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Rnfa Rn information

What is an RNFA RN?

RNFA RNs, or Registered Nurse First Assistants, are registered nurses who have completed additional education and training to assist surgeons during surgical procedures. They provide direct care by helping with procedures such as suturing, controlling bleeding, and handling tissues. RNFAs work closely with surgeons, anesthesiologists, and operating room staff to ensure patient safety and positive surgical outcomes. This advanced nursing role requires both RN licensure and specialized certification in first assisting.

What are the key skills and qualifications needed to thrive as an RNFA RN?

To thrive as an RNFA (Registered Nurse First Assistant), you need advanced knowledge of perioperative nursing, surgical procedures, and must hold an active RN license along with completion of an accredited RNFA program. Familiarity with surgical instruments, sterile technique, and electronic health record (EHR) systems is essential, and many roles require CNOR certification. Strong communication, critical thinking, and teamwork skills help RNFAs collaborate effectively with surgeons and the operating room team. These skills and qualifications are vital for ensuring patient safety, supporting optimal surgical outcomes, and maintaining efficient operating room workflows.

What are the typical challenges RNFA RNs face when assisting in surgical procedures, and how can they successfully overcome them?

RNFA RNs often encounter challenges such as adapting to different surgeons' preferences, managing complex or unexpected intraoperative events, and maintaining clear communication under pressure. Success in this role relies on strong technical skills, the ability to anticipate the surgical team's needs, and staying organized in a fast-paced environment. Building solid relationships with surgeons and team members, seeking continuous education, and participating in debriefings can help RNFA RNs navigate these challenges effectively and contribute to optimal patient outcomes.
Rnfa Rn jobs near you

Registered Nurse First Assistant (RNFA)

Cleveland, MS • On-site

ScionHealth
Health Care and Social Assistance • 10K+ employees
Learn more about ScionHealthexternal

Full-time

Re-posted 10 days ago

ScionHealth rating

5.6

Company rating: 5.6 out of 10

Based on 49 frontline employees who took The Breakroom Quiz

Job description

Sign On Bonus Eligible: $12,500
Full-time Day Surgery
Start your next chapter at Bolivar Medical Center, a 164-bed hospital serving Cleveland, MS, and part of the ScionHealth community hospital network. Bolivar Medical Center is a Joint Commission accredited hospital that provides inpatient, outpatient, and emergency department services and also offers a long-term care unit. At Bolivar, you will deliver vital care in a community setting with the backing of a highly regarded hospital system committed to quality, safety, and local impact.
Job Summary
The RN-First Assistant (RNFA) is a perioperative nurse who functions in an expanded role to provide direct surgical assistance to the operating surgeon. This role includes preoperative patient assessment, intraoperative surgical assistance, and postoperative care in alignment with nursing standards and surgical protocols. The RNFA works collaboratively with surgeons, anesthesia providers, and OR staff to ensure optimal surgical outcomes and patient safety.
Essential Functions
  • Performs first assist duties under the direction of the operating surgeon, including tissue retraction, hemostasis, cutting and suturing, and wound closure
  • Participates in preoperative assessment and preparation, including patient positioning and site marking
  • Maintains sterile field and ensures proper handling of surgical instruments and equipment
  • Monitors patient condition and surgical environment throughout the procedure
  • Provides postoperative care and assists with recovery, transfer, or discharge as appropriate
  • Documents intraoperative activities, patient responses, and outcomes in accordance with policy
  • Participates in circulating and scrub nurse roles when not assigned to RNFA duties
  • Collaborates with surgical team on scheduling, preparation, and procedure coordination
  • Maintains competency through documentation of clinical cases and continuing education
  • Supports patient education and advocates for safety, dignity, and confidentiality
  • Participates in performance improvement and quality initiatives within the surgical department

Knowledge/Skills/Abilities/Expectations
  • In-depth knowledge of surgical anatomy, procedures, and aseptic technique
  • Advanced clinical decision-making and problem-solving skills
  • Ability to adapt to high-acuity, emergent situations with composure
  • Strong communication and interpersonal skills to work effectively with multidisciplinary teams
  • Skilled in wound closure, suturing, and use of surgical tools
  • Demonstrates flexibility and commitment to patient-centered care
  • Physically capable of extended standing, lifting, and movement in the surgical suite

Qualifications
Education
  • Postsecondary (Cert/Diploma/Program Grad) from an accredited school of nursing (Required)
  • Postsecondary (Cert/Diploma/Program Grad) completion of an accredited RNFA program (Required)
  • Bachelor's Degree in nursing or related field (Preferred)

Licenses/Certifications
  • Current and valid Registered Nurse (RN) license in the state of practice
  • CNOR certification, required. Basic Life Support (BLS), required
  • Advanced Cardiovascular Life Support (ACLS), preferred
  • Must meet credentialing requirements for allied health privileges

Experience
  • Minimum of 3 years of perioperative nursing experience required

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