Our dynamic programs lead to the CRNFA® and RNAS-C exams (see NIFA RNFA Program has been accepted by CCI since 1998. NIFA®, a Colorado corporation, has partnered with accredited college nursing programs throughout the country to become the nation’s largest trainer of RN First Assistants. The new RN First Assistant (RNFA) Educational Standards by the Association of PeriOperative Registered Nurses came out in December of 2013, requiring the completion of a formal, accredited college, RNFA Program for all perioperative nurses and APRNs practicing in the expanded role of first assistant at surgery. The American College of Surgeons (ACS) in Physicians as Assistants at Surgery 2013 Study states “Registered nurses with specialized training may also function as first assistants.” Intraoperatively, the RNFA practices at the direction of the surgeon and does not concurrently function as a scrub nurse. The RNFA must have acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. The Association of PeriOperative Registered Nurses (AORN) defines the RNFA as a perioperative registered nurse who works in collaboration with the surgeon and health care team members to achieve optimal patient outcomes.
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