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Rn First Assistant Jobs in Ohio (NOW HIRING)

Crystal Clinic Orthopaedic Center

RN First Assistant

OH · On-site

$38 - $58/hr

The Registered Nurse First Assistant is responsible through nursing processes for providing and coordinating nursing care and resource management for patients and families in the operating room.

Crystal Clinic

RN First Assistant

Fairlawn, OH · On-site

The Registered Nurse First Assistant is responsible through nursing processes for providing and coordinating nursing care and resource management for patients and families in the operating room.

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All JobsRn First JobsRn First Assistant JobsRn First Assistant Jobs in Ohio

Rn First Assistant information

See Ohio salary details

$33.8K

$101.5K

$175.9K

How much do rn first assistant jobs pay per year?

As of Aug 18, 2026, the average yearly pay for rn first assistant in Ohio is $101,540.00, according to ZipRecruiter salary data. Most workers in this role earn between $74,200.00 and $123,100.00 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 Ohio?

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

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

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

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

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

Rn First Assistant jobs near you
Infographic showing various Rn First Assistant job openings in Ohio as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 15% Part Time, and 4% Contract. Highlights an 85% Physical, 1% Hybrid, and 14% Remote job distribution, with an average salary of $101,540 per year, or $48.8 per hour.

Cardiac Surgery RN First Assistant

UH Cleveland Medical Center - UH

Cleveland, OH • On-site

$2.9K/wk

Other

Posted 12 days ago

Job description

Details
Client Name
UH Cleveland Medical Center - UH
Job Type
Travel
Offering
Nursing
Profession
RN
Specialty
FA
Job ID
35513410
Job Title
Cardiac Surgery RN First Assistant
Weekly Pay
$2973.0
Shift Details
Shift
Day - 8x5 - 07AM
Scheduled Hours
40
Job Order Details
Start Date
11/02/2026
End Date
01/31/2027
Duration
13 Week(s)
Job Description
Job Title: Cardiac RN First Assist
Profession: RN First Assist
Specialty: RN First Assist
Duration: 13 weeks
Shift: 07:00 AM - 03:30 PM
Hours per Shift: 8 hours
Experience: Minimum years of experience required
License: RN License
Certifications: ACLS, Certified First Assistant (CFA), CNOR
Must-Have: Proficiency in taking Second Call, Knowledge of Advanced Life Support Equipment, High degree of hand/eye coordination and uniform mental attention
Description:
The Cardiac RNFA I works under the direction and supervision of the attending physician.
This role provides aid in exposure, hemostasis, closure, and other intraoperative technical functions.
These functions help the surgeon carry out a safe operation with optimal results for the patient.
Performs preoperative and postoperative duties to facilitate the needs of the surgical patient during the perioperative period.
The RNFA I will primarily second assist within cardiac surgical cases.
The position includes regional call to support the cardiac surgery program.
Applies the nursing process in all facets of the nurse first assistant role.
Displays knowledge of anatomy and physiology while delivering safe patient care.
Establishes and maintains a safe perioperative environment.
Demonstrates proficiency in taking second call.
Possesses knowledge of advanced life support equipment.
High degree of hand/eye coordination and uniform mental attention is required.
Client Details
Address
11100 Euclid Ave
City
Cleveland
State
OH
Zip Code
44106
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