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The First Assistant Role Surgical assistants are trained to perform routine surgical duties during a procedure. This includes preparing the operating room, positioning patients on the operating table and handing instruments or supplies to the surgeon as needed. The first assistant's role is to provide the surgeon with an extra pair of skilled hands at the site of the procedure. First assistants can make incisions and retract tissues to bare the surgical area for the surgeon. They also provide hemostasis and suction as needed, to keep blood from obstructing the surgeon's view. Once the surgeon's work is done, the first assistant can suture and close the incision, using drainage tubes or dressings when appropriate. Prerequisites Any candidate for recognition as a registered nurse first assistant must hold a valid nursing license and at least a bachelor's degree.
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This can be a nursing degree or a baccalaureate in any other field. Nurses with an aptitude for surgical work begin as perioperative nurses, providing patient care before, during and after procedures. As they gain experience, they can advance into an assisting role, and then the first assistant role, by demonstrating the necessary skills.
Professor of International Medical Education GWG. FNP-BC, CNOR, RNFA APRN/RNFA Program Director. Melanie Hamilton BSN, RN, CNOR, RNFA. NIFA Team; E.
First assistants must also take an accredited training program. After 2,000 hours' practical experience as a first assistant, nurses can apply for certification. Certification The Certified Registered Nurse First Assistant credential, or CRNFA, is administered by the Competency and Credentialing Institute. Any advanced practice nurse or certified perioperative nurse who meets the prerequisites can apply for certification. The examination can be taken at Prometric testing centers. It consists of 150 multiple-choice questions, and must be completed within 2 hours and 45 minutes.
PDF download: Rnfa Workshops. Portion of the most popular RN First Assistant distance learning program in the. RNFA Program. NIFA® is presenting its. Download PDF Download. Acute Care Nurse Practitioner: An Advanced Practice Role for RN. *NIFA Distance Learning RNFA Program, Denver Affiliated with Community.
The questions cover both theoretical knowledge and skills, and the specific tasks a first assistant might be called upon to perform. Candidates who pass must maintain their certification through a five-year cycle of continuing education and recertification. National Board of Surgical Technology and Surgical Assisting A similar certification is available through the National Board of Surgical Technology and Surgical Assisting, or NBSTSA. Nurses who complete a surgical first assisting program accredited by the Commission on Accreditation for Allied Health Education Programs can apply for the NBSTSA's Certified Surgical First Assistant credential. The certification exam is similar in content to the CCI's examination, but consists of 200 questions rather than 150. Of those questions, 175 are scored and the remaining 25 are test questions under consideration for future exams. Certification must be renewed on a four-year cycle, either through continuing education or by passing a recertification exam.