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Rn Surgical First Assistant Jobs (NOW HIRING)

Methodist Hospital Metropolitan

First Assist

Cibolo, TX · On-site

This is done in collaboration with the circulating RN and other perioperative/OB team members. The Surgical First Assistant is educated and skilled in both the use of surgical instruments on tissues ...

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Rn Surgical First Assistant information

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$13

$27

$62

How much do rn surgical first assistant jobs pay per hour?

As of Aug 12, 2026, the average hourly pay for rn surgical first assistant in the United States is $27.46, according to ZipRecruiter salary data. Most workers in this role earn between $18.51 and $30.05 per hour, depending on experience, location, and employer.

What is the difference between Rn Surgical First Assistant vs Surgical Technologist?

AspectRn Surgical First AssistantSurgical Technologist
CredentialsRN license, Surgical First Assistant certificationPost-secondary education, Surgical Technologist certification
Work EnvironmentHospitals, surgical centers, assisting during surgeriesOperating rooms, preparing surgical instruments, assisting surgical team
Employer & Industry UsageHospitals, surgical clinics, healthcare facilitiesHospitals, outpatient surgical centers, clinics

The main difference is that Rn Surgical First Assistants are licensed registered nurses with specialized certification, actively assisting surgeons during procedures. Surgical Technologists support the surgical team by preparing instruments and maintaining sterile environments but do not perform direct patient care or assist during surgery at the same level. Both roles are vital in surgical settings but differ in scope, credentials, and responsibilities.

What are some common challenges faced by RN Surgical First Assistants during surgical procedures?

RN Surgical First Assistants often encounter challenges such as adapting to rapidly changing situations in the operating room, maintaining precise communication with surgeons and the surgical team, and managing unexpected complications during procedures. Balancing the technical demands of assisting with instruments and maintaining patient safety protocols can be intense, especially in high-acuity or emergency cases. However, strong teamwork and ongoing learning opportunities help RN First Assistants develop resilience and expertise in overcoming these challenges.

Is it worth it to become an RN Surgical First Assistant?

Becoming an RN Surgical First Assistant can be a valuable career step for registered nurses interested in surgical support, as it offers specialized skills, increased responsibilities, and higher earning potential. It typically requires additional training, certification, and experience in the operating room environment, making it a worthwhile option for those seeking advanced roles in surgical settings.

What is an RN Surgical First Assistant?

An RN Surgical First Assistant is a registered nurse who has received specialized education and training to assist surgeons during operative procedures. Their role includes tasks such as handling tissue, using instruments, providing exposure at the surgical site, controlling bleeding, and suturing incisions. They collaborate closely with surgeons and the surgical team to ensure patient safety and optimal outcomes. RN Surgical First Assistants are essential in both routine and complex surgeries, and their responsibilities go beyond those of a typical operating room nurse.

What are the key skills and qualifications needed to thrive as an RN Surgical First Assistant, and why are they important?

To thrive as an RN Surgical First Assistant, you need advanced knowledge of surgical procedures, anatomy, and patient care, along with an active RN license and completion of a recognized RNFA program. Familiarity with operating room equipment, surgical instruments, and sterile technique is essential, and certification such as CNOR or CRNFA is highly valued. Strong teamwork, attention to detail, and effective communication enable seamless collaboration with surgeons and surgical teams. These skills ensure patient safety, reduce surgical complications, and contribute to efficient, successful operations.
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What cities are hiring for Rn Surgical First Assistant jobs? Cities with the most Rn Surgical First Assistant job openings:
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Rn Surgical First Assistant jobs near you
Infographic showing various Rn Surgical 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 $57,122 per year, or $27.5 per hour.

Senior Cardiac Surgery First Assist: Registered Nurse First Assistant (RNFA)

University of Maryland Medical System

Baltimore, MD • On-site

$607K/yr

Full-time

Re-posted 15 days ago

Job description

Job Requirements
Join One of the Nation's Premier Cardiac Surgery Programs
The University of Maryland Medical Center (UMMC) is seeking an experienced Acute Care Nurse Practitioner, Physician Assistant, or RN First Assist with vein harvesting experience to join our nationally recognized Cardiac Surgery Team.
This is an exceptional opportunity to work alongside world-class cardiothoracic surgeons in a high-acuity academic medical center known for innovation, collaboration, and outstanding patient outcomes. As a Cardiac Surgery First Assist, you will play a critical role in complex cardiac procedures while contributing to exceptional perioperative patient care.
About the University of Maryland Medical Center
The University of Maryland Medical Center, the flagship academic hospital of the University of Maryland Medical System (UMMS), is a nationally respected teaching hospital committed to advancing medicine through patient care, education, and research.
In partnership with the University of Maryland School of Medicine, UMMC provides leading-edge care while training the next generation of healthcare professionals. Our collaborative culture, advanced technology, and commitment to innovation make UMMC one of the region's premier destinations for healthcare professionals seeking to grow their careers.
Position Highlights
Working under the direction of an attending Cardiothoracic Surgeon, you will:
  • First assist during complex cardiac surgical procedures
  • Perform endoscopic and open saphenous vein harvesting for coronary artery bypass grafting
  • Perform radial artery harvesting and vessel preparation
  • Assist with tissue handling, hemostasis, suturing, chest tube placement, and surgical wound closure
  • Participate in preoperative planning and postoperative patient management
  • Round on cardiac surgery patients to monitor recovery and clinical progress
  • Collaborate with surgeons, anesthesia providers, nursing staff, perfusionists, and other multidisciplinary team members
  • Participate in emergency and on-call cardiac surgery coverage
  • Support education of students, staff, and surgical trainees
  • Contribute to quality improvement and research initiatives within the Cardiac Surgery program

Qualifications
Required
  • Vein harvesting experience is required
  • Current licensure as one of the following:
  • Acute Care Nurse Practitioner
  • Physician Assistant
  • Registered Nurse First Assist (RNFA)
  • Current Maryland licensure (or eligibility)
  • BLS certification
  • Minimum 5 years of surgical first assist experience
Preferred
  • Previous experience in a high-volume cardiac surgery program
  • Endoscopic vein harvesting experience
  • Strong communication and teamwork skills
  • Commitment to excellence in patient care

Why Join UMMC?
  • Work with nationally recognized cardiothoracic surgeons
  • Practice in a leading academic medical center
  • Be part of a collaborative, multidisciplinary team
  • Access ongoing professional development and educational opportunities
  • Competitive compensation and comprehensive benefits
  • Opportunity to participate in research, innovation, and quality improvement initiatives

If you're an experienced surgical first assist looking to advance your career in cardiovascular surgery, we'd love to hear from you.
Apply today and become part of a team that's redefining cardiac care in Maryland and beyond.
The University of Maryland Medical System is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status, or any other characteristic

Apply