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Rn First Assistant Jobs in Maryland (NOW HIRING)

TNAA TotalMed RN

Travel OR RN

Towson, MD · On-site

The right RN should have 1-2 years recent acute care experience as a circulating nurse, and/or scrub nurse, and potentially RN first assistant. Read below for more requirements. As an OR Travel Nurse ...

CalvertHealth

RN - 1ST ASSIST

Prince Frederick, MD · On-site

Provide nursing care to patients in the surgical setting. RN may function in the circulator or scrub role. Education Position requires completion of a Diploma Nursing Program or an Associate Degree ...

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All JobsRn First JobsRn First Assistant JobsRn First Assistant Jobs in Maryland

Rn First Assistant information

See Maryland salary details

$34.5K

$103.7K

$179.6K

How much do rn first assistant jobs pay per year?

As of Sep 6, 2026, the average yearly pay for rn first assistant in Maryland is $103,660.00, according to ZipRecruiter salary data. Most workers in this role earn between $75,700.00 and $125,700.00 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 Maryland?

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

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

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

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

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

Rn First Assistant jobs near you
Infographic showing various Rn First Assistant job openings in Maryland as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 17% Part Time, and 4% Contract. Highlights an 84% Physical, 1% Hybrid, and 15% Remote job distribution, with an average salary of $103,660 per year, or $49.8 per hour.

Registered Nurse First Assistant

Platinum Medical Staffing

Fulton, MD • On-site

Other

Re-posted 28 days ago

Job description

Join Our Team as a Registered Nurse First Assistant – Per Diem Opportunities!

Looking for flexible, high-paying opportunities in Maryland, Washington, D.C., or Virginia? Platinum Medical Staffing is hiring RNFA for per diem roles in top healthcare facilities.

Here's why you'll love working with us: Competitive Pay: Get paid what you deserve for your expertise. Flexible Scheduling: Choose shifts that fit your lifestyle. Diverse Cases: Work in various specialties, gaining valuable experience. Top Facilities: Collaborate with leading surgical teams in the region.

Take control of your career with Platinum Medical Staffing—where your skills are valued, and your schedule works for you. Apply today!

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