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Rn First Assistant Jobs in Texas (NOW HIRING)

TNAA TotalMed RN

Travel OR RN

Amarillo, TX · On-site

Additional duties for RN First Assistant may include: * Assist physicians by delivering direct surgical care. * Help control bleeding. * Suture patients following surgery. OR Travel Nurses should be ...

TNAA TotalMed RN

Travel OR RN

Odessa, TX · On-site

Additional duties for RN First Assistant may include: * Assist physicians by delivering direct surgical care. * Help control bleeding. * Suture patients following surgery. OR Travel Nurses should be ...

TNAA TotalMed RN

Travel OR RN

Pasadena, TX · On-site

Additional duties for RN First Assistant may include: * Assist physicians by delivering direct surgical care. * Help control bleeding. * Suture patients following surgery. OR Travel Nurses should be ...

TNAA TotalMed RN

Travel OR RN

Mckinney, TX · On-site

Additional duties for RN First Assistant may include: * Assist physicians by delivering direct surgical care. * Help control bleeding. * Suture patients following surgery. OR Travel Nurses should be ...

TNAA TotalMed RN

Travel OR RN

Corpus Christi, TX · On-site

Additional duties for RN First Assistant may include: * Assist physicians by delivering direct surgical care. * Help control bleeding. * Suture patients following surgery. OR Travel Nurses should be ...

TNAA TotalMed RN

Travel OR RN

Odessa, TX · On-site

Additional duties for RN First Assistant may include: * Assist physicians by delivering direct surgical care. * Help control bleeding. * Suture patients following surgery. OR Travel Nurses should be ...

TNAA TotalMed RN

Travel OR RN

Amarillo, TX · On-site

Additional duties for RN First Assistant may include: * Assist physicians by delivering direct surgical care. * Help control bleeding. * Suture patients following surgery. OR Travel Nurses should be ...

TNAA TotalMed RN

Travel OR RN

Tyler, TX · On-site

Additional duties for RN First Assistant may include: * Assist physicians by delivering direct surgical care. * Help control bleeding. * Suture patients following surgery. OR Travel Nurses should be ...

TNAA TotalMed RN

Travel OR RN

Corpus Christi, TX · On-site

Additional duties for RN First Assistant may include: * Assist physicians by delivering direct surgical care. * Help control bleeding. * Suture patients following surgery. OR Travel Nurses should be ...

TNAA TotalMed RN

Travel Operating Room RN

Plano, TX · On-site

Additional duties for RN First Assistant may include: * Assist physicians by delivering direct surgical care. * Help control bleeding. * Suture patients following surgery. OR Travel Nurses should be ...

TNAA TotalMed RN

Travel Operating Room RN

Tyler, TX · On-site

Additional duties for RN First Assistant may include: * Assist physicians by delivering direct surgical care. * Help control bleeding. * Suture patients following surgery. OR Travel Nurses should be ...

Ascension

Registered Nurse First Assist

Austin, TX

$46.05/hr

Certified Registered Nurse specializing in First Assistant credentialed from the National Assistant at Surgery Certification preferred. Education: * Diploma from an accredited school/college of ...

Ascension

Registered Nurse First Assist

Austin, TX · On-site

Certified Registered Nurse specializing in First Assistant credentialed from the National Assistant at Surgery Certification preferred. Education: * Diploma from an accredited school/college of ...

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Showing results 41-60

All JobsRn First JobsRn First Assistant JobsRn First Assistant Jobs in Texas

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 Sep 5, 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 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 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 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 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.

Is it worth it to become an RN First Assistant?

Becoming an RN First Assistant allows registered nurses to perform advanced surgical assisting duties, often leading to higher compensation and expanded responsibilities. It requires additional training, certification, and experience in surgical settings, making it a valuable career advancement for RNs interested in perioperative care.

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:

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, 74% Full Time, 18% Part Time, 6% Contract, and 1% Nights. Highlights an 84% Physical, 1% Hybrid, and 15% Remote job distribution, with an average salary of $99,506 per year, or $47.8 per hour.

Travel OR RN

TNAA TotalMed RN

Amarillo, TX • On-site

Contractor

Medical, Dental, Vision, Retirement

Posted 24 days ago

Job description

TNAA TotalMed RN is seeking a travel nurse RN OR - Operating Room for a travel nursing job in Amarillo, Texas.

Job Description & Requirements
  • Specialty: OR - Operating Room
  • Discipline: RN
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 10 hours, days
  • Employment Type: Travel

We're looking for Operating Room RNs for an immediate travel nurse opening in Amarillo, TX. 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, you will assist physicians and medical staff in caring for surgical patients, as well as providing pre- and post-surgery care and education to the patient. Circulating OR Nurses work within the operating suite but outside of the sterile field; Scrub OR Nurses handle and prepare operating instruments and equipment within the sterile field. Surgery responsibilities may include preparing instruments for specific surgical procedures, monitoring and observing the patient during surgery, and responding to potential complications alongside the physician.
As an OR Travel Nurse, you should be prepared to perform the following tasks:

  • Provide basic bedside care.
  • Prepare, administer and record prescribed medication, reporting any adverse reactions to treatment.
  • Serve as the communication liaison between patients' family members and members of the operating team.
  • Ensure that the correct procedure(s) is being performed on the correct patient.
  • Initiate patient education plan as prescribed by physician; teach patients and families how to manage medication and home care needs.
Additional duties for Circulating OR Nurses may include:
  • Responding to comfort and safety needs of patient.
  • Accurate care and handling of specimens.
  • Monitoring equipment used during surgery.
  • Inventory of surgical items pre- and post-procedure.
Additional duties for Scrub OR Nurses may include:
  • Selection and handling of surgical instruments and supplies during procedures.
  • Inventory of surgical items pre- and post-procedure.
Additional duties for RN First Assistant may include:
  • Assist physicians by delivering direct surgical care.
  • Help control bleeding.
  • Suture patients following surgery.
OR Travel Nurses should be able to stand and walk for long periods of time, as well as bend, lean and stoop without difficulty. RNs should be able to easily lift 20 pounds. Moving or lifting of patients may require lifting of up to 50 pounds at times. RNs may face hazards from exposure to certain chemicals or infectious diseases in the operating room environment.
Requirements*: BLS, 1 Year
* Additional certifications may be required before beginning an assignment.

TNAA TotalMed RN Job ID #1473180. Pay package is based on 10 hour shifts and 40.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Operating Room - OR RN - Travel Nurse

About TNAA TotalMed RN

TotalMed is a Top Ten, travel nursing and healthcare staffing agency with the mission of igniting purpose in healthcare. The organization staffs nurses, therapists, pharmacists, and other clinicians of all specialties in all 50 states. They offer local and travel jobs and match caregivers with the right organization to assist both facilities and patients. As an organization, they focus on putting highly-skilled staff into facilities to ensure adequate staffing for a better patient experience.


TotalMed specializes in recruiting and placing healthcare professionals in travel, PRN, and permanent positions across the country in Nursing and Allied Health. Throughout 2020, the organization filled roles at even the most short-staffed facilities during the most challenging time in healthcare. By matching the right travel healthcare professional with the right organization, TotalMed continues to offer a lifeline to facilities and their patients.

Benefits
  • Weekly pay
  • Guaranteed Hours
  • Continuing Education
  • 401k retirement plan
  • Sick pay
  • Wellness and fitness programs
  • Referral bonus
  • Employee assistance programs
  • Medical benefits
  • Dental benefits
  • Vision benefits
  • Benefits start day 1
Travel Nurse Across America logo

About Travel Nurse Across America

Sourced by ZipRecruiter

Travel Nurse Across America (TNAA) is a leading healthcare staffing firm headquartered in North Little Rock, Arkansas, USA. Their primary focus lies within the healthcare industry, specializing in providing travel nurses for medical facilities across the country. Founded in 1999, TNAA has thrived over the years by maintaining an unwavering dedication to quality service, reliability, and personalized care for both the clients and the teams they contract. Their mission is driven by their commitment to improve the lives of the patients they serve by ensuring they're provided with the most highly skilled, caring, and dedicated healthcare professionals.

Industry

Recruiting and staffing services and health care and social assistance

Company size

201 - 500 Employees

Headquarters location

North Little Rock, AR, US

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