First Assisting (RNFA)

The Registered Nurse First Assistant (RNFA) is a perioperative registered nurse who functions in an expanded role or an Advanced Practice Registered Nurse (APRN). functioning as a first assistant. The RNFA role is recognized within the scope of nursing practice by the nurse practice acts in all 50 states.

Need a definition of the role? 

Want to become an RNFA? 

• Complete an education program that meets AORN’S Education Standards for RNFA Programs.
• Locate an RNFA program. 
• Contact the AORN Government Affairs or your state board of nursing for rules and regulations defining RNFA behaviors and reimbursement language.

Need more information?

• RNFA certification  
• networking opportunities  
• RNFA-related articles  
• AORN Journal articles  
• clinical practice consultation  
• current laws and advocacy initiatives  
• cases requiring a first assistant  

Resources for RNFA educators

• AORN education standards for RNFA programs  
• Core curriculum for the RN first assistant
• additional teaching tools  

Resources for governing bodies 

• AORN’s position statement on RN first assistants   
• AORN’S education standards for RNFA programs  

Cannot find your answer

• Consult with the AORN Staff at 800-755-2676