A Registered Nurse First Assistant (RNFA) is a nursing professional who renders direct patient care as part of the preoperative role by functioning as first assistant to the surgeon, and who assesses, plans, implements, coordinates, monitors and evaluates patient care activities. Practices an expanded role of preoperative nursing and has acquired knowledge and skills and judgment necessary to assist the surgeon through organized instruction and supervised practice. Interprets diagnostic studies, promotes positive health behaviors and skills through education and counseling.
Skills for this role
surgical first assistingpreoperative nursingpatient assessment and care coordinationinterpreting diagnostic studiespatient education and counseling
Requirements
Graduate of an accredited school of nursing; Completion of an approved/accredited RNFA course, including the completion of the required internship hours; Two-five years experience in the operating room. Proficient in preoperative nursing practice as both scrub and circulating nurse with diversified operating room experience; Current Texas State RN license; CPR (American Heart Association); BLS; ACLS within 6 months of hire/transfer date; Certified as a preoperative nurse (CNOR) required
CHRISTUS Health is a faith-based, not-for-profit Catholic health system with operations in San Antonio, TX, and globally. Led by President and CEO Ernie Sadau, the system has earned the prestigious 'Great Place to Work' national certification in consecutive years, with…
3.4 Google rating
What reviewers appreciate
+Great Place to Work certified with 83% employee approval rating, 24 points above typical U.S. company
+Faith-based mission-driven culture with clear, well-communicated core values
+Consecutive-year Great Place to Work certification indicates sustained employee satisfaction
What reviewers flag
−Specific negative feedback from nurses was not captured in the provided research sources
−Faith-based Catholic culture may not align with all nursing professionals' personal preferences or work style expectations
−Job descriptions emphasize need to cope with and manage clinical contingencies, suggesting potentially demanding clinical environments
Benefits: Specific benefits package details were not provided in the available research sources. The organization's consecutive Great Place to Work certifications suggest a positive employee experience, but specific benefit offerings cannot be confirmed from the provided data.
Texarkana straddles the Texas–Arkansas border, giving nurses a twin-city feel with small-town warmth. Expect affordable living, broad Southern hospitality, and easy commutes. Outdoor options like nearby lakes and parks round out a laid-back lifestyle ideal for resetting after long shifts.