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Rn First Assistant information

See Warren, MI salary details

$33.3K

$100.3K

$173.8K

How much do rn first assistant jobs pay per year?

As of Aug 17, 2026, the average yearly pay for rn first assistant in Warren, MI is $100,316.00, according to ZipRecruiter salary data. Most workers in this role earn between $73,300.00 and $121,600.00 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 Warren, MI?

For Rn First Assistant jobs in Warren, MI, the most frequently searched job titles are:

What job categories do people searching Rn First Assistant jobs in Warren, MI look for?

The top searched job categories for Rn First Assistant jobs in Warren, MI are:

What cities near Warren, MI are hiring for Rn First Assistant jobs?

Cities near Warren, MI with the most Rn First Assistant job openings:

Rn First Assistant jobs near you
Infographic showing various Rn First Assistant job openings in Warren, MI as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 19% Part Time, 4% Contract, and 2% Nights. Highlights an 85% Physical, 1% Hybrid, and 14% Remote job distribution, with an average salary of $100,316 per year, or $48.2 per hour.

Certified Registered Nurse First Assistant Full Time Days

DMC Huron Valley-Sinai Hospital

Commerce, MI • On-site

Full-time

Re-posted 12 days ago

Job description

DMC Huron Valley-Sinai Hospital in Oakland County is committed to outstanding customer service and medical care. This hospital features the Harris Birthing Center with all private birthing suites, the Charach Cancer Treatment Center (affiliated with the Barbara Ann Karmanos Cancer Center), cardiac services, and comprehensive inpatient and outpatient diagnostic care. For emergency services, obstetrics and ambulatory surgery, Huron Valley-Sinai consistently ranks among the top hospitals in the nation.
JOB DESCRIPTION
Under the general direction of the Director of Surgical Services and the supervising physician, provides direct patient care for patients undergoing surgery. Functioning in an expanded Perioperative role acts as a first or second assistant during surgical procedures under the supervision of the surgeon. Other direct care responsibilities include planning of patient care based on nursing process and collaboration with health care team members to ensure optimum delivery of quality patient care. May be required to function in a staff nurse capacity.
Qualifications:
MINIMUM QUALIFICATIONS
  • Graduation from an accredited school of nursing.
  • BSN preferred.
  • Licensed to practice as a Registered Nurse (RN) in the state of Michigan.
  • Successful completion of RN First Assist course using curriculum of AORN.
  • Certification as a RN First Assistant (CRNFA) unless participating in AORN approved internship. Certification required within three years of starting internship.
  • Two or more years of recent scrub/circulator experience in a hospital OR setting.
  • Basic Life Support (BLS)
  • ACLS preferred

    • Apply