Association of periOperative Registered Nurses

New Hampshire  Government Affairs

State Coordinator

Jodi Lee
(603) 558-1779

Regional Coordinator

Carmen Sierra

RN Circulator Laws and Language

Hospital: None
ASC: None

Registered Nurse First Assistants (RNFAs)

Reimbursement:  None
Definition:  New Hampshire Board of Nursing, Frequently Asked Questions What is an RN First Assistant (RNFA)? The RNFA is a licensed RN who has acquired the necessary qualifications including the knowledge, skills and judgments necessary to serve in this capacity. The RNFA practices in collaboration with, and as directed by the surgeon during the intraoperative phase of the perioperative experience.
Scope:  New Hampshire Board of Nursing, Frequently Asked Questions Question: What is the Scope of Practice of an RNFA? Answer: The decision by a RN to practice as an RNFA must be voluntary and deliberated with an understanding of the professional accountability the role entails. The intraoperative nursing behaviors of the RNFA may include: handling tissue, providing exposure, using instruments, suturing, and providing hemostasis. Note: An RNFA should not concurrently function as a scrub nurse.

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