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Rn First Assistant information

See Texas salary details

$33.1K

$99.5K

$172.4K

How much do rn first assistant jobs pay per year?

As of Aug 14, 2026, the average yearly pay for rn first assistant in Texas is $99,506.00, according to ZipRecruiter salary data. Most workers in this role earn between $72,700.00 and $120,600.00 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.

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

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

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

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

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

Rn First Assistant jobs near you
Infographic showing various Rn First Assistant job openings in Texas as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 18% Part Time, and 3% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $99,506 per year, or $47.8 per hour.

RN, First Assistant

Cook Children's Health Care System

Fort Worth, TX • On-site

Full-time

Re-posted 7 days ago

Cook Children's Health Care System rating

7.9

Company rating: 7.9 out of 10

Based on 77 frontline employees who took The Breakroom Quiz

108th of 887 rated healthcare providers

Job description

Location:

Medical Center - Fort Worth

Department:

Surgery-CT

Shift:

First Shift (United States of America)

Standard Weekly Hours:

40

Summary:

The Surgery Registered Nurse First Assistant will deliver skilled individualized nursing care to adult and pediatric patients in and outside of the operating room and skilled nursing care to patients and families according to their identified needs. The Surgery Registered Nurse First Assistant will deliver care with a team orientation, and emphasis on good customer relations, sound clinical judgment and appropriate decision making abilities. The Surgery Registered Nurse First Assistant may serve as a liaison between the surgeon and other members of the medical team.
Education:

  • Graduate of an accredited nursing program.
  • Minimum of two years operating room experience.

Certification/Licensure:

  • Current license to practice professional nursing in the State of Texas.
  • Completion of a RNFA program that meets the AORN Recommended Education Standards for RN First Assistant Programs and is accepted by CBPN.
  • Current BLS certification recognized by AHA required prior to employment, PALS.
  • CNOR Certification.

About Us:

Cook Children's Medical Center is the cornerstone of Cook Children's, and offers advanced technologies, research and treatments, surgery, rehabilitation and ancillary services all designed to meet children's needs.

Cook Children's is an EOE/AA, Minority/Female/Disability/Veteran employer.

What Cook Children's Health Care System employees say

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Benefits

Hours and flexibility

Workplace

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Cook Children's Health Care System logo

About Cook Children's Health Care System

Sourced by ZipRecruiter

Cook Children's Health Care System, based in Fort Worth, Texas, operates in the healthcare industry with a primary focus on pediatric health services. Established in 1918, the system has been committed to improving the health of children through the prevention and treatment of childhood diseases. This integrated pediatric healthcare system includes a medical center, physician network, home health company, research institute, and a health plan. At the core of its operations is the mission to 'Improve the Health of Every Child' in its community, reflecting its commitment to providing quality care, research, education, and prevention and wellness services.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Fort Worth, TX, US

Year founded

1918

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