Effective January 1, 2019, the credentialing body that administers the Certified Registered Nurse First Assistant (CRNFA) credential is changing to the National Assistant at Surgery Certification (NASC). CCI will continue to administer the CNOR, CSSM, and CNS-CP certifications. Current CRNFA certificants will receive an email and letter regarding this change. Please update your CCI account with current phone, email, and address. Learn more here.

Creating Cultures of Safety – Join the CRNFA Movement

The CRNFA certification program is for registered nurse working in an expanded role as a first assistants who are interested in improving and validating their knowledge and skills and providing the highest quality care to patients. 

For those nurses who already hold the CNOR credential, when you earn your CRNFA credential, your CNOR credential is merged with your CRNFA credential. To maintain the two credentials, you must meet the recertification requirements only for the CRNFA credential. Your recertification period for both credentials is determined by your CRNFA credential.

Candidates use the CRNFA credential to gain credibility and recognition from colleagues and patients, achieve their personal and professional goals, and enhance their career development. 

Hospitals and institutions around the world support the CRNFA program because certified healthcare providers are confident in their skill and knowledgeable of the latest standards of practice and care. CRNFA-certified nurses are leaders in the operating room community.

For more information including eligibility and resources, see steps to become a CRNFA.


The CRNFA credential is currently accredited by the National Commission for Certifying Agencies (NCCA).  As an accredited program, CCI has demonstrated compliance with the highest standards of practice in the professional certification and nursing communities. Learn more about accreditation.