Certificate of Mastery

Program for Registered Nurses

Become a formal RNFA recognized by all 50 State Boards of Nursing

Register for RNFA training by August 31, 2020 and save up to $900.00 on tuition!


RN First Assistant in Surgery Role

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. The RNFA must have acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA practices at the direction of the surgeon and does not concurrently function as a scrub nurse. 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.”

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.


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. Our dynamic programs lead to the CRNFA® and RNAS-C exams (see www.nascertification.com). NIFA RNFA Program has been accepted by CCI since 1998. Add that to our 3 and 5 day SutureStar™ Workshops, and it’s easy to see why out of all RNFA graduates each year, over 85% trained through NIFA.

Eligibility for Registered Nurses

Must be CNOR or CNOR-eligible and obtain CNOR before completion/ Have a current unrestricted RN license/ Hold at least a Bachelor’s Degree in any major/ Be currently working full-time or part-time in perioperative nursing. Call for all the details.

Continued Education Awarded*

  • 99 Contact Hours
  • 10.5 CEs for 3 Day Workshop (Hands-On Workshops are practicum, so total hours divided by 3 equalling CEs awarded)
  • 22 CEs for 5 Day Workshop (Hands-On Workshops are practicum, so total hours divided by 3 equalling CEs awarded)
  • College Certificate of Completion and NIFA Certificate of Mastery

Our One-Of-Kind RNFA SutureStar™ Workshops! RNFA_two

  • At three in the morning, in the middle of a complex surgery, a surgeon wants a highly skilled and competent RN First Assistant, not an unprepared student. Mastery of surgical skills is the ultimate measure of a successful RNFA. In the late 90’s, the National Institute of First Assisting (NIFA) recognized this problem and developed training programs for experienced, perioperative Registered Nurses and Nurse Practitioners that raised the bar in RNFA training.
  • According to the December 2021 AORN Salary Survey, RNFAs are compensated 13.6% more! With up to 30 times more hands-on training than other programs, NIFA RNFA program guarantees to have you performing at expert levels before seeing your first patient or we will retrain you, free of charge. It just makes sense that when you add NIFA training to your portfolio, you’ll be even more in demand!
  • NIFA is the only RNFA training that offers the following classes, guaranteed to take you to the front of RNFA_threethe line:
    • Laparoscopic Labs
    • Endoscopic Vessel Harvesting (EVH) Labs
    • Total Abdominal Hysterectomy (TAH) Labs
    • Transverse Colon Resection Labs
    • Cesarean Section Labs
    • ORIF of the Femur Labs
    • Carotid Endarterectomy Labs
    • Abdominal Aortic Aneurysm (AAA) Repair Labs
    • RNFA Reimbursement Seminar

    Click Here to see our SutureStar™ Workshop Schedule

  • Your success as an RNFA is directly commensurate with the amount of hands-on training you receive now. That’s why, since 1997 NIFA’s given this guarantee: you will master the skills of the nation’s top RN First Assistants or we will retrain you free of charge. See the NIFA difference by requesting our new brochure today!
syllabus button


*NIFA is a licensed provider approved by the California Board of Registered Nursing. Provider Number CEP11471


Sign Up Today.

We guarantee you will master the skills of the

nation’s top RNFAs or we will retrain you FREE OF CHARGE!

RNFA Brochure RequestEnroll now