To apply for CRNFA certification, click the “Login” link at the top of this page, then click the orange “Register as an Applicant” button to create your online account. After you create your account, you will have access to the online CRNFA certification application.
Once your application has been accepted, you will receive instructions for completing the CRNFA Professional Portfolio.
The fee to apply for CRNFA certification is $550.
Candidates must meet one of two eligibility paths for CRNFA certification depending on Advanced Practice Registered Nurse (APRN) status. All applicants must have completed a formal RNFA program that meets the AORN standards for RN first assistant (RNFA) education programs to be eligible for CRNFA certification.
If the applicant is an RN (not an advanced practice registered nurse), the eligibility requirements for CRNFA certification include the following:
If the applicant is an advanced practice registered nurse (APRN), e.g., CNS, NP, CNM, or CRNA, the eligibility requirements for CRNFA certification include the following:
If you currently hold the CNOR credential and become CRNFA certified, then you will hold both the CNOR and CRNFA credentials and may use both designations after your name (e.g., Jane Doe, MSN, RN, CNOR, CRNFA). However, for operational purposes these credentials become merged, and you must only meet the CRNFA requirements in effect at the time to recertify both credentials.
You can use one of the following methods to document your 2,000 hours of practice:
All RNFAs, to include APRNs, must have completed at least 2,000 hours of practice as an RNFA at the time of application. Hours may include preoperative, intraoperative, and postoperative patient care, defined as:
The candidate’s name must be listed as RNFA or first assistant and the log must contain the following information:
Preoperative hours may include:
Intraoperative hours must include:
Intraoperative hours must include serving in the first assistant role. While performing in the intraoperative role the first assistant cannot be concurrently serving in any other perioperative nursing role.
Postoperative hours may include:
*If any of your practice hours occurred more than five years before application, please contact NASC for clarification.