Registered Nurse First Assistant (RNFA)

Registered Nurse First Assistant (RNFA)The Registered Nurse First Assistant (RNFA) is a perioperative registered nurse who functions in an expanded role to work collaboratively with the surgeon and the surgical team. The RNFA provides first-assist services during surgical procedures, performs perioperative nursing responsibilities, and ensures high-quality patient care throughout the surgical experience.The RNFA practices under the RN scope of practice, Virginia Board of Nursing regulations, and facility policies, with documented RNFA training, competency, and surgeon delegation. This role integrates both circulating/scrub nursing responsibilities and technical first-assist duties.Job competencies include:First Assist ResponsibilitiesPerioperative RN ResponsibilitiesCommunication & CollaborationPatient Care & AdvocacyQuality, Safety & CompetencyQualifications:Graduate of an accredited School of Nursing requiredBachelor's Degree in Nursing requiredCompletion of an accredited RNFA program requiredMinimum two years of perioperative RN experience requiredExperience as an RNFA preferredCurrent RN license in the Commonwealth of VirginiaCertified Nurse Operating Room (CNOR) certification requiredRNFA certification or documented completion of RNFA program requiredAbility to independently scrub and first-assist across multiple specialtiesStrong critical thinking, assessment, and decision-making abilitiesExcellent communication, teamwork, and patient education skillsAbility to multitask, prioritize, and respond effectively in emergenciesPhysical Demand Code: Nursing 20A / Medical Tech 17AWork Function/Activity: Medium to Heavy Physical DemandConstant standing, frequent walking, bending/stoopingAbility to lift/push/pull up to 100 lbs. with assistance (Safe Handling Equipment required >35 lbs.)Requires strong visual, auditory, and verbal communication abilitiesFrequent repetitive motions and ability to maintain attention to detailMay require the use of safety equipment, such as HEPA mask, for infection prevention: YesOn call responsibilities as directed: YesAbility to travel between campus buildings, remote facilities, and out of town as needed: YesThe base compensation range for this role is $40.44- $66.96 hourly