Summary

Registered nurses practicing as first assistants in surgery are functioning in an expanded perioperative nursing role.
First assisting behaviors include certain delegated medical functions that can be assumed by the RN who is qualified to practice as an RNFA.

Responsibilities

Registered nurse first assistant behaviors in the perioperative arena include, but are not limited to:

• Preoperative patient management in collaboration with other health care providers.
• Intraoperative performance of surgical first assistant techniques.
• Postoperative patient management in collaboration with other health care providers in the immediate postoperative period and beyond.
• Functions intraoperatively as a first assistant at surgery only and not concurrently as a scrub person or circulator.

Education

Required: Diploma or ADN required. Successful completion of an RNFA program that meets the AORN standards for RN first assistant education programs.
Preferred: BSN.

Experience

Required: 1 year assisting experience
Preferred: 3 years circulating experience

Certifications

Required: RN, BLS, ACLS, PALS and CNOR. Must have CRNFA credential

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