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Rn First Assistant Jobs in Tennessee (NOW HIRING)

Registered Nurse, First Assistant, Surgery Part Time, 48 Hours Per Pay Period, Day Shift Parkwest Overview: Parkwest Medical Center, Covenant Health's flagship facility in West Knoxville, combines ...

Registered Nurse First Assistant, Surgery Full Time, 80 Hours Per Pay Period, Day Shift Parkwest Overview: Parkwest Medical Center, Covenant Health's flagship facility in West Knoxville, combines ...

Overview Registered Nurse, First Assistant, Surgery Part Time, 48 Hours Per Pay Period, Day Shift Parkwest Overview: Parkwest Medical Center, Covenant Health's flagship facility in West Knoxville ...

Overview Registered Nurse First Assistant, Surgery Full Time, 80 Hours Per Pay Period, Day Shift Parkwest Overview: Parkwest Medical Center, Covenant Health's flagship facility in West Knoxville ...

Category: RN City: Jackson State: Tennessee Shift: 12 - Day (United States of America) Summary: RNFA (Surgery) As defined by the American College of Surgeons, the first assistant provides aid in ...

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Rn First Assistant information

See Tennessee salary details

$32.2K

$96.9K

$167.9K

How much do rn first assistant jobs pay per year?

As of Jul 26, 2026, the average yearly pay for rn first assistant in Tennessee is $96,939.00, according to ZipRecruiter salary data. Most workers in this role earn between $70,800.00 and $117,500.00 per year, depending on experience, location, and employer.

What does a registered nurse first assistant do?

A registered nurse first assistant (RNFA) provides intraoperative patient care by assisting surgeons during surgeries, including tissue handling, suturing, and maintaining a sterile environment. They work closely with surgical teams, often requiring specialized training and certification in surgical assisting. RNFAs help improve surgical efficiency and patient outcomes in operating rooms.

How much does an RN first assist make?

An RN First Assistant typically earns between $70,000 and $120,000 annually, depending on experience, location, and healthcare facility. They assist surgeons during procedures and require specialized training and certification, which can influence salary levels.

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.

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.

Is becoming an RNFA worth it?

Becoming a Registered Nurse First Assistant (RNFA) can enhance career opportunities by allowing nurses to assist directly in surgical procedures, often leading to higher earning potential and expanded responsibilities. It requires additional certification and clinical experience, but it can be a valuable credential for those interested in perioperative care and surgical support roles.

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.

Can an RN be a first assist?

Registered nurses (RNs) can become first assistants in surgical procedures if they complete specialized training and certification, such as a perioperative nursing certification or a surgical assisting program. The role typically requires additional education, experience in the operating room, and adherence to state and institutional regulations. Not all RNs are qualified to serve as first assistants without these credentials and training.

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 popular job titles related to Rn First Assistant jobs in Tennessee? For Rn First Assistant jobs in Tennessee, the most frequently searched job titles are:
What cities in Tennessee are hiring for Rn First Assistant jobs? Cities in Tennessee with the most Rn First Assistant job openings:
Infographic showing various Rn First Assistant job openings in Tennessee as of July 2026, with employment types broken down into 69% Full Time, and 31% Contract. Highlights an 100% In-person job distribution, with an average salary of $96,939 per year, or $46.6 per hour.
RN FIRST ASSISTANT I

Part-time

Posted 20 hours ago


Job description

Registered Nurse, First Assistant, Surgery

Part Time, 48 Hours Per Pay Period, Day Shift

Parkwest Overview:

Parkwest Medical Center, Covenant Health’s flagship facility in West Knoxville, combines world-class cardiac expertise with the warmth of home in serving a vibrant East Tennessee community. Since 1973, Parkwest has grown into the region’s largest hospital in the area, offering advanced services like an all-digital catheterization lab, comprehensive breast health, emergency, and critical care. It’s consistently ranked among Tennessee's top 10 hospitals by U.S.News & World Report and earns national recognition as a Top100 Heart Hospital, as well as an “A” safety grade from Leapfrog. As part of Covenant Health, the region’s largest employer, Parkwest Medical Center, marries cutting-edge technology with compassionate, community-centered care, earning accolades for cardiology, stroke, surgical excellence, and patient safety. 

To learn more about Parkwest Medical Center and our units, visit Covenant Health Parkwest Medical Center Opportunities.  

Position Summary:

The RN First Assistant I (RNFA) is a registered nurse with specialized education. The development of specific technical skills enables the RNFA to assist the surgeon with specific intraoperative procedures that are beyond the scope of practice for registered nurses without RNFA education and training. The RNFA may provide direct patient care to patients using the nursing process and intraoperatively functions interdependently with the surgeon and applies knowledge, skill and judgment necessary to assist the surgeon in performing a safe operation that yields optimal results for the patient.


  • Collaborates with other health team members to develop, coordinate and implement a perioperative plan of care unique to individual patient needs.
  • Maintains the dignity of the patient while assuming the responsibility of patient advocate.
  • Skillfully applies principles of asepsis and infection control.
  • Has excellent knowledge of surgical anatomy, physiology and operative technique specific to the surgical procedure to work in collaboration with the surgeon.
  • Recognizes safety hazards and initiates appropriate preventative and/or corrective actions to ensure a safe environment for the patient and the surgical team throughout the perioperative experience.
  • Participates in the performance of positioning, prepping and draping of the patient.
  • Preparation and administration of medications perioperatively; as directed by the surgeon and anesthesiologist.
  • Provides exposure through appropriate use of instruments, retractors, suctioning and sponging techniques.
  • Handles and dissects tissue in collaboration with the surgeon.
  • Clamping blood vessels, coagulating bleeding points, ligating vessels and other procedures in collaboration with the surgeon to achieve hemostasis.
  • Sutures muscle, fascia, subcutaneous and skin tissue in collaboration with the surgeon.
  • Places drains as surgically indicated.
  • Application of surgical dressings.
  • Possesses knowledge of and works within appropriate regulatory guidelines and legal constraints.
  • Practices according to recognized standards of nursing practice and the AORN “Standards of perioperative professional performance.”
  • Participates in the orientation of new personnel; serve as educator, mentor, consultant and resource to colleagues and other healthcare personnel.
  • Responsible for following through specific work projects or studies assigned by supervisor.
  • Analyze and evaluate services rendered to improve quality of patient care given.
  • Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested.
  • Performs other related duties as assigned.

Minimum Education:           

None specified; however, must be sufficient to meet the standards for achievement of the below indicated license and/or certification as required by the issuing authority. Also must have completed a recognized RNFA certification program.

Minimum Experience:         

Five (5) year’s perioperative nursing experience. A Thousand (1,000) hours Surgeon supervised clinical practice in First Assistant Role.

Licensure Requirement:      

Must hold current RN license and current RNFA license. CPR and CNOR certifications are required.