NATIONAL INSTITUTE OF FIRST ASSISTING

DEVELOP EXPERTISE

in deep tying techniques.

WHY NIFA? BECAUSE ALL DISCIPLINES
TOUCHING A PATIENT MUST BE PROFICIENT

Unapparelled Student Support

Get assistance 40 hours a week through our dedicated 800 line or by email. Our experts are ready to answer all your questions about the expanded role of a first assistant.

Unrivaled Hands-On Training

Our SutureStar™ Workshops provide up to 30 times more suturing opportunities at the table, offering versatile, cross-over skills addressing most all service lines — ensuring you’re fully prepared for real-world practice.

Proven Excellence Since 1998

We are committed to your success. If needed, we’ll retrain you at no additional cost, guaranteeing mastery of top-level first assistant skills.

Operating Room Nurse
RN First Assistant:
Nurse Practitioner (NP)
RN First Assistant
Physician Assistant/Associate
First Assistant Training:

Did you know that RN First Assistant is one of the highest paid and ‘in demand’ roles in the OR?

Direct benefit of a well-trained RNFA:
RNFAs help improve efficiency, reduce complications, and promote faster healing with precise surgical assistance. They can anticipate the surgeon’s needs, reducing operative time and optimizing workflow.

NIFA trained RNFAs become proficient in suturing, hemostasis, tissue handling, and other intraoperative techniques. Their expertise in wound closure and hemostasis help minimize bleeding and infection risks.

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Are you a Nurse Practitioner wishing to work for a surgeon’s group who has been told by Credentialing that you can’t assist at their facility(s) without an RNFA? If so, the following AORN Position Statement on Advanced Practice Registered Nurses in the Perioperative Environment (2014) is most likely the reason why: “The APRN practicing in the perioperative environment as a first assistant at surgery …is required, as of January 1, 2016, to acquire the knowledge and skills needed to provide safe, competent surgical first assisting services by completing a program that covers the content of the AORN Standards for RN First Assistant Education Programs …” NIFA is the nation’s largest trainers of NPs in the RNFA role.

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5 weeks of surgical rotations in PA school is not enough and a 2 year residency may be too much! A surgical Physician Assistant/Associate (PA), plays a crucial role in the surgical team, assisting surgeons before, during, and after procedures. It’s time to fast-track a surgical career to the next level with NIFA SutureStar training!

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Current Promotion: May 2026

RNFA Tuition Increase Has Been POSTPONED!

Many have mentioned that they are waiting on tax and employer reimbursements to fund tuition. To give you more time to plan, we have postponed our tuition increase.

NEW EFFECTIVE DATE: May 25, 2026

Thank you for trusting NIFA with your future. We're here to help you succeed.

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DID YOU KNOW?

Our workshops offer up to 30X MORE SUTURING opportunities than other offerings. We recommend the 5-Day SutureStar™ Workshop for those looking to learn the most and get the most hands on training available.

Top Benefits Of NIFA Training

NIFA’s SutureStar™ Summit Workshops mimic a real surgical setting providing you exposure to skills first assistants perform such as instrument handling, tissue handling, mastering 17 different cross-over suturing and knot tying techniques, sterile technique, positioning and much more.

Evaluate your interest! You will have a clearer definition of First Assistant expectations: Get a distinct picture of the level of expertise, precision and confidence required to assist surgeons efficiently.

Your new added surgical hands-on skills and training will make you more competitive professionally and provide you the opportunity to earn more money.