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Rnfa Jobs in Texas (NOW HIRING)

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Rnfa information

See Texas salary details

$618

$2K

$3.5K

How much do rnfa jobs pay per week?

As of Sep 1, 2026, the average weekly pay for rnfa in Texas is $2,028.38, according to ZipRecruiter salary data. Most workers in this role earn between $1,550.00 and $2,275.00 per week, depending on experience, location, and employer.

What is an RNFA?

RNFA stands for Registered Nurse First Assistant. RNFAs are registered nurses who have received specialized training to assist surgeons during operations. They perform a variety of intraoperative duties such as handling tissues, controlling bleeding, suturing incisions, and providing direct surgical care under the supervision of a surgeon. RNFAs play a critical role in ensuring patient safety and supporting the surgical team throughout procedures.

What skills and qualifications are needed to be an RNFA?

To thrive as a Registered Nurse First Assistant (RNFA), you need advanced clinical knowledge, surgical expertise, a valid RN license, and completion of an accredited RNFA program. Familiarity with surgical instruments, intraoperative technologies, and maintaining certification such as CNOR are typically required. Strong communication, critical thinking, and teamwork skills help RNFAs coordinate effectively with surgeons and surgical teams. These competencies ensure patient safety, support optimal surgical outcomes, and facilitate efficient operating room dynamics.

What challenges do RNFAs face when integrating into surgical teams, and how can they overcome them?

Registered Nurse First Assistants (RNFAs) often encounter challenges such as adapting to diverse surgeon preferences, quickly building rapport with new team members, and maintaining clear communication in high-pressure operative environments. To overcome these challenges, RNFAs should prioritize continuous learning, seek feedback, and actively participate in preoperative briefings to understand each surgeon's expectations. Developing strong interpersonal skills and demonstrating flexibility can help RNFAs integrate smoothly and contribute effectively to positive surgical outcomes.

What is the difference between Rnfa vs Rnfa?

AspectRnfaRnfa
CredentialsRegistered Nurse First Assistant (RNFA) certification, nursing licenseRegistered Nurse First Assistant (RNFA) certification, nursing license
Work EnvironmentOperating rooms, surgical teamsOperating rooms, surgical teams
Industry UsageHospitals, surgical centersHospitals, surgical centers
Common Search IntentUnderstanding RNFA roles, certification requirementsUnderstanding RNFA roles, certification requirements

The comparison shows that Rnfa and Rnfa refer to the same role, with identical credentials, work environment, and industry usage. The main focus is on the RNFA certification and its role within surgical teams in healthcare settings.

Is becoming an RNFA worth it?

A Certified Registered Nurse First Assistant (RNFA) role involves assisting surgeons during procedures and requires additional certification after becoming a registered nurse. It can lead to higher earning potential and expanded responsibilities, but requires significant training and experience in perioperative nursing. The decision depends on career goals and interest in surgical assisting.

What are popular job titles related to Rnfa jobs in Texas?

For Rnfa jobs in Texas, the most frequently searched job titles are:

What cities in Texas are hiring for Rnfa jobs?

Cities in Texas with the most Rnfa job openings:

What are popular job titles related to Rnfa jobs in TX?

For Rnfa jobs in TX, the most frequently searched job titles are:

Infographic showing various Rnfa job openings in Texas as of August 2026, with employment types broken down into 1% Locum Tenens, 5% As Needed, 70% Full Time, 6% Part Time, and 18% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $105,476 per year, or $50.7 per hour.

Registered Nurse First Assistant (RNFA)

Boerne, TX


University Health

8.0

Company rating: 8.0 out of 10

Based on 64 frontline employees who took The Breakroom Quiz

88th of 896 rated healthcare providers

People enjoy working here

Good employer

Recommended by parents


$48 - $72/hr

Full-time

Re-posted 21 hours ago


Job description

POSITION SUMMARY/RESPONSIBILITIES

Serves as a team member of the Surgery Service Line by providing care in collaboration with the surgeon supervising surgeon. The RNFA practicing in the perioperative environment as a first assistant at surgery functions in an expanded perioperative Circulating RN role; must comply with all statutes, regulations, and institutional policies relevant to the RNFA who first assists at surgery; is required to acquire the knowledge and skills needed to provide safe, competent surgical first assistant services by completing a program that covers the content of the AORN Standards for RN First Assistant Education Programs; acquiring the necessary knowledge, judgment, and skills, to the expanded role of RNFA clinical practice; intraoperatively practices at the direction of the surgeon providing surgical site exposure, handling and/or cutting tissue, providing hemostasis, suturing, and wound management. Does not concurrently function as a scrub tech or circulator. Represents the OR and exemplifies their inter-professional decorum by working synergistically with all members of the team. When not needed as an RNFA, they will be utilized in the Circulating role. Supports and maintains University Health mission, vision, and values.

EDUCATION

             Must have a baccalaureate degree, with the exception that the RNFA practicing prior to January 1, 2020, may continue to practice at his or her existing level of education

LICENSURE/CERTIFICATION

            Must be currently licensed as a Registered Nurse in Texas. Must maintain ACLS and certification in perioperative nursing (CNOR). Must have successfully completed an RNFA program that meets the “AORN standards for RN first assistant education programs and compliance with all applicable statutes, regulations, and institutional policies relevant to RNFAs.. Continued Competency the RNFA demonstrates behaviors that progress on a continuum from basic competency to excellence, maintains CNOR status, and is encouraged to achieve and maintain CRNFA certification when eligibility requirements have been met.


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