NOTICE: As of January 1, 2021, the certification method for CRNFA will be changing. The CRNFA exam will be replaced by the Professional Portfolio.
The last day to submit your application for CRNFA certification by exam is October 31, 2020. The last day to sit for the exam is December 31, 2020.
For more information, see the FAQ page under the Resources menu.
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. 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: