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  3. RN First Assistant
Providence logo

RN First Assistant

Providence·Spokane, Washington

$50 - $78/hrFull TimeOn Site2-5 yrsPosted 1 month ago
Practice for this role

RN First Assistant · $50 - $78/hr

How this role compares

Computed from live listings

  • +26% vs. median posted rate for nursing roles in Spokane, Washington ($39.81/hr, n=168)
  • 201 similar openings in the Spokane area · median $40.00/hr
  • 7 days median time this employer’s postings stay open (last 90 days)
$17.00/hr · lowesthighest · $175/hr
this role: $50.20/hrmedian $39.81/hr

Shaded band: the middle 50% of 168 posted nursing roles in Spokane, Washington rates. This role sits in the 76th percentile.

About the role

Pay for this role is about 26% above the Spokane, Washington median for nursing roles.

The RNFA assists surgeons during intraoperative procedures and coordinates all aspects of surgical care, including scheduling and equipment management. They also provide education to clinical staff and participate in research efforts to ensure optimal patient outcomes.

Hiring Bonus

$15,000 Sign-On Bonus for eligible rehires and external hires that meet required qualifications and conditions for payment.

Shift Details: Full-time, Day shift, 40 hours a week

The Registered Nurse First Assistant (RNFA) is a registered nurse with specialized education.

The development of specific technical skills enables the RNFA to assist the surgeon with specific intraoperative procedures that are beyond the scope of practice for registered nurses without RNFA education and training.

This RNFA role is responsible for first assisting on surgical procedures and coordinating all aspects of such.

This includes coordinating scheduling, education of clinical staff, ensuring availability and care of instruments and equipment, and participating in research efforts.

The RNFA is directly supervised by the surgeon and performs functions specifically identified and consistent with training received.

The RNFA functions interdependently, and collaboratively, with the surgeon and applies knowledge, skill, and judgment necessary to assist the surgeon in performing a safe operation that yields optimal results for the patient.

Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Holy Family Hospital and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Required Qualifications

  • Associate's Degree in Nursing
  • Coursework/Training: Graduation from a recognized RNFA program is required within 1 year of starting in position. Must be enrolled in an eligible program upon hire into role
  • Upon hire: Washington Registered Nurse License
  • Upon hire: National Provider BLS - American Heart Association
  • Upon hire: National Provider ACLS - American Heart Association
  • Upon hire: National Provider PALS - American Heart Association
  • Upon hire: Certified Perioperative Nurse (CNOR)
  • 3 years experience and expertise in perioperative nursing including scrubbing and circulating.

Preferred Qualifications

Requirements

Candidates must hold an Associate's Degree in Nursing and have 3 years of experience in perioperative nursing. Required certifications include BLS, ACLS, PALS, and CNOR, along with a Washington Registered Nurse License.

  • associate degree
  • bachelor degree
  • ACLS
  • BLS
  • Scrubbing
  • Patient care
  • PALS
  • Circulating
  • CNOR
  • RNFA
  • Instrument sterilization
  • Surgical assistance
  • Registered nurse
  • Surgical scheduling
  • Perioperative nursing
  • Clinical staff education
  • Intraoperative procedures

Benefits

  • Vacation
  • Holidays
  • Dental insurance
  • Vision insurance
  • Medical insurance
  • Life insurance
  • Disability insurance
  • Paid parental leave
  • Well-being resources
  • Sign-on bonus
  • Health care benefits
  • Retirement 401(k) savings plan

Posting details

Employment type
Full Time
Work arrangement
On Site
Experience
2-5 yrs
Salary
$50 - $78/hr
Location
Spokane, Washington
Posted
Aug 11, 2026
Application
Employer website
Providence logo

Hiring organization

Providence

Providence is hiring in Spokane, Washington. It operates in hospitals and health care. Team size: 2-10 employees. Headquarters: Redondo Beach, California. This opening is listed as full_time.

IndustryHospitals and Health Care
Size2-10 employees
HQRedondo Beach, California
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  • Bachelor's Degree in Nursing
  • RNFA experience.

Why Join Providence?

Our best-in-class benefits [https://nam11.safelinks.protection.outlook.com/?url=https%3A%2F%2Fprovidence.jobs%2Fbenefits%2F&data=05%7C01%7Cethelleah.torres1%40providence.org%7C6da11282629946c936bc08dbf64b1e78%7C2e3190869a2646a3865f615bed576786%7C0%7C0%7C638374574718197112%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=CHUc7JRL0t6AAExYx6UfCEVEH8gfmaw9cEOZ4wX0%2BZU%3D&reserved=0] are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission [https://providence.jobs/mission/] of caring for everyone, especially the most vulnerable in our communities.

At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits [https://providence.jobs/benefits/].

Applicants in the Unincorporated County of Los Angeles

Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act [https://s3-us-west-2.amazonaws.com/images.provhealth.org/HR-onboarding/LA_County_Fair_Chance_Ordinance_2024.pdf].

Providence has been serving the Inland Northwest since 1886 when Mother Joseph and the Sisters of Providence founded Sacred Heart Medical Center. Today, Providence is the largest health care provider in Washington located in communities large and small across the state. In eastern Washington, Providence provides care throughout Spokane, Stevens and Walla Walla counties.

Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care. Our not-for-profit network also provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care.

Providence is proud to be an Equal Opportunity Employer [https://www.providenceiscalling.jobs/eeo/]. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity [https://providence.jobs/diversity/] makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

For any concerns with this posting relating to the posting requirements in RCW 49.58.110(1), please click here [https://providence.jobs/eeo/] where you can access an email link to submit your concern.

Market context

Washington nursing roles remain steady

In Washington, nursing support roles such as Certified Nursing Assistant positions are typically in steady demand across hospitals, long-term care, and outpatient settings. Competition often centers on active state licensure, current CPR/BLS certification, and reliable communication skills, while benefits like health insurance, paid time off, sick leave, dental, and life coverage can help distinguish offers. Before applying, confirm your CNA license status and review the AI-summarized requirements and benefits here to save time versus reading the full original posting.

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