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$35.5K

$106.8K

$185K

How much do rn first assistant jobs pay per year?

As of May 29, 2026, the average yearly pay for rn first assistant in the United States is $106,806.00, according to ZipRecruiter salary data. Most workers in this role earn between $78,000.00 and $129,500.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as an RN First Assistant, and why are they important?

To thrive as an RN First Assistant, you need advanced clinical knowledge in perioperative nursing, surgical procedures, and patient assessment, typically supported by RN licensure, perioperative experience, and CNOR or RNFA certification. Familiarity with surgical instruments, sterile technique, and electronic health records is essential for this role. Strong communication, critical thinking, and teamwork skills help you collaborate effectively with surgical teams and respond quickly in high-pressure situations. These skills and qualifications are crucial for ensuring patient safety, reducing complications, and supporting optimal surgical outcomes.

What are the most common challenges faced by an RN First Assistant in the operating room?

As an RN First Assistant, one of the most common challenges is balancing direct surgical responsibilities with maintaining patient safety and effective communication within a fast-paced environment. You'll often need to anticipate the needs of the surgical team and adapt quickly to unexpected situations during procedures. Collaboration with surgeons, anesthesiologists, and other OR staff is crucial, and handling stressful or high-pressure moments with composure is a key part of the role. Continuous learning and staying updated with surgical techniques also help in overcoming these challenges.

What are RN First Assistants?

RN First Assistants (Registered Nurse First Assistants) are specialized registered nurses who work alongside surgeons and surgical teams during operations. They play a critical role in patient care by assisting with surgical procedures, providing direct patient care before, during, and after surgery, and helping to ensure the best possible outcomes. RNFAs are trained in advanced surgical techniques, such as suturing, controlling bleeding, and handling tissues, and they must have additional education and certification beyond standard registered nurse credentials.

What is the difference between Rn First Assistant vs Surgical Technologist?

AspectRn First AssistantSurgical Technologist
CredentialsRegistered Nurse license, First Assistant certificationCertified Surgical Technologist (CST) or Tech certification
Work EnvironmentHospitals, surgical centers, operating roomsOperating rooms, surgical suites, hospitals
Role FocusAssists surgeons during procedures, provides intraoperative supportPrepares operating rooms, sterilizes instruments, assists during surgery

While both roles support surgical teams, Rn First Assistants have advanced nursing credentials and directly assist surgeons during procedures, whereas Surgical Technologists prepare the surgical environment and assist indirectly. Rn First Assistants typically require more advanced certifications and have a broader scope of intraoperative responsibilities.

More about Rn First Assistant jobs
What cities are hiring for Rn First Assistant jobs? Cities with the most Rn First Assistant job openings:
What states have the most Rn First Assistant jobs? States with the most job openings for Rn First Assistant jobs include:
What job categories do people searching Rn First Assistant jobs look for? The top searched job categories for Rn First Assistant jobs are:
Rn First Assistant jobs near you
Infographic showing various Rn First Assistant job openings in the United States as of May 2026, with employment types broken down into 2% As Needed, 85% Full Time, 9% Part Time, 2% Temporary, and 2% Contract. Highlights an 82% Physical, and 18% Remote job distribution, with an average salary of $106,806 per year, or $51.3 per hour.
Registered Nurse First Assist (RNFA) Registered Nurse RN

Registered Nurse First Assist (RNFA) Registered Nurse RN

TLC Nursing

Templeton, CA

$2.98K/wk

Contractor

Posted 10 days ago

Job description

We are looking for a Travel RN First Assist RN for a great Travel nursing job in Templeton, CA.

This RN First Assist Travel nursing job pays for 40 hours a week for 13 weeks. With Wanderly you can compare Travel nurse salary from leading Travel nurse agencies in the United States.

With Wanderly you can chat and apply to any agency with Wanderly’s Universal Application, below are the details of this Travel Nursing Job including the Travel nurse salary:

  • Specialty: RN First Assist RN
  • Travel Registered Nurse First Assist (RNFA) Registered Nurse : Templeton, CA
  • Travel Nurse Salary: $2980/Week
  • Start Date: ASAP
  • Travel Nursing Job Assignment Length: 13 weeks
  • Travel Nurse Hours: 40 hours per week
  • Shift: 10 hours, Day

PK-36260513

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