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Registered Nurse First Assistant

The registered nurse first assistant (RNFA) is a perioperative registered nurse who functions in an expanded role, working in collaboration with the surgeon and health care team members to achieve optimal patient outcomes. Intraoperatively, the RNFA practices at the direction of the surgeon and does not concurrently function as a scrub nurse.


Initiatives directed at achieving reimbursement for first assistant services provided by RNFAs are essential to establish recognition of the RNFA as an eligible provider of first assistant at surgery services within the health care industry. A number of states provide for third party reimbursement for RNFAs.

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Contact Government Affairs to learn more about RNFA laws and initiatives in your state.

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