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Rn First Assistant Jobs in Tennessee (NOW HIRING)

TNAA TotalMed RN

Travel OR RN

Powell, TN · 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 ...

TNAA TotalMed RN

Travel OR RN

Paris, TN · 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 ...

New

TNAA TotalMed RN

Travel OR RN

Paris, TN · 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 ...

New

TNAA TotalMed RN

Travel OR RN

Johnson City, TN · 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 ...

TNAA TotalMed RN

Travel OR RN

Johnson City, TN · 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 ...

West Tennessee Healthcare

RNFA (Surgery)

Jackson, TN · On-site

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 ...

West Tennessee Healthcare

RNFA (Surgery)

Jackson, TN · On-site

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 ...

TNAA TotalMed RN

Travel OR RN - $2,298 per week

Paris, TN · On-site

$2.2K/wk

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 ...

New

Phenom People

RN-Surgery/OR FT

Lawrenceburg, TN · On-site

If the employee holds a current and active license as a Registered Nurse First Assist in the State of Tennessee, they may asked to practice within the scope and standards of practice as directed by ...

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Showing results 21-40

All JobsRn First JobsRn First Assistant JobsRn First Assistant Jobs in Tennessee

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 Aug 17, 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 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 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 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 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 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 job categories do people searching Rn First Assistant jobs in Tennessee look for?

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

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

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

Rn First Assistant jobs near you
Infographic showing various Rn First Assistant job openings in Tennessee as of August 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.

Registered Nurse First Assistant

TriStar Skyline Medical Center

Franklin, TN • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 18 days ago

Job description

Introduction

Do you currently have an opportunity to make a real impact with your work? With over 2,000 sites of care and serving over 31.2 million patient interactions every year, nurses at TriStar Skyline Medical Center have the opportunity to make a real impact. As a(an) RNFA you can be a part of change.

Benefits

TriStar Skyline Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

  • Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
  • Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
  • Free counseling services and resources for emotional, physical and financial wellbeing
  • 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  • Employee Stock Purchase Plan with 10% off HCA Healthcare stock
  • Family support through fertility and family building benefits with Progyny and adoption assistance.
  • Referral services for child, elder and pet care, home and auto repair, event planning and more
  • Consumer discounts through Abenity and Consumer Discounts
  • Retirement readiness, rollover assistance services and preferred banking partnerships
  • Education assistance (tuition, student loan, certification support, dependent scholarships)
  • Colleague recognition program
  • Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
  • Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential and see how rewarding it can be to reach your personal and professional goals. Help to advance the practice of nursing and improve positive outcomes for your patients as a (an) RNFA. We want your knowledge and expertise!

Job Summary and Qualifications What qualifications you will need:


  • (RN) Registered Nurse
  • Associate Degree
  • Basic Cardiac Life Support, or CPR, or (CSFA) Certified Surgical First Assistant must be obtained within 30 days of employment start date

TriStar Skyline Medical Center is a 250+ bed facility. We are Tennessee's first comprehensive stroke center and a national leader in neuroscience. In addition, we are equipped with 3 helipads, new ICU and Medical/Surgical floors, and burn care services. We offer a CARF accredited Inpatient Rehabilitation program and are an ACS verified Level II Trauma Center. As an Accredited Chest Pain Center with PCI, TriStar Skyline is a leading provider of emergency heart care.


"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

Be a part of an organization that leverages our size to make a real impact in our industry! Our Talent Acquisition team is reviewing applications for our RNFA opening. Submit your application today and help advance the practice of nursing.

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

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