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Registered Nurse First Assistant (RNFA)

Anne Arundel Community College has designed the RNFA program based on AORN's Core Curriculum and to meet the requirements of the Maryland Board of Nursing. 

The program schedule consists of NUR-250, a 4-credit course that includes 60 hours of lecture, and NUR-252, a 7-credit course that includes 210 hours of clinical practice. NUR-250 is offered online.

Nurse working in a operating room.

Prerequisites for NUR-250

  • Active RN license
  • Certified Nurse: Operating Room (CNOR) required prior to registering for NUR-252. Certified Nurse Practitioner or Certified Nurse Midwife is accepted.
  • Basic Cardiac Life Support (BCLS) required, Advanced Cardiac Life Support (ACLS) recommended
  • Letters of perioperative proficiency from nurse manager, educator or surgeon employer
  • Individual Malpractice Insurance 
  • Immunization validation (MMR, Varicella, HBV) and current PPD
  • Applications for the fall 2010 class will be available in late spring 2010.

Program Guidelines

  • Maryland Board of Nursing declaratory ruling 94-3, Role of the Registered Nurse in the Expanded Role: Surgical First Assistant
  • Association of Operating Room Nurses, Core Curriculum for RNFAs

Program Approval

  • This program is approved by the Certification Board of Perioperative Nursing

Objectives

At the completion of the didactic and clinical phases the student will be able to:

  • Describe factors influencing the scope of practice for the RNFA
  • Discuss how the nursing process applies to RNFA practice activities
  • Apply advanced principles of asepsis and infection control
  • Identify anatomical landmarks and physiologic considerations in surgical procedures
  • Define first assistant activities in relation to surgical technique
  • Develop effective communication skills
  • Demonstrate the ability to build a collaborative relationship with physicians and other members of the health care team
  • Identify concepts of adult teaching and learning as applicable to patient population
  • Use the nursing process to plan perioperative care
  • Use assessment finding to manage care of the patient during surgical intervention
  • Develop a pain management plan based on individual patient assessment
  • Demonstrate proficiency in tissue handling, hemostasis, tissue retraction and suturing
  • Outline a plan for implementing RNFA role in a practice setting

Notice of Nondiscrimination
AACC is an equal opportunity, affirmative action, Title IX, ADA Title 504 compliant institution. Call Disability Support Services, 410-777-2306 or Maryland Relay 711, 72 hours in advance to request most accommodations. Requests for sign language interpreters, alternative format books or assistive technology require 30-day notice. For information on AACC’s compliance and complaints concerning discrimination or harassment, contact Karen L. Cook, Esq., federal compliance manager, at 410-777-7370 or Maryland Relay 711.

Last Updated: Sep 1 2009 4:37PM