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Rn First Assistant Jobs in Texas (NOW HIRING)

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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.

Registered Nurse First Assistant (RNFA)

University Health Careers

Pleasanton, TX • On-site

Full-time

This job post has expired today. Applications are no longer accepted.

Job description

POSITION SUMMARY/RESPONSIBILITIES

Serves as a team member of the Surgery Service Line by providing care in collaboration with the surgeon supervising surgeon. The RNFA practicing in the perioperative environment as a first assistant at surgery functions in an expanded perioperative Circulating RN role; must comply with all statutes, regulations, and institutional policies relevant to the RNFA who first assists at surgery; is required to acquire the knowledge and skills needed to provide safe, competent surgical first assistant services by completing a program that covers the content of the AORN Standards for RN First Assistant Education Programs; acquiring the necessary knowledge, judgment, and skills, to the expanded role of RNFA clinical practice; intraoperatively practices at the direction of the surgeon providing surgical site exposure, handling and/or cutting tissue, providing hemostasis, suturing, and wound management. Does not concurrently function as a scrub tech or circulator. Represents the OR and exemplifies their inter-professional decorum by working synergistically with all members of the team. When not needed as an RNFA, they will be utilized in the Circulating role. Supports and maintains University Health mission, vision, and values.

EDUCATION

             Must have a baccalaureate degree, with the exception that the RNFA practicing prior to January 1, 2020, may continue to practice at his or her existing level of education

LICENSURE/CERTIFICATION

            Must be currently licensed as a Registered Nurse in Texas. Must maintain ACLS and certification in perioperative nursing (CNOR). Must have successfully completed an RNFA program that meets the “AORN standards for RN first assistant education programs and compliance with all applicable statutes, regulations, and institutional policies relevant to RNFAs.. Continued Competency the RNFA demonstrates behaviors that progress on a continuum from basic competency to excellence, maintains CNOR status, and is encouraged to achieve and maintain CRNFA certification when eligibility requirements have been met.

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