Registered Nurse First Assistant

Berkshire Medical Center
· BMC Operating Room

Hourly Pay Range: 45.2500 through 72.1200

Full Time , Shift 1 , 40 , 10

Week 1:
Mon, Tues, Weds, Fri

Week 2:
Mon, Tues, Weds, Fri

Week 3:
Mon, Tues, Weds, Fri

Week 4:
Mon, Tues, Weds, Fri

Nursing Alternate Shift: Evening

Monday - Friday

Posted 08/17/2026

The Registered Nurse First Assistant (RNFA) is a Registered Nurse with specialized education and documented competency in perioperative nursing practice consistent with the RNFA Standards of Practice established by the Association of peri Operative Nurses (AORN) through successful completion of a post-basic nursing education program whose intent is the preparation of registered nurses to practice as first assistants at surgery.

The Registered Nurse First Assistant (RNFA) is an integral member of the surgical team, providing advanced perioperative nursing care to patients. The RNFA collaborates with surgeons and other healthcare professionals to ensure optimal patient outcomes and demonstrates expertise in the first assistant role during surgery. In addition to primary RNFA responsibilities, this position requires the ability to function as a scrub or circulating nurse as needed, ensuring flexibility and comprehensive patient care throughout the surgical process.

While functioning in the RNFA role, the RN works under the direct supervision of the surgeon.

Two years of perioperative nursing experience required.

One year of med/surg nursing experience preferred.

Demonstrated competency in the scrub and circulating roles.

Graduate of an accredited school of nursing.

Successful completion of a Registered Nurse First Assistant (RNFA) education program that meets current professional standards and includes didactic and clinical components.

Bachelor's degree in Nursing (BSN) preferred. Associate Degree in Nursing (ADN) or diploma-prepared nurses who completed RNFA training and established practice as an RNFA prior to implementation of BSN-preferred standards will be considered qualified.

RN – Currently licensed as an RN in Massachusetts

(BLS) certification

ACLS within 6 months of hire

RNFAG
- National RNFA certification obtained within 3-years of hire, unless exempt due to grandfathered status.

Certified Registered Nurse First Assistant (CRNFA) through the Competency & Credentialing Institute (CCI) - Preferred.

Registered Nurse First Assistant Advanced Specialist (RNFA-AS).

Registered Nurse First Assistant-Certified (RNFA-C).

Registered Nurse Assistant at Surgery-Certified (RNAS-C).

Maintenance of all certifications and continuing education requirements applicable to RNFA practice and State regulations

Assures compliance with unit-specific scope of practice.

Must be able to speak the English language in an understandable manner.

Must possess sight/hearing senses or use prosthetics that will enable these senses to function adequately so the requirements of the position can be fully met.

Occasional weekend or evening shifts based on department needs.

Ability to perform effectively in stressful and emergency situations

Demonstrates knowledge of surgical anatomy, physiology, and pathophysiology.

Knowledge of operative techniques related to the procedures in which the RNFA assists.

Demonstrates the knowledge and skills necessary to provide services appropriate to the age of the customer being served.

Demonstrates knowledge and compliance with Joint Commission and National Patient Safety Goals (NPSG).

The minimum and maximum of the hourly pay range for this position is shown above. Actual rates of pay may vary based on a range of factors including but not limited to experience and qualifications. In addition to base pay, we offer a comprehensive benefits package that includes health and dental insurance, life and disability insurance, a competitive retirement plan contribution and a paid time off program.