Registered Nurse First Assistant (RNFA) - ACC Irvine Operating Room - Full Time, Days - 67001-1A

Updated: Apr 25, 2024
Location: Irvine
Job Type:
Department: ACC ‐ Irvine Operating Room


Position Number: 41059682

Reports to: Nurse Services Manager 2

Working Title: RN First Assistant

Cost Center: ACC  Irvine Operating Room (427044) 

Bargaining Unit: CNA

FLSA: Nonexempt

Date Created: 3/28/2024

Job Code: 009137

Hours: 36

Shift: Not Applicable

FTE: 0.9



Position Summary: 

The RN First Assistant (RFNA) functions in an expanded perioperative nursing role that works collaboratively with the surgeon and other health care team members to achieve optimal patient outcomes.  The RNFA adheres to standardized procedures, directly assist under the surgeon’s direction, and may provide advanced assistance and further refinements of perioperative nursing practice requiring delegated medical functions having completed the advanced training, education, skills, judgment, and RFNA certification.   Provides comprehensive care and nursing management and is responsible for the delivery of safe, effective, and quality patient-family centered care through the continuum of perioperative care. Functions as a RNFA during operative and other invasive procedures as defined by the privileges that have been granted. This includes preoperative assessment, intraoperative performance of surgical first assistant techniques, and postoperative patient management of surgical patients in collaboration with the healthcare team members. Coordinates the overall care of patient between surgeon, anesthesiologist, and room staff. Participates in. Does not perform the function of scrub nurse while functioning as the RNFA.  Maintains practice in accordance with organizational standards, scope of practice, credentials, privileges, experience, education, and competency verification.



Total Compensation

In addition to the salary range listed below, we offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our: 

Compensation practices ( and 

Benefits ( 


Salary Range: 

Hourly Rate Minimum   $66.01                  Midpoint    $78.31               Maximum $90.61



Required Qualifications:

Ability to establish and maintain effective working relationships across the Health System

Bachelor of Science in Nursing

Must possess the skill, knowledge and abilities essential to the successful performance of assigned duties

Ability to maintain a work pace appropriate to the workload

Ability to work variable shifts including evenings, nights, weekends, and holidays

Successful completion of an RNFA program that meets the “AORN standards for RN first assistant education programs” with continued maintenance of the certification

Minimum two (2) years diversified clinical experience as a perioperative registered nurse

Minimum one (1) year experience as a Registered Nurse First Assistant (RFNA)

Strong ability to read, write, and verbally communicate effectively in English

Knowledge of surgical anatomy, physiology, and operative techniques relative to operative procedures

Demonstrated ability and experience in identifying and meeting the needs of perioperative patients

Demonstrated cognitive, psychomotor, and skills and ability for accountability and responsibility for identifying and meeting the needs of perioperative patients

Demonstrated organization, critical and rational thinking, multitasking and ability to synthesize information and think through issues, directions and objectives calmly and logically

Demonstrated ability to determine appropriate course of action in complex situations

Demonstrated ability to work effectively in a high-stress, fast-paced environment

Demonstrated ability to function independently as a RN in the operating room as needed

Required to work under Standardized Procedures for medical functions and be approved by the IDP and Credentials Committees

Current unrestricted Registered Nurse licensure in the State of California

Prior to assisting with robotic surgery, completion of the da Vinci ® system didactic and practical skills training session covering the robotic system components and its proper use is required

Demonstrated excellent customer service skills


Licenses and Certifications:

Advanced Cardiac Life Support(Required)

Basic Life Support(Required)


Preferred Qualifications: 

Bilingual skills to communicate effectively with patients and families

Master's Degree in Nursing or related field

Current Certified Operating Room/Peri-operative Nursing (CNOR) accredited certification



Conditions of Employment:

The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment:

  • Background Check and Live Scan
  • Legal Right to Work in the United States
  • Vaccination Policies
  • Smoking and Tobacco Policy
  • Drug Free Environment

The following additional conditions may apply, some of which are dependent upon business unit or job specific requirements.

  • California Child Abuse and Neglect Reporting Act
  • E-Verify
  • Pre-Placement Health Evaluation

Details of each policy may be reviewed by visiting the following page: 

Closing Statement:

The University of California, Irvine is an Equal Opportunity/Affirmative Action Employer advancing inclusive excellence. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC nondiscrimination policy.

We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable and welcoming. 

UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact UCI’s Employee Experience Center (EEC) at [email protected] or at (949) 824-0500, Monday – Friday from 8:30 a.m. – 5:00 p.m.


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