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.

NOTE: Please login to view all of the content below. Not an AORN member? Join now!


AORN Memo of Support for RNFAs

RNFA Reimbursement Bill Language

RNFA Reimbursement Laws

Resources for Government Agencies

  • AORN's Position Statement on RN First Assistants (PDF)
  • AORN's Position Statement on Advanced Practice Registered Nurses in the Perioperative Environment (PDF)
  • AORN's Education Standards for RNFA Programs (PDF)