(NIFA) in Centennial, Colorado is the largest, distance learning APRN first assistant training program in the nation, specializing in health care education specific to operating room nurses and APRNs since 1995. The National Institute of First Assisting, Inc. 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.” Over 90% of all APRN RNFAs are NIFA® Trained 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. “…is required, as of January 1, 2016, to acquire the knowledge and skills needed to provide safe, competent surgical first assisting services by completing a program that covers the content of the AORN Standards for RN First Assistant Education Programs, which may be a standalone program or may be a portion of a graduate or postgraduate program (eg, additional coursework included in a graduate APRN program) …” -AORN Position Statement on Advanced Practice Registered Nurses in the Perioperative Environment (2014). The APRN practicing in the perioperative environment as a first assistant at surgery:
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