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About NASC


NASC strives to advance the quality of Registered Nurse First Assistant (RNFA) professional practice by providing a national credentialing process. This process will promote nursing excellence; competence, and patient safety by assessing knowledge, skills, and experience based on recognized perioperative standards of care.


To build trust and champion credibility of the certified RNFA within the global healthcare community.


  • Promote excellence in nursing and healthcare globally through enhancing the value of RNFA certification.
  • Establish and promote credentialing standards for RNFAs.
  • Recognize individuals who demonstrate achievement of certification.
  • Create value for employers, employees, and the certified RNFA.
  • Seek inclusion by partnering with organizations that share the NASC vision and values.
  • Promote the art and science of assisting at surgery.


Collaboration: Working together with all health professions to achieve successful perioperative patient outcomes

Competence: Demonstrating characteristics and skills that enable and improve the efficiency or performance of the RN first assistant at surgery

Excellence: Surpassing ordinary standards of performance, meeting and exceeding expectations, and promoting high-quality outcomes for perioperative patients and RN first assistants

Innovation: Providing visionary leadership for the present and future

Integrity: Knowing and doing what is right, adhering to strong moral and ethical principles and values, and acting with honesty

Professionalism: Conducting oneself in accordance with characteristics defining a calling that requires specialized knowledge and academic preparation

Respect: Treating others the way you want to be treated; considering the feelings, wishes, rights, or traditions of others; and embracing inclusion and diversity of perspective

Diversity, Equity and Inclusion Policy

The leaders, employees, and governing bodies of NASC support the fair treatment and dignity of all human beings. The organization does not discriminate among candidates based on age, color, ethnicity, family or marital status, gender identity or expression, language, national origin, physical and mental ability, political affiliation, race, religion, sexual orientation, socioeconomic status, veteran status, or any other characteristics that contribute to the diversity of human individuals.


NASC is solely responsible for all decisions regarding CRNFA and RNAS-C certifications including candidate eligibility, acquisition and audit of recertification requirements, and renewal, denial, or revocation of a credential