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  3. RN First Assist
Astrana Health, Inc. logo

RN First Assist

Astrana Health, Inc.·Tustin, California

$65 - $85/hrFull TimeOn Site2-5 yrsPosted 1 month ago
Practice for this role

RN First Assist · $65 - $85/hr

How this role compares

Computed from live listings

  • +59% vs. median posted rate for nursing roles in Tustin, California ($41.00/hr)
  • 22 similar openings in the Tustin area · median $41.00/hr
$20.00/hr · lowesthighest · $75.00/hr
this role: $65.00/hrmedian $41.00/hr

Shaded band: the middle 50% of posted nursing roles in Tustin, California rates. This role sits in the 87th percentile.

About the role

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.

RN First Assist Department

  • 7420-Surgery &
  • Recovery
  • Employment
  • Type:
  • Full
  • Time
  • Location: 14662 Newport Ave, Tustin, CA 92780 ("HOSPITAL")
  • Compensation: $65.00 - $85.00 / hour

Description

About the Role

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.

Who We Are

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.

Qualifications

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.

Requirements

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.

  • bachelor degree
  • professional certificate
  • Clinical judgment
  • Infection prevention
  • Aseptic techniques
  • Patient assessment
  • Surgical assistance
  • Circulating nursing
  • Professional accountability
  • Perioperative nursing
  • Scrub nursing
  • Surgical outcomes
  • Postoperative evaluation
  • Operating room standards

Posting details

Employment type
Full Time
Work arrangement
On Site
Experience
2-5 yrs
Salary
$65 - $85/hr
Location
Tustin, California
Posted
Aug 18, 2026
Application
Employer website
Astrana Health, Inc. logo

Hiring organization

Astrana Health, Inc.

Astrana Health is a physician-centric, technology-enabled healthcare company committed to delivering access to high-quality, patient-centered care. Through its proprietary end-to-end technology platform, Astrana empowers providers to deliver more proactive, preventive care -...

IndustryHospitals and Health Care
TypePublic Company
Size1,001-5,000 employees
View profile

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  • Enviornmental Job Requirements and Working Conditions Our organization follows an in person work structure where the expectation is to work onsite on a weekly basis.
  • The hospital is located at 14662 Newport Ave, Tustin, CA 92780.
  • The total compensation target pay range for this role is $65.00 - 85.00 per hour.
  • The salary range represents our national target range for this role.
  • Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer.
  • We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
  • All employment is decided based on qualifications, merit, and business need.
  • If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation.

Additional Information

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 remain highly competitive

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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