A Registered Nurse First Assistant (RNFA) is a nursing professional who renders direct patient care as part of the preoperative role by functioning as first assistant to the surgeon, and who assesses, plans, implements, coordinates, monitors and evaluates patient care activities.
Responsibilities
Practices an expanded role of preoperative nursing and has acquired knowledge and skills and judgment necessary to assist the surgeon through organized instruction and supervised practice.
Interprets diagnostic studies, promotes positive health behaviors and skills through education and counseling.
Requirements
Graduate of an accredited school of nursing
Completion of an approved/accredited RNFA course, including the completion of the required internship hours
Two-five years experience in the operating room. Proficient in preoperative nursing practice as both scrub and circulating nurse with diversified operating room experience
Current Texas State RN license
CPR-(American Heart Association)
BLS
ACLS within 6 months of hire/transfer date Certified as a preoperative nurse (CNOR) required
Neighborhoods+Nurses and other relocators are steered first to Pleasant Grove, an in-town Texarkana neighborhood in ZIP 75503 served by Pleasant Grove ISD across about 55 square miles, which realtors treat as the priciest move-up pocket. Facebook locals also name Red Lick, Sugar Hill, and Redwater, citing campuses such as Morriss Elementary. Wake Village is the other frequently compared option, with a different price and setting tradeoff. Reddit threads specifically mention The Pointe Apartments and the neighborhoods beside them, plus Waggoner Creek as a rental community.
Nurses and other relocators are steered first to Pleasant Grove, an in-town Texarkana neighborhood in ZIP 75503 served by Pleasant Grove ISD across about 55 square miles, which realtors treat as the priciest move-up pocket. Facebook locals also name Red Lick, Sugar Hill, and Redwater, citing campuses such as Morriss Elementary.
Wake Village is the other frequently compared option, with a different price and setting tradeoff. Reddit threads specifically mention The Pointe Apartments and the neighborhoods beside them, plus Waggoner Creek as a rental community.
Getting around+Typical one-way commutes are short: U.S. News lists about 13.31 minutes, a moving guide cites 13 minutes, and AR-TX REDI cites 18 minutes. The main hospital employers are CHRISTUS St. Michael Health System and Wadley Regional Medical Center, with additional sites such as Collom & Carney Clinic, Encompass Health Rehabilitation Hospital, and SignatureCare and Texarkana emergency centers. I-30 is the named highway spine; sources do not describe hospital parking or a bus or rail network, so daily life is a brief drive.
Typical one-way commutes are short: U.S. News lists about 13.31 minutes, a moving guide cites 13 minutes, and AR-TX REDI cites 18 minutes. The main hospital employers are CHRISTUS St. Michael Health System and Wadley Regional Medical Center, with additional sites such as Collom & Carney Clinic, Encompass Health Rehabilitation Hospital, and SignatureCare and Texarkana emergency centers.
I-30 is the named highway spine; sources do not describe hospital parking or a bus or rail network, so daily life is a brief drive.
Outdoors+Spring Lake Park is the go-to green space for a lake, walking trails, playgrounds, and picnics; Bringle Lake Park adds fishing, playgrounds, mountain-biking trails, and a walking/running path. On the Arkansas side, Bobby Ferguson Park has a walking trail, playground, and fishing lake, Jefferson Park has a PetSafe dog park and amphitheater, and the Ermer Dansby Pondexter Sports Complex offers sports fields and open green space. Summer centers on Big Dam Waterpark; golfers use Texarkana Golf Ranch; anglers drive to Millwood State Park for bass fishing; 67 Speedway runs race nights.
Spring Lake Park is the go-to green space for a lake, walking trails, playgrounds, and picnics; Bringle Lake Park adds fishing, playgrounds, mountain-biking trails, and a walking/running path. On the Arkansas side, Bobby Ferguson Park has a walking trail, playground, and fishing lake, Jefferson Park has a PetSafe dog park and amphitheater, and the Ermer Dansby Pondexter Sports Complex offers sports fields and open green space.
Summer centers on Big Dam Waterpark; golfers use Texarkana Golf Ranch; anglers drive to Millwood State Park for bass fishing; 67 Speedway runs race nights.
Texarkana is a dual-state city on I-30, famous for the Post Office that sits on the Texas-Arkansas line, with CHRISTUS St. Michael and Wadley Regional as the core hospital employers. Relocating nurses typically look first at Pleasant Grove in ZIP 75503, the in-town, higher-priced pocket served by Pleasant Grove ISD and Morriss Elementary, or at Red Lick, Redwater, Sugar Hill, and Wake Village for more space at lower tiers. The Pointe Apartments and Waggoner Creek are the complexes locals name. Commutes average roughly 13 to 18 minutes by car. Housing is inexpensive by national standards: citywide median values in the mid-$150ks, while 75503 sales ran a Redfin median of $296,750 in February 2026. Life outside work is Spring Lake Park and Bringle Lake Park (trails, fishing, mountain biking), the 1924 Perot Theatre, Rail Yard Entertainment District, Naaman's BBQ, Zapata's, and festivals such as Dine on the Line. Honest tradeoffs: Reddit voices warn of drugs, crime, and segregation unless you live on the nicer side of town, and the cultural calendar is small-city, not Dallas. Dallas itself is about 180 miles away.
