Did you know that a RNFA…

1. Completes a formal educational process.

· To graduate as a RNFA, one must be a Registered Nurse with operating room experience and have attained certification as a perioperative nurse [CPN(C)].

· In Canada, there are two RNFA programs, one in French (Quebec) and one in English. In the United States, there are approximately 14 RNFA programs.

· Most RNFA programs are based on the following model:
    · Distance education component (12 - 16 weeks)
    · Didactic component (one week, classroom/lab)
    · Mentored clinical internship (120 - 175 hours)
    · Earn 6-12 university credits*

2. Functions within the scope of nursing practice.

· In July 1999, The College of Nurses of Ontario (CNO) acknowledged the role of RNFA to be within the scope of practice of nursing**. The additional knowledge, skill and decision making abilities required for the RNFA role can be acquired through a formal first assistant educational program that includes a surgeon-mentored clinical component. No additional regulatory or legislative authority is required for RNs to practice in the role of surgical first assistant.

3. Is accountable for his/her practice.

· Liability/malpractice protection is available through the Canadian Nurses Protective Society (CNPS) for RNFAs (and all registered nurses) who are members in good standing with the Registered Nurses Association of Ontario (RNAO). The Legal Assistance Program is an additional voluntary program to assist RNs with certain legal problems arising from work-related circumstances. Another optional benefit for those who want to supplement their CNPS protection is NurseInsure, a malpractice insurance plan. For more information on any of these programs, contact RNAO (416) 599-1925.

Summary Statement

The accountability of the RNFA is supported by comprehensive education, regulation by the CNO and liability protection by RNAO.


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*British Columbia Institute of Technology RNFA Program Learning Outcomes available on request.
**Rodgers, Sylvia (2000). Can RNs act as surgical first assistants? College of Nurses of Ontario Communiqué June, 37.

ORNAO RNFA Interest Group is an Associate Interest Group of: