic surgery

· Urologic surgery

· Trauma or emergency surgical procedures

· Surgical wound closure

· Tissue handling and surgical exposure

· Hemostasis techniques

· Preoperative and postoperative patient assessment

Specific surgical service assignments may vary based on facility needs and the candidate's clinical background.

Core RNFA Skills

Candidates should be comfortable with:

· Surgical first assisting

· Maintaining sterile technique

· Surgical site exposure

· Retraction

· Tissue handling

· Hemostasis

· Surgical wound closure

· Suturing within RNFA scope

· Patient positioning

· Surgical skin preparation

· Intraoperative patient safety

· Operating room workflow

· Infection-control standards

· Emergency response

· Interdisciplinary communication

· Perioperative documentation

Schedule

· Day Shift

· Approximately 8–10 hour shifts

· 40 hours per week

· Schedule may vary based on surgical case volume and facility needs.

· Weekend, holiday, call, or emergency coverage may be required depending on department scheduling.

Ideal Candidate

The ideal candidate is an experienced RN First Assistant with strong perioperative nursing skills and the ability to work confidently alongside surgeons in a fast-paced acute-care operating room.

You should be highly comfortable with sterile technique, surgical procedures, patient safety, and intraoperative decision-making. Strong communication, teamwork, clinical judgment, and the ability to anticipate the needs of the surgical team are essential.

This opportunity may be a strong fit for professionals currently working as an RN First Assist, RNFA, Perioperative RN, Operating Room RN First Assistant, Surgical RN, or CNOR-Certified OR Nurse.

Equal Opportunity

We are an equal opportunity employer and consider qualified applicants based on experience, education, licensure, certifications, skills, and the requirements of the position.