强调了承担RN外科第一助理（RNFA）职责所需的知识和技术。在护士相互配合的关系中探讨了急救员的角色，因为护士与医生一起工作并为患者谋福利。护理诊断被用作规划和实施患者护理的定义指南。当护士准备承担擦洗，披覆，缩回，暴露，夹紧，结扎和缝合的责任时，将强调并阐述扩展的功能。智力和手工技巧相结合，使护士具备了扩展此专业职责所必需的基本技能。
The knowledge and technique necessary to assuming responsibilities of the RN First Assistant in Surgery (RNFA) are emphasized. The role of the first assistant is explored in its interdependent relationship, as the nurse works both with the physician and for the benefit of the patient. The nursing diagnosis is used as the defining guide in planning and implementing patient care. Expanded functions are stressed and elaborated as the nurse is prepared to assume responsibility in scrubbing, draping, retracting, exposing, clamping, ligating and suturing. Intellectual and manual dexterity are combined to prepare the nurse with the essential skills necessary to this expanded professional role.