ZipRecruiter

Log In

1

Rn First Assistant Jobs in Virginia (NOW HIRING)

next page

Showing results 1-20

All JobsRn First JobsRn First Assistant JobsRn First Assistant Jobs in Virginia

Rn First Assistant information

See Virginia salary details

$35.2K

$105.9K

$183.4K

How much do rn first assistant jobs pay per year?

As of Jul 14, 2026, the average yearly pay for rn first assistant in Virginia is $105,890.00, according to ZipRecruiter salary data. Most workers in this role earn between $77,300.00 and $128,400.00 per year, depending on experience, location, and employer.

What does a registered nurse first assistant do?

A registered nurse first assistant (RNFA) provides intraoperative patient care by assisting surgeons during surgeries, including tissue handling, suturing, and maintaining a sterile environment. They work closely with surgical teams, often requiring specialized training and certification in surgical assisting. RNFAs help improve surgical efficiency and patient outcomes in operating rooms.

How much does an RN first assist make?

An RN First Assistant typically earns between $70,000 and $120,000 annually, depending on experience, location, and healthcare facility. They assist surgeons during procedures and require specialized training and certification, which can influence salary levels.

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 are RN First Assistants?

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.

Is becoming an RNFA worth it?

Becoming a Registered Nurse First Assistant (RNFA) can enhance career opportunities by allowing nurses to assist directly in surgical procedures, often leading to higher earning potential and expanded responsibilities. It requires additional certification and clinical experience, but it can be a valuable credential for those interested in perioperative care and surgical support roles.

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.

Can an RN be a first assist?

Registered nurses (RNs) can become first assistants in surgical procedures if they complete specialized training and certification, such as a perioperative nursing certification or a surgical assisting program. The role typically requires additional education, experience in the operating room, and adherence to state and institutional regulations. Not all RNs are qualified to serve as first assistants without these credentials and training.

What are the key skills and qualifications needed to thrive as an RN First Assistant, and why are they important?

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 Virginia? For Rn First Assistant jobs in Virginia, the most frequently searched job titles are:
What job categories do people searching Rn First Assistant jobs in Virginia look for? The top searched job categories for Rn First Assistant jobs in Virginia are:
What cities in Virginia are hiring for Rn First Assistant jobs? Cities in Virginia with the most Rn First Assistant job openings:
Rn First Assistant jobs near you
Infographic showing various Rn First Assistant job openings in Virginia as of July 2026, with employment types broken down into 1% As Needed, 73% Full Time, 22% Part Time, 1% Temporary, and 3% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $105,890 per year, or $50.9 per hour.

Registered Nurse First Assist RNFA PRN

Parham Doctors' Hospital

Tuckahoe, VA • On-site

$40.83 - $61.25/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 16 days ago

Job description

Hourly Wage Estimate: $40.83 - $61.25 / hour
Learn more about the benefits offered for this job.

The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range.

Introduction

Do you want to be appreciated daily? Our nurses are celebrated for being on the front line, empathetic for patients. At Parham Doctors' Hospital our nurses set us apart from any other healthcare provider. We are seeking a(an) Registered Nurse First Assist RNFA PRN to join our healthcare family.

Benefits

Parham Doctors' Hospital, 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.

At Parham Doctors' Hospital, our nurses play a vital part. We know that every nurse’s path and purpose is unique. Do you want to create your own personal career path in nursing? HCA Healthcare is your career destination! Our scale makes it possible for nurses to create the career path that fits their life – for life – and empowers their passion for patient care. Apply today for our Registered Nurse First Assist RNFA PRN opportunity.

Job Summary and Qualifications
  • Utilizes principles of aseptic technique in creating and maintaining a sterile field.
  • Plans and provides equipment and supplies based on patient and physician needs.
  • Demonstrates competency in assisting surgeon as it relates to unit scope of care.
  • Demonstrates competency in perioperative nursing practice related to preoperative & postoperative nursing care.
  • Promotes cost containment while delivering quality patient care within the operating room.
  • Participates in on-call assignments and demonstrates flexibility to cover staffing as needed.
  • Demonstrates flexibility to perform other functions within Surgical Services to assist in the smooth operation of the department.

Requirements:

  • Basic Cardiac Life Support must be obtained within 30 days of employment start date
  • Certified Nurse Operating Room (CNOR)
  • Certified Registered Nurse First Assistant (CRNFA) preferred
  • Registered Nurse

Henrico Doctors’ Hospital has provided quality healthcare services to the Richmond community since 1974. We give patient's access to trained physicians and advanced technology. Our 340-bed hospital is one of the region's leading acute care facilities. The hospital offers a full range of healthcare services, with specialties in trauma, cardiovascular and neurological care, women’s health, oncology, and groundbreaking diagnostic imaging. We are a national trendsetter in kidney transplants through the Virginia Transplant Center. As part of the Virginia Institute of Robotic Surgery, we drive the state in minimally invasive procedures with da Vinci robotic-assisted surgeries.

We are proud to be the recipient of several national awards. The awards include Top 100 Hospital by Truven Health Analytics®, 100 Best Hospitals by Healthgrades, Top 10% in the Nation for Cardiology Services and Treatment of Stroke, and Healthgrades Stroke Care Excellence Award. We have many other Five-Star clinical achievements recognizing our heart, stroke, and critical care programs.

At Henrico Doctors’ Hospital, our care like family culture extends to our patients, our people and our community. We are committed to each other because when we join together, our patients are cared for in the safest and most compassionate way.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.


"The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

Join a family that cares about every stage in your career! We are interviewing candidates for our Registered Nurse First Assist RNFA PRN opening. Apply today and a member of our Talent Acquisition team will reach out.

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.

Apply