As of September 01, 2026, the average salary for a Registered Nurse First Assistant (RNFA) in the United States is $104,836 per year, which breaks down to an hourly rate of $50.
However, a Registered Nurse First Assistant (RNFA)'s salary can vary significantly. Here’s a look at the typical salary range:
Registered Nurse First Assistant (RNFA) Salaries by Percentile
| Annual Salary |
Monthly Pay |
Weekly Pay |
Hourly Wage |
|
|---|---|---|---|---|
| 75th Percentile | $116,983 | $9,749 | $2,250 | $56 |
| Average | $104,836 | $8,736 | $2,016 | $50 |
| 25th Percentile | $95,782 | $7,982 | $1,842 | $46 |
A Registered Nurse First Assistant (RNFA)'s salary isn't a fixed number. It's shaped by several important factors. Below, we'll explore how your years of experience, geographic location and company size can directly affect your earning potential.
Experience is a primary driver of a Registered Nurse First Assistant (RNFA)'s salary. As you build your skills and take on more complex tasks, your compensation generally increases. Here's how the average salary grows at different career stages:
| Levels | Salary |
|---|---|
| Entry Level Registered Nurse First Assistant (RNFA) | $101,853 |
| Intermediate Level Registered Nurse First Assistant (RNFA) | $102,529 |
| Senior Level Registered Nurse First Assistant (RNFA) | $105,732 |
| Specialist Level Registered Nurse First Assistant (RNFA) | $110,809 |
| Expert Level Registered Nurse First Assistant (RNFA) | $111,171 |
Demanded Skills for the Role:
| Skills | Demand Percentage |
|---|---|
| Planning | 5.51% |
| Nursing Practice | 2.87% |
| Patient Safety | 1.54% |
Mastering certain specialized skills can lead to a significant increase in pay. Here are examples of skills and the potential impact they can have on a Registered Nurse First Assistant (RNFA)'s salary.
| Skill | Salary | Salary % Increase |
|---|---|---|
| Written Communication | $113,223 | |
| Time Management | $112,175 | |
| Confidentiality | $109,029 |
Registered Nurse First Assistant (RNFA) salary potential scales significantly with company size. Data shows that Enterprise companies (5,000+ employees) pay the highest average salary at around $111,272. While startup companies pay approximate $94,758.
| Company Size | Employees | Average Salary |
|---|---|---|
| Startup | 1~50 | $94,758 |
| Growth Stage | 51~500 | $100,053 |
| Established | 501~5000 | $107,609 |
| Enterprise | 5000+ | $111,272 |
Understanding how a Registered Nurse First Assistant (RNFA)'s annual salary breaks down can help with budgeting. Below, you can see the average hourly rate, weekly pay, and monthly pay for this role. Use the buttons to switch between different pay periods.
| Annual Salary | Monthly Pay | Weekly Pay | Hourly Wage | |
|---|---|---|---|---|
| 75th Percentile | $116,983 | $9,749 | $2,250 | $56 |
| Average | $104,836 | $8,736 | $2,016 | $50 |
| 25th Percentile | $95,782 | $7,982 | $1,842 | $46 |
Promotions are the fastest way to increase your earnings. As a Registered Nurse First Assistant (RNFA), you have the following paths for advancement. The table below compares the salary raises for common next-step roles. By comparing these figures, you can choose the career path that best meets your financial goals.
| Next Step Role | Estimate Salary | Projected Raise |
|---|---|---|
| Director Mother and Baby Unit | $162,000 | 55% |
| Director Intensive Care Unit Operations | $154,200 | 47% |
| Entry Registered Nurse - Staff | $73,600 | -30% |
| Organ Transplant Coordinator RN | $110,200 | 5% |
Salaries for a Registered Nurse First Assistant (RNFA) can change over time, reflecting shifts in market demand and the overall economy. The median salary decreased from $209,336 in 2023 to around $203,607 in 2025, reflecting changes in demand, location, experience, and the wider economy. For a detailed analysis of Registered Nurse First Assistant (RNFA) salary trends, .
| Year | Average Annual Salary |
|---|---|
| 2022 | View More |
| 2023 | $209,336 |
| 2024 | $211,584 |
| 2025 | $203,607 |
| 2026 |
View More
|
| 2027 |
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The Healthcare industry offers the highest average compensation for Registered Nurse First Assistant (RNFA) roles, with salaries approximately 20% above the market median.
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