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  3. Registered Nurse First Assistant - McLean ASC
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Registered Nurse First Assistant - McLean ASC

Inova Surgery Center·Mclean, Virginia

Unknown·On Site·2-5 yrs·Posted 3 months ago
Practice for this role

About the role

The RNFA collaborates with surgeons to provide intraoperative support, including tissue retraction, suturing, and maintaining a sterile field. They also manage preoperative and postoperative patient care, ensuring safety and compliance with accreditation standards.

The Registered Nurse First Assistant (RNFA) is a key member of the surgical team, collaborating with surgeons and healthcare staff to provide safe, efficient, and high-quality patient care.

The role involves assisting the surgeon during operative procedures, ensuring optimal patient outcomes while maintaining compliance with regulatory and safety standards in a fast-paced outpatient environment.

Ability to work in a fast-paced ASC setting with an emphasis on patient safety and efficiency.

Requires physical stamina for standing, bending, and assisting during procedures.

The RNFA will assume circulating or scrub role duties when there are no procedures requiring first assistance, including other duties as assigned.

Duties: & Responsibilities:

  • Intraoperative Support
  • Assist the surgeon during operative procedures, including retracting tissues, providing exposure, suturing, and maintaining hemostasis
  • Anticipate surgeon needs and ensure appropriate instruments, supplies, and equipment are available and functional
  • Assists in the preparation of the procedure room for patient care, including room turnover, opening and organizing supplies, and maintaining a ready clinical environment
  • Collaborate with the surgical team to maintain a sterile field and adhere to infection control standards
  • Responsible for administering medications under the direction of the surgeon
  • Preoperative and Postoperative Duties
  • Assist in patient positioning and preparation for surgery, ensuring safety and comfort
  • Participate in surgical site preparation and draping
  • Provide postoperative care support, including wound care and patient transfer, as needed
  • Collaboration and Communication
  • Work closely with surgeons, OR nurses, and other team members to ensure seamless surgical procedures
  • Communicate effectively to address procedural needs and resolve issues promptly
  • Education and Professional Development
  • Stay current with best practices, techniques, and equipment through continuing education
  • Maintain documentation of cases and hours for certification and regulatory compliance
  • Safety and Compliance
  • Adhere to all ASC policies, procedures, and AAAHC accreditation standards
  • Monitor and maintain patient safety throughout all phases of the surgical process
  • Must meet and consistently maintain all required credentialing standards

Qualifications

  • Minimum of two years of experience as an RNFA, preferably in an ASC or outpatient environment
  • Current Registered Nurse licensure or eligibility for licensure in the Commonwealth of Virginia, or an active multi-state Registered Nurse license
  • Completion of an RNFA program that meets AORN standards for Registered Nurse First Assistant education, through an accredited organization
  • Certified Nurse Operating Room (CNOR) is highly desired
  • Current Basic Life Support (BLS)
  • Advanced Cardiac Life Support (ACLS) certification, as required by individual ASC standards
  • Knowledge of surgical procedures across multiple specialties, including orthopedics, general surgery, ENT, and more
  • Proficiency in aseptic techniques and surgical instrumentation
  • Strong organizational, communication, and teamwork skills

Benefits

• 401k Retirement Program with company match

Requirements

Candidates must have at least two years of RNFA experience and hold a current Registered Nurse license in Virginia. Completion of an accredited RNFA program and BLS/ACLS certifications are required.

  • professional certificate
  • Medication Administration
  • Team Collaboration
  • Regulatory Compliance
  • Sterile Field Maintenance
  • Patient Safety
  • Wound Care
  • Clinical Documentation
  • Patient Positioning
  • Aseptic Technique
  • Suturing
  • Surgical Assistance
  • Hemostasis
  • Surgical Instrumentation
  • Intraoperative Support
  • Registered Nurse First Assistant

Posting details

Employment type
Unknown
Work arrangement
On Site
Experience
2-5 yrs
Location
Mclean, Virginia
Posted
Apr 10, 2026
Application
Employer website
IS

Hiring organization

Inova Surgery Center

INOVA Ambulatory Surgery Center is a full service ambulatory outpatient facility. With 5 centers throughout Northern Virginia, our locations are easily accessible via the Capital Beltway, Interstate 95, Route 7 and the Fairfax County Parkway. Our ambulatory surgery centers...

Salary listed on 2 jobs
IndustryHospitals and Health Care
TypePrivately Held
Size201-500 employees
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Market context

Virginia nursing roles remain in steady demand

In Virginia, nursing-related roles are typically supported by steady demand across hospitals, clinics, and long-term care settings. These positions are competitive because employers often look for both patient-care experience and current credentials, and this role requires a high school diploma, BLS certification, and one of several entry pathways such as CNA, EMT-B, Medical Assistant graduate status, or nursing program progress. Review the AI-summarized requirements and benefits here to save time, then confirm your certification status and clinical hours before applying.

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