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Rn First Assistant Jobs in Delaware (NOW HIRING)

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Rn First Assistant information

See Delaware salary details

$35.5K

$106.9K

$185.2K

How much do rn first assistant jobs pay per year?

As of Sep 7, 2026, the average yearly pay for rn first assistant in Delaware is $106,898.00, according to ZipRecruiter salary data. Most workers in this role earn between $78,100.00 and $129,600.00 per year, depending on experience, location, and employer.

What is an RN First Assistant?

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 are the key skills and qualifications needed to thrive as an RN First Assistant?

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 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.

Is it worth it to become an RN First Assistant?

Becoming an RN First Assistant allows registered nurses to perform advanced surgical assisting duties, often leading to higher compensation and expanded responsibilities. It requires additional training, certification, and experience in surgical settings, making it a valuable career advancement for RNs interested in perioperative care.

What are popular job titles related to Rn First Assistant jobs in Delaware?

For Rn First Assistant jobs in Delaware, the most frequently searched job titles are:

What job categories do people searching Rn First Assistant jobs in Delaware look for?

The top searched job categories for Rn First Assistant jobs in Delaware are:

What cities in Delaware are hiring for Rn First Assistant jobs?

Cities in Delaware with the most Rn First Assistant job openings:

Rn First Assistant jobs near you
Infographic showing various Rn First Assistant job openings in Delaware as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 19% Part Time, and 4% Contract. Highlights an 84% Physical, 1% Hybrid, and 15% Remote job distribution, with an average salary of $106,898 per year, or $51.4 per hour.

Registered Nurse - Clinical Hiring Event

Beebe Healthcare

Fenwick Island, DE

Full-time

Posted 4 days ago

Beebe Healthcare rating

6.3

Company rating: 6.3 out of 10

Based on 49 frontline employees who took The Breakroom Quiz

670th of 898 rated healthcare providers

Job description

Registered Nurse (RN)

Invitation Only Hiring Event – 9/14

Join recruiters and hiring managers from Beebe Healthcare at our upcoming hiring event to learn more about our open positions and our awesome benefits.

Monday, September 14

Rehoboth Specialty Surgical Hospital (Abessinio Health Campus)

We have excellent opportunities for registered nurses in:

  • Intensive Care Unit (ICU) 

  • Operating Room

  • CVOR

  • RN First Assistant (RNFAs)

  • Progressive Care Unit (PCU) 

  • Medical/Surgical Telemetry 

  • Emergency Department

  • Med/Surg Oncology

  • Med/Surg Observation 


Bring your resume and come ready to share what you're looking for in the year ahead. You can expect relaxed conversations, helpful insights, and a welcoming environment where your experience matters.

Click Apply Now to Register

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