Registered Nurse First Assistant (RNFA)
St. Vincent Medical Center 25 reviews - Los Angeles, CA

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Registered Nurse First Assistant (RNFA)

Surgery and Recovery



6am - 2:30pm / DIV/ CB/ MSTR/ IND123

Contact Information:


Job Details:
- FIRE/SAFETY CARD (must be presented within 30 days from DOH)
- 1-3 years of experience

The Registered Nurse First Assistant (RNFA) is a licensed professional who renders direct patient care as a function of the Perioperative RN role by functioning as a surgical first assistant to the surgeon. The RNFA practices in an expanded role of perioperative nursing and has acquired knowledge, skills, and judgment necessary to assist the surgeon through organized instruction and supervised practice. The RNFA practices under the supervision of the surgeon in the Operating Room. The RNFA functions as a perioperative Registered Nurse (RN) in both scrub and circulating roles when required by department staffing needs and in accordance with department and hospital policies. The RNFA prioritizes patient needs, coordinates patient care, and collaborates with other members of the care team.


A current, active, and unrestricted California state RN license.

Bachelor’s of Science in Nursing from an accredited BSN program is required, MSN is desirable.

Graduate of an Association of Operating Room Nurses (AORN) approved RNFA instructional course following Standards of RN First Assistant Education Programs.

CRNFA current certification or eligible and obtains certification within 1 year of employment is required and must be maintained during tenure at SVMC.

Certified Nurse Operating Room (CNOR) is required.

Approved credentialing through SVMC Medical Staff office is required as an Allied Health category RNFA. A case log minimum of 500 assisting hours is submitted and reviewed/approved to meet criteria for application.

A board certified (through Board of Registered Nurses, American Association of Nurse Practitioners or American Nurses Credentialing Center) or board eligible advanced practice registered nurse (Nurse Practitioner or Certified Nurse Specialist) with equivalent perioperative nurse and/or RNFA experience with validation of aseptic techniques, scrubbing, gowning, gloving and surgical assisting skill set, etc. who meets the same educational and certification requirements is eligible to be hired into the position.

Supervising physician agreements are required to be on file in Medical Staff office.

Current BCLS and ACLS certification is required (American Heart Association)

L A City Fire Card within 30 days of employment.


A minimum of two years current and recent perioperative experience in the scrub, circulating, and RNFA roles in a variety of surgical specialties, including endoscopic, orthopedic, general, and vascular procedures. Must demonstrate technical competence, professional clinical judgment, communication skills and sensitivity for the patient and family. Must be able to interact professionally and effectively with physicians, staff, patients, and all customers. Must have the ability to organize and prioritize work efficiently, work in a demanding environment while remaining calm and focused and using effective communication verbally and in writing. Actively participates in procedural preparation, transport, positioning, draping, universal protocol, set up and break-down of surgical procedures before, during, and after cases with the assigned team members. Serves as a nursing role model in collaboration with department leadership and offers and participates in learning opportunities to raise and maintain levels of excellence in nursing standards in the perioperative settings. Acts as preceptor for newly hired and/or student staff in training. Meets all position specific competencies of the RNFA role

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25 reviews