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.