Garnet Health

Registered Nurse First Assistant (RNFA)

Job Locations US-NY-Middletown
Job Post Information* : Posted Date 3 days ago(10/13/2021 3:41 PM)
Physical Location
Garnet Health Doctors
Campus : Location
# of Openings
Shift (1) : Shift Type
7 - Variable Start Time
Shift (1) : If Other, Shift Slot
Variable shifts and on call required


Garnet Health (formerly Greater Hudson Valley Health System,) is a New York State, not-for-profit corporation headquartered in Middletown, New York, approximately 60 miles north of New York City. Garnet Health is comprised of Garnet Health Medical Center, Garnet Health Medical Center - Catskills, Garnet Health Doctors, Garnet Health Foundation and Garnet Health Foundation - Catskills.  Garnet Health is dedicated to developing specialty services, medical programs and needed healthcare services that allow residents to remain close to home to receive quality care.

Providing healthcare to nearly 450,000 residents in Orange, Sullivan and Ulster Counties, Garnet Health was designed to improve the quality, stability and efficiency of healthcare services in the mid-Hudson and Catskill region. Services provided by more than 3,300 employed professionals and over 850 medical staff members, makes Garnet Health one of the largest healthcare providers in the tri-county area. The System’s three hospital campuses (Garnet Health Medical Center - Catskills (Harris and Callicoon, NY) and Garnet Health Medical Center (Middletown, NY) plus several outpatient facilities, offer a broad spectrum of care including:



Under the direct supervision of the Operating Room Surgeon, the Registered Nurse First Assistant (RNFA) position functions within the identified scope of practice as defined by the New York State Nurse Practice Act and as first assistant in all surgical specialties. The RNFA provides aide in exposure, hemostasis, closure, and other intraoperative technical functions that assist  the surgeon with  carrying out safe operations with optimal results for the patients.  In addition to intraoperative duties, the RNFA performs  the circulating or scrub role as assigned when not functioning in the role of first assistant.


  • Graduate of an Accredited School of Nursing required;
  • BSN preferred, or attained in accordance with NYS “BSN in 10” Education Law;
  • Current Registered Professional Nurse licensure in New York State required
  • Three (3) years’ experience work as an Operating Room RN required;
  • Completion of an accredited RN First Assistant course that meets  the AORN Recommended Education Standards for RNFA programs and is accepted by the Certification Board Perioperative Nursing required
  • Certification in perioperative nursing practice (CNOR) required.
  • Successful completion and maintenance of  RNFA certification(CRFA) by Competency & Credentialing Institute (CCI) accredited by the National Commission for Certifying Agencies (NCCA) within eighteen (18) months  of hire;
  • Current BLS, ACLS and PALS certification required.


Physical Requirements: Stands, walks, sits intermittently throughout the day. Lifts, pushes, pulls light to heavy weights as required.


Working Conditions:

  • Contact with patients under a wide variety of circumstances.
  • Subject to varying and unpredictable situations.
  • Exposure to blood and other potentially infectious material.
  • Contact with chemical, radiological, physical, electrical, mechanical, or other workplace hazards.


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