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

RN First Assistant

Spokane, WA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Shift Details: Full-time, Day shift, 40 hours a week The Registered Nurse First Assistant (RNFA) is a registered nurse with specialized education. The development of specific technical skills enables ...

RN First Assistant

Spokane, WA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Shift Details: Full-time, Day shift, 40 hours a week The Registered Nurse First Assistant (RNFA) is a registered nurse with specialized education. The development of specific technical skills enables ...

The Surgical First Assistant works closely with the surgeon to facilitate the procedure and process of surgery. Requirements: * Current Registered Nurse license in Washington State or Multistate ...

Travel Nurse RN - Labor and Delivery

Spokane, WA · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

You'll monitor mother and baby before, during, and after birth and assist throughout the process ... Labor & Delivery About Trustaff Our nurse-first attitude has set us apart from other travel nursing ...

Travel Nurse RN - Labor and Delivery

Spokane, WA · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

You'll monitor mother and baby before, during, and after birth and assist throughout the process ... Labor & Delivery About Trustaff Our nurse-first attitude has set us apart from other travel nursing ...

Travel Nurse RN - Labor and Delivery

Spokane, WA · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

You'll monitor mother and baby before, during, and after birth and assist throughout the process ... Labor & Delivery About Trustaff Our nurse-first attitude has set us apart from other travel nursing ...

Travel Nurse RN - Labor and Delivery

Spokane, WA · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

You'll monitor mother and baby before, during, and after birth and assist throughout the process ... Labor & Delivery About Trustaff Our nurse-first attitude has set us apart from other travel nursing ...

Travel Nurse RN - Labor and Delivery

Spokane, WA · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

You'll monitor mother and baby before, during, and after birth and assist throughout the process ... Labor & Delivery About Trustaff Our nurse-first attitude has set us apart from other travel nursing ...

Travel Nurse RN - Labor and Delivery

Spokane, WA · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

You'll monitor mother and baby before, during, and after birth and assist throughout the process ... Labor & Delivery About Trustaff Our nurse-first attitude has set us apart from other travel nursing ...

Travel Nurse RN - Labor and Delivery

Spokane, WA · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

You'll monitor mother and baby before, during, and after birth and assist throughout the process ... Labor & Delivery About Trustaff Our nurse-first attitude has set us apart from other travel nursing ...

Travel Nurse RN - Labor and Delivery

Spokane, WA · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

Trustaff is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Spokane ... No Fee About Trustaff Our nurse-first attitude has set us apart from other travel nursing agencies ...

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Showing results 1-20

Rn First Assistant information

See Spokane, WA salary details

$35.9K

$108K

$187.1K

How much do rn first assistant jobs pay per year?

As of Aug 17, 2026, the average yearly pay for rn first assistant in Spokane, WA is $108,005.00, according to ZipRecruiter salary data. Most workers in this role earn between $78,900.00 and $131,000.00 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 Spokane, WA?

For Rn First Assistant jobs in Spokane, WA, the most frequently searched job titles are:

What job categories do people searching Rn First Assistant jobs in Spokane, WA look for?

The top searched job categories for Rn First Assistant jobs in Spokane, WA are:

What cities near Spokane, WA are hiring for Rn First Assistant jobs?

Cities near Spokane, WA with the most Rn First Assistant job openings:

Infographic showing various Rn First Assistant job openings in Spokane, WA as of August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 20% Part Time, and 4% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $108,005 per year, or $51.9 per hour.

RN First Assistant

Providence Service

Spokane, WA • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 5 days ago


Modivcare rating

6.6

Company rating: 6.6 out of 10

Based on 47 frontline employees who took The Breakroom Quiz

569th of 887 rated healthcare providers


Job description

Description

Hiring Bonus: $15,000 Sign-On Bonus for eligible rehires and external hires that meet required qualifications and conditions for payment.

Shift Details: Full-time, Day shift, 40 hours a week

The Registered Nurse First Assistant (RNFA) is a registered nurse with specialized education. The development of specific technical skills enables the RNFA to assist the surgeon with specific intraoperative procedures that are beyond the scope of practice for registered nurses without RNFA education and training. This RNFA role is responsible for first assisting on surgical procedures and coordinating all aspects of such. This includes coordinating scheduling, education of clinical staff, ensuring availability and care of instruments and equipment, and participating in research efforts. The RNFA is directly supervised by the surgeon and performs functions specifically identified and consistent with training received. The RNFA functions interdependently, and collaboratively, with the surgeon and applies knowledge, skill, and judgment necessary to assist the surgeon in performing a safe operation that yields optimal results for the patient.

Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Holy Family Hospital and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Required Qualifications:

  • Associate's Degree in Nursing

  • Coursework/Training: Graduation from a recognized RNFA program is required within 1 year of starting in position. Must be enrolled in an eligible program upon hire into role

  • Upon hire: Washington Registered Nurse License

  • Upon hire: National Provider BLS - American Heart Association

  • Upon hire: National Provider ACLS - American Heart Association

  • Upon hire: National Provider PALS - American Heart Association

  • Upon hire: Certified Perioperative Nurse (CNOR)

  • 3 years experience and expertise in perioperative nursing including scrubbing and circulating.

Preferred Qualifications:

  • Bachelor's Degree in Nursing

  • RNFA experience.

Why Join Providence?

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

About Providence

At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.

Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

About the Team

Providence has been serving the Inland Northwest since 1886 when Mother Joseph and the Sisters of Providence founded Sacred Heart Medical Center. Today, Providence is the largest health care provider in Washington located in communities large and small across the state. In eastern Washington, Providence provides care throughout Spokane, Stevens and Walla Walla counties.

Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care. Our not-for-profit network also provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care.

Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

For any concerns with this posting relating to the posting requirements in RCW 49.58.110(1), please click here where you can access an email link to submit your concern.

Requsition ID: 450843
Company: Providence Jobs
Job Category: Nursing-Patient Facing
Job Function: Nursing
Job Schedule: Full time
Job Shift: Day
Career Track: Nursing
Department: 3043 SURG GEN 1ST FLR
Address: WA Spokane 5633 N Lidgerwood
Work Location: Holy Family Hospital-Spokane
Workplace Type: On-site
Pay Range: $50.20 - $77.94
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.


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