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Rn First Assistant Jobs (NOW HIRING)

HAN Staff

RN - First Assist

Chico, CA · On-site

$2.6K/mo

RN - First Assist Registered Nurse - Health Advocates Network is urgently hiring First Assist RNs with at least 1 year of recent experience! * Traveler Hrly Rate $66.68 Gross Wages $2,667.20 Traveler ...

Generis Tek Inc

Registered Nurse First Assist

Chico, CA · On-site

$85 - $90/hr

We have Contract role Registered Nurse First Assist (RNFA) for client at Chico, CA. Please let me know if you or any of your friends would be interested in this position. Position Details: Registered ...

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Rn First Assistant information

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$35.5K

$106.8K

$185K

How much do rn first assistant jobs pay per year?

As of Aug 13, 2026, the average yearly pay for rn first assistant in the United States is $106,806.00, according to ZipRecruiter salary data. Most workers in this role earn between $78,000.00 and $129,500.00 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.
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Rn First Assistant jobs near you
Infographic showing various Rn First Assistant job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 21% Part Time, and 4% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $106,806 per year, or $51.3 per hour.

RN - First Assistant (RNFA)

HCA Mission Hospital - Memorial Campus

Asheville, NC • On-site

$2.3K/wk

Other

Posted 5 days ago

Job description

Details
Client Name
HCA Mission Hospital - Memorial Campus
Job Type
Travel
Offering
Nursing
Profession
RN
Specialty
First Assistant (RNFA)
Job ID
37318142
Job Title
RN - First Assistant (RNFA)
Weekly Pay
$2360.0
Shift Details
Shift
4x10 Hour Day Shift
Scheduled Hours
40
Job Order Details
Start Date
06/15/2026
End Date
09/14/2026
Duration
13 Week(s)
Job Description
The RN First Assistant carries out functions that will assist the surgeon in performing a safe surgical procedure with optimum results for the patient. The RN First Assistant practices perioperative nursing, functions directly under the supervision of the surgeon during the surgical procedure, and does not function simultaneously as the scrub nurse.
Client Details
Address
509 Biltmore Avenue
City
Asheville
State
NC
Zip Code
28801

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