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Astrana Health, Inc.·Tustin, California
RN First Assist · $65 - $85/hr
Computed from live listings
Shaded band: the middle 50% of posted nursing roles in Tustin, California rates. This role sits in the 87th percentile.
Pay for this role is about 59% above the Tustin, California median for nursing roles.
The RNFA provides advanced clinical support to surgeons during operative procedures to ensure patient safety and optimal outcomes. They perform preoperative assessments, intraoperative first-assist duties, and postoperative evaluations throughout the surgical experience.
The Registered Nurse First Assistant (RNFA) is a highly skilled perioperative nurse who utilizes the nursing process to assess, plan, coordinate, implement, and evaluate patient care throughout the surgical experience. The RNFA ensures the delivery of safe, effective, and patient-centered care for individuals undergoing operative procedures. This role may function as a scrub nurse or circulating nurse, demonstrating expert knowledge of aseptic techniques, infection prevention practices, and established operating room standards.
Serving Tustin, Santa Ana and other surrounding communities, Foothill Regional Medical Center is a fully accredited acute care hospital, licensed for 177 beds—120 beds for general acute care, 15 intensive care beds and 42 pediatric sub-acute beds. Our surgeons are supported by state-of-the-art robotics. Our Values Put Patients First Empower Entrepreneurial Provider and Care Teams Operate with Integrity & Excellence Be Innovative Work As One Team
What You'll Do The RNFA functions as an integral member of the surgical team, providing advanced clinical support to the surgeon during operative procedures to ensure patient safety and achieve optimal surgical outcomes. Utilizing specialized perioperative nursing knowledge and skills, the RNFA independently performs preoperative assessments, intraoperative first-assist responsibilities, and postoperative evaluations of care. This role requires sound clinical judgment, professional accountability, and a commitment to delivering high-quality, patient-centered surgical care across the perioperative continuum.
Active, current, and unrestricted Registered Nurse (RN) license in the State of California. Graduate of an accredited School of Nursing. At least three (3) years of perioperative nursing knowledge experience. Current Certified Nurse Operating Room (CNOR) certification. Successful completion of an RN First Assistant (RNFA) education program that includes a supervised clinical component. Current American Heart Association (AHA) Basic Life Support (BLS) certification. Current American Heart Association (AHA) Advanced Cardiovascular Life Support (ACLS) certification. Ability to read, write, and communicate effectively in English. Ability to work flexible schedules, including on-call shifts, evenings, nights, weekends, and holidays. Demonstrated ability to maintain composure, adaptability, and professionalism in a fast-paced, changing environment. Bachelor of Science in Nursing (BSN). Bilingual communication skills to effectively interact with patients and their families. Current American Heart Association (AHA) Pediatric Advanced Life Support (PALS) certification.
Candidates must hold an active California RN license, a BSN degree, and CNOR certification. At least three years of perioperative nursing experience and completion of an RNFA education program are required.
The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.
Market context
California nursing roles often draw steady demand, especially for experienced RNs in procedural and critical care settings. Competition is strongest for candidates who already hold a California RN license, current BLS and ACLS, and recent ICU, ER, or PACU experience. Review the AI-summarized requirements and benefits on this platform to save research time, then confirm your certifications and highlight relevant bedside and procedural experience in your application.
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