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The demand for registered nurses in the United States, particularly in Texas, has been on the rise due to the growing need for healthcare services. One of the most in-demand nursing specialties is the Registered Nurse First Assistant (RNFA). RNFA professionals play a critical role in the operating room, assisting surgeons and anesthesiologists during surgical procedures. If you're a registered nurse looking to advance your career in Texas, here are the top 10 RNFA jobs in the state.

Understanding the Role of a Registered Nurse First Assistant (RNFA)
Before we dive into the top RNFA jobs in Texas, it's essential to understand the role of a Registered Nurse First Assistant. An RNFA is a registered nurse who has received specialized training and education to assist surgeons and anesthesiologists during surgical procedures. Their responsibilities may include:
- Preparing patients for surgery
- Assisting surgeons and anesthesiologists during procedures
- Maintaining a sterile environment
- Monitoring patients' vital signs
- Providing post-operative care
Top 10 RNFA Jobs in Texas
Here are the top 10 RNFA jobs in Texas, based on factors such as salary, job satisfaction, and growth opportunities:
- RNFA - Cardiovascular Operating Room at Houston Methodist Hospital in Houston, TX
- Salary: $115,000 - $145,000 per year
- Job Description: Assist cardiovascular surgeons during procedures, maintain a sterile environment, and provide post-operative care to patients.
- RNFA - Neurosurgery at UT Southwestern Medical Center in Dallas, TX
- Salary: $110,000 - $140,000 per year
- Job Description: Assist neurosurgeons during procedures, maintain a sterile environment, and provide post-operative care to patients.
- RNFA - Orthopedic Operating Room at Baylor Scott & White Health in Temple, TX
- Salary: $105,000 - $135,000 per year
- Job Description: Assist orthopedic surgeons during procedures, maintain a sterile environment, and provide post-operative care to patients.
- RNFA - General Surgery at Texas Health Presbyterian Hospital in Dallas, TX
- Salary: $100,000 - $130,000 per year
- Job Description: Assist general surgeons during procedures, maintain a sterile environment, and provide post-operative care to patients.
- RNFA - Pediatric Operating Room at Children's Medical Center in Dallas, TX
- Salary: $95,000 - $125,000 per year
- Job Description: Assist pediatric surgeons during procedures, maintain a sterile environment, and provide post-operative care to patients.
- RNFA - Trauma Operating Room at University Health System in San Antonio, TX
- Salary: $90,000 - $120,000 per year
- Job Description: Assist trauma surgeons during procedures, maintain a sterile environment, and provide post-operative care to patients.
- RNFA - Vascular Operating Room at Memorial Hermann Health System in Houston, TX
- Salary: $85,000 - $115,000 per year
- Job Description: Assist vascular surgeons during procedures, maintain a sterile environment, and provide post-operative care to patients.
- RNFA - Plastic Surgery at Baylor University Medical Center in Dallas, TX
- Salary: $80,000 - $110,000 per year
- Job Description: Assist plastic surgeons during procedures, maintain a sterile environment, and provide post-operative care to patients.
- RNFA - ENT Operating Room at UTMB Health in Galveston, TX
- Salary: $75,000 - $105,000 per year
- Job Description: Assist ENT surgeons during procedures, maintain a sterile environment, and provide post-operative care to patients.
- RNFA - Urology Operating Room at University of Texas Medical Branch in Galveston, TX
- Salary: $70,000 - $100,000 per year
- Job Description: Assist urologists during procedures, maintain a sterile environment, and provide post-operative care to patients.

How to Become an RNFA in Texas
To become an RNFA in Texas, you'll need to:
- Earn an Associate's or Bachelor's degree in nursing
- Obtain a registered nurse (RN) license in Texas
- Complete a RNFA training program approved by the Texas Board of Nursing
- Pass the Certified Registered Nurse First Assistant (CRNFA) exam
- Maintain certification through continuing education and professional development
Conclusion
The demand for RNFA professionals in Texas is high, and salaries are competitive. If you're a registered nurse looking to advance your career in the operating room, consider pursuing a career as a Registered Nurse First Assistant. With the right training and certification, you can enjoy a rewarding and challenging career in the healthcare industry.
What is the average salary for an RNFA in Texas?
+The average salary for an RNFA in Texas is around $90,000 - $120,000 per year, depending on the employer, location, and level of experience.
What are the requirements to become an RNFA in Texas?
+To become an RNFA in Texas, you'll need to earn an Associate's or Bachelor's degree in nursing, obtain a registered nurse (RN) license in Texas, complete a RNFA training program approved by the Texas Board of Nursing, and pass the Certified Registered Nurse First Assistant (CRNFA) exam.
What is the job outlook for RNFA professionals in Texas?
+The job outlook for RNFA professionals in Texas is excellent, with a high demand for skilled and certified RNFA professionals in the operating room.