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Rn First Assistant Jobs in Allen, TX (NOW HIRING)

TNAA TotalMed RN

Travel OR Registered Nurse

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 ...

New

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 ...

New

TNAA

Operating Room (OR) Registered Nurse RN

Sachse, TX

$51.25/hr

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 ...

Posted today

TNAA

Operating Room (OR) Registered Nurse RN

Plano, TX · On-site

$56.50/hr

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

Operating Room (OR) Registered Nurse RN

Plano, TX · On-site

$56.03/hr

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 ...

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All JobsRn First JobsRn First Assistant JobsRn First Assistant Jobs in Allen, TX

Rn First Assistant information

See Allen, TX salary details

$33K

$99.3K

$172.1K

How much do rn first assistant jobs pay per year?

As of Aug 14, 2026, the average yearly pay for rn first assistant in Allen, TX is $99,348.00, according to ZipRecruiter salary data. Most workers in this role earn between $72,600.00 and $120,500.00 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 Allen, TX?

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

What job categories do people searching Rn First Assistant jobs in Allen, TX look for?

The top searched job categories for Rn First Assistant jobs in Allen, TX are:

What cities near Allen, TX are hiring for Rn First Assistant jobs?

Cities near Allen, TX with the most Rn First Assistant job openings:

Rn First Assistant jobs near you
Infographic showing various Rn First Assistant job openings in Allen, TX as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 22% Part Time, and 4% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $99,348 per year, or $47.8 per hour.

First Assistant RN

Baylor University Medical Center

Dallas, TX • On-site

Other

Medical, Retirement, PTO

Re-posted 8 days ago

Job description

RNFA - RN First Assistant

As a First Assistant Registered Nurse, you'll support physicians in clinic, hospital, and OR settings to provide top-tier medical care. You will collaborate closely with both physicians and patients in clinical and hospital settings to ensure excellent care. Your duties will cover the entire patient treatment process, from before to after surgery.

Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include:

  • Immediate eligibility for health and welfare benefits
  • 401(k) savings plan with dollar-for-dollar match up to 5%
  • Tuition Reimbursement
  • PTO accrual beginning Day 1

Note: Benefits may vary based upon position type and/or level.

As a First Assistant Registered Nurse, you'll carry out pre-surgical evaluations and focused nursing assessments, and issue pre-operative orders by following established procedures. You'll play a crucial role in patient care planning, by interacting and coordinating with other healthcare providers. One main responsibility is assisting surgeons during operations. This includes handling instruments, providing exposure, cutting tissue, ensuring hemostasis, and suturing tissues. After surgeries, you'll help manage patients with other healthcare professionals. Assisting with patient discharge and coordinating with community resources when needed is another key aspect of this role.

We believe that all people should feel welcomed, valued and supported.

Qualifications

  • Successful completion of a recognized Nursing program.
  • A minimum of (2) two years of previous experience in nursing.
  • 2yr or more of RNFA experience. CVOR experience highly preferred.
  • The candidate must be a Registered Nurse
  • The ideal candidate should possess RN-First Assistant certification, demonstrating their proficiency in aiding with surgical procedures.
  • Basic Life Support (BLS) certification needed within 30 days of hire

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