The fee to take the exam for CRNFA certification is $550.
Candidates must meet one of two eligibility paths for the CRNFA certification exam 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 to sit for the CRNFA exam.
If the applicant is an RN (not an advanced practice registered nurse), the eligibility requirements for the CRNFA examination include the following:
If the applicant is an advanced practice registered nurse (APRN), e.g., CNS, NP, CNM, or CRNA, the eligibility requirements for the CRNFA examination include the following:
If you currently hold the CNOR credential and successfully pass the CRNFA exam, 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. This is good news for CNORs. You hold two credentials for the price of one!
Click here to download a spreadsheet to document your 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:
Documentation that must be submitted with the application includes the following:
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: