1

Rn First Assistant Jobs in Texas (NOW HIRING)

Travel Nurse RN - First Assist

Midland, TX · On-site

$2.2K - $3.2K/wk

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

First Assist * Discipline: RN * Start Date: 09/01/2026 * Duration: 13 weeks * 40 hours per week * Shift: 8 hours * Employment Type: Travel Looking for your next locums assignment? We'd love to hear ...

First Assistant RN

Plano, TX

  • Medical

  • Retirement

  • PTO

RNFA - RN FIrst Assistant * Shift: Full-time, Days, M-F, 6:30AM-3:00PM, call 1-2 days per week and one weekend every 5 weeks. * Experience: 2yr or more of RNFA experience. CVOR experience highly ...

First Assistant RN

Plano, TX

  • Medical

  • Retirement

  • PTO

RNFA - RN FIrst Assistant * Shift: Full-time, Days, M-F, 6:30AM-3:00PM, call 1-2 days per week and one weekend every 5 weeks. * Experience: 2yr or more of RNFA experience. CVOR experience highly ...

First Assistant RN

Plano, TX

  • Medical

  • Retirement

  • PTO

RNFA - RN FIrst Assistant * Shift: Full-time, Days, M-F, 6:30AM-3:00PM, call 1-2 days per week and one weekend every 5 weeks. * Experience: 2yr or more of RNFA experience. CVOR experience highly ...

Showing results 41-60

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 15, 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.

What are popular job titles related to Rn First Assistant jobs in Texas?

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:

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.

Other

Re-posted 10 days ago


Job description

JOB SUMMARY: Under the under the direct supervision of the surgeon who has privileges in surgery and in accordance with designated standardized procedures, the RN First Assistant (RNFA), performs first assistant duties for adult patients undergoing surgical procedures in the operating room as specified in the designated standardized procedure. Advocates for patient in order to achieve the best possible outcome.

AGE OF PATIENT/POPULATIONS SERVED:

  • Neonates (0 – 1 month)
  • Pediatrics (1 month – 12 yrs)
  • Adolescents (13 – 18 yrs)
  • Adults (19 – 65 yrs)
  • Geriatrics – (Over 65)

This position may, from time to time require that patients outside the normal group be cared for. In this event, the person should consult available resources to provide the appropriate care.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

  • Consistently supports and maintains the Mission, Vision and Values of St. Joseph Medical Center.
  • Follows the guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI)
  • Promotes a culture of safety for patients and employees through proper identification, proper reporting, documentation and prevention of medical errors in a non-punitive environment.
  • Maintains competency and knowledge of current standards of practice, trends and developments in his/her related scope of practice by reading books, journals and other literature and attending related seminars, conferences and the like.
  • Participates in ongoing quality improvement activities.
  • Assesses Operating Room readiness, table positioning, supplies and supply availability and equipment readiness for a variety of procedures.
  • Develops the patient's plan of care and monitors treatment in the operative environment. This includes practice of aseptic technique and maintenance of sterile fields as well as correction of breaks in technique for any of the team members.
  • Manages patient safety by implementing operative policy and procedures including patient identification, site verification, positioning and counting of sponges, instruments and sharps. Takes action to correct deficiencies.
  • Holds self, physicians and other team members accountable for safe patient practices and environment.
  • Other duties as assigned.
  • Supportive of the compliance program set forth by SJMC and demonstrated by:
    • Upholds the Code of Ethics and Corporate Compliance.
    • Adheres to and helps to enforce all compliance policies relevant to his/her area.
    • Assures timely compliance education as requested by the Compliance Officer and/or through corporate initiatives.
  • Sets an example to all staff in their daily activities.

MINIMUM KNOWLEDGE, SKILLS AND ABILITIES REQUIRED:

WORK EXPERIENCE:

  • A minimum of two years clinical nursing experience in the operating room.

LICENSE/REGISTRATION/CERTIFICATION:

  • Current RN license issued by the Board of Nurse Examiners of the State of Texas to practice professional nursing.
  • Certified Nurse Operating Room (CNOR) required.
  • Current AHA or ARC CPR/Basic Life Support Certification preferred.

EDUCATION & TRAINING:

  • Graduate of an accredited School of Nursing program, Associates or Bachelors degree.
  • Completion of a planned program of instruction for RN First Assistants.

SKILLS:

  • Technical, critical thinking, and interpersonal skills relevant to area in order to effectively communicate with physicians, health team members, patients and families and to safely and efficiently treat patients.
  • Ability to prioritize work with minimal supervision, in order to independently carry out the duties of the position.
  • Able to communicate effectively, in English, both verbally and in writing.
  • Basic computer knowledge.

Houston's oldest hospital is GROWING!


Welcome to St. Joseph Medical Center (SJMC), Houston's first and only downtown hospital delivering world-class care for the last 137 years and looking forward to the next century of exceptional care to Houstonians when they need us most.

Whether it's for a scheduled surgery, the birth of a baby, an unexpected emergency, or an outpatient visit, we have staff available around the clock to provide you access to immediate, quality health care. SJMC has been providing health care services to Greater Houston residents for over 130 years, which should give you great comfort in knowing that we have a great tradition of caring for our community. We strive to meet our patients' expectations and encourage our patients to provide us with feedback on how we can help them have the best experience possible while they're in our care.

Over the last years we have expanded our services to include the Advanced Wound Care Center, Comprehensive Cardiac and Vascular Services, the Women's Center, the St. Joseph Maternal Fetal Medicine Center, and a Weight Loss Surgery Program, just to name a few. As you work with our physicians, nurses, case managers, educators, and other staff, you will be guided through your health care journey, from diagnosis to treatment, with compassion every step of the way.

Diversity, equity, inclusion, and belonging are at the foundation of the care St Joseph Medical Center provides to our community we are privileged to support in all of our employment practices. We do not discriminate on the grounds of race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, or expression or any other non-job-related characteristic.