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Rn First Assistant Jobs in Seattle, WA (NOW HIRING)

Registered Nurse (RN) [Required] Basic Life Support - CPR Cert (BLS) [Required] Certified Nurse Operating Room (CNOR) [Preferred] Certified Registered Nurse First Assist (CRNFA) [Preferred] Pay Range ...

New

Surgical First Assist

Bellevue, WA · On-site

$99K - $148K/yr

First Assist, OR RN, Surgical Physician Assistant (PA), Surgical Research experience, or experience working in travel assignments as a CST. LifeCenter Northwest offers medical, dental, vision, basic ...

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Rn First Assistant information

See Seattle, WA salary details

$40.4K

$121.5K

$210.5K

How much do rn first assistant jobs pay per year?

As of Aug 3, 2026, the average yearly pay for rn first assistant in Seattle, WA is $121,548.00, according to ZipRecruiter salary data. Most workers in this role earn between $88,800.00 and $147,400.00 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 Seattle, WA? For Rn First Assistant jobs in Seattle, WA, the most frequently searched job titles are:
What job categories do people searching Rn First Assistant jobs in Seattle, WA look for? The top searched job categories for Rn First Assistant jobs in Seattle, WA are:
What cities near Seattle, WA are hiring for Rn First Assistant jobs? Cities near Seattle, WA with the most Rn First Assistant job openings:
Infographic showing various Rn First Assistant job openings in Seattle, WA as of July 2026, with employment types broken down into 67% Full Time, and 33% Part Time. Highlights an 100% In-person job distribution, with an average salary of $121,548 per year, or $58.4 per hour.

RN First Assistant

Adventhealth

Redmond, WA • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 3 days ago

New


AdventHealth rating

7.4

Company rating: 7.4 out of 10

Based on 1,267 frontline employees who took The Breakroom Quiz

266th of 887 rated healthcare providers


Job description

Our promise to you:

Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

All the benefits and perks you need for you and your family:

  • Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance

  • Paid Time Off from Day One

  • 403-B Retirement Plan

  • 4 Weeks 100% Paid Parental Leave

  • Career Development

  • Whole Person Well-being Resources

  • Mental Health Resources and Support

  • Pet Benefits

Schedule:

Full time

Shift:

Day (United States of America)

Address:

501 REDMOND RD NW

City:

ROME

State:

Georgia

Postal Code:

30165

Job Description:

Grow with us. Eligible clinicians have the opportunity to earn salary increases of up to 20%* through our Clinical Ladder Program based on experience, professional development, and achievement of advancement criteria.

Clinical Ladder participation is voluntary. Salary adjustments are determined by program eligibility, advancement level, and organizational guidelines.

  • Assures appropriate traffic control in the operating room.
  • Initiates the incident reporting mechanisms when indicated.
  • Other duties as assigned.
  • Utilizes appropriate channels of communication when initiating change, reporting information or concerns.
  • Promotes and contributes positively to intra and interdepartmental relations.
  • Assists with the orientation of new employees and assumes unit responsibility when delegated by the nursing manager or director.
  • Performs specialized nursing care in all phases of the peri-operative role. Assists with pre-and postoperative assessment of the patient and updates preference cards as needed.
  • Performs surgical counts per policy and prepares operating room setup.
  • Recognizes abnormal diagnostic laboratory data, blood gas values, radiologic data, and knows the implied significance of each.
  • Recognizes emergency situations and reacts efficiently and appropriately.
  • Assures patients' right to privacy, safety, and confidentiality at all times.

Knowledge, Skills, and Abilities:

  • Computer proficiency [Required]
  • Perioperative Nursing [Required]
  • Demonstrated proficiency in acute care nursing, knowledge, and skills [Required]
  • Previous experience and working knowledge of computerized documentation [Required]
  • Ability to stand for long periods of time [Required]
  • Ability to consistently demonstrate clear communication skills and strong anticipatory skills [Required]
  • Manual dexterity, lifting, pulling, pushing of equipment, heavy instrument sets, and patients [Required]
  • Basic RN Nursing skills [Required]
  • Circulating skills [Required]
  • Scrub skills [Required]
  • Fluent in English language, speaking, reading, writing [Required]
  • Ability to prepare surgical suites with appropriate instruments, resources, and supplies based on surgeon preference cards [Required]
  • Knowledge of instruments, supplies, and equipment utilized for surgical procedures [Required]
  • Understanding of the procedures being performed and ability to anticipate the needs of the surgeon [Required]
  • Strong physician/surgeon relationship skills and team mentality [Required]
  • Up-to-date knowledge of applicable regulatory, compliance, and accreditation standards and requirements [Required]
  • Ability to communicate appropriately and effectively with patients and their family, hospital staff, nurses, physicians, and other health care professionals [Required]
  • Basic computer skills and knowledge of Microsoft Office [Required]
  • Demonstrates ability to communicate by reading, writing legibly, speaking, and comprehending English effectively to carry out job requirements [Required]
  • Cognitive, psychomotor, and affective behaviors that demonstrate accountability and responsibility for identifying and meeting the needs of peri-operative patients [Required]


Education:
Associate's of Nursing [Required]
Bachelor's of Nursing [Preferred]
Work Experience:
1+ of general nursing experience in an acute care setting. [Preferred]
2+ of nursing experience in the required specialty [Preferred]

2+ years circulating and/or scrub experience required in a multi-specialty setting.[Preferred]
Additional Information:
Additional licensure or certification requirements may apply depending on the specific unit or state in which this position is located. Please consult the relevant credential grid for detailed information regarding these requirements.
Licenses and Certifications:
Registered Nurse (RN) [Required]
Basic Life Support - CPR Cert (BLS) [Required]
Certified Nurse Operating Room (CNOR) [Preferred]
Certified Registered Nurse First Assist (CRNFA) [Preferred]

Pay Range:

$35.73 - $66.46

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.


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