The Association has also defined the RN First Assistant’s scope of practice. Certification as a CNOR or APRN is also required.2 And, by January 1, 2020, the Association of peri-Operative Registered Nurses will require that the educational level for entry into an RNFA program, and subsequent practice, be the baccalaureate degree.3 You must complete an educational, formal post-basic nursing course that is approved by the state board of nursing, whether through a private entity or through an approved course in an accredited college or university. RN First Assistants do not function as a scrub nurse nor the “instrument nurse” at the same time they perform in the role of RNFA.1Īs you have probably heard, you cannot just “declare” yourself an RN First Assistant. The RNFA practices at the direction of the surgeon. ![]() ![]() RN First Assistants function in an expanded role and work in collaboration with the surgeon and other Perioperative health team members. You may have been practicing in the Perioperative nursing area for some time and have decided to take on a “new” role, that of RN First Assistant.
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