I have been an RNFA in Alabama for 2 years and OR nurse in Alabama for 8. I have yet to receive any money from Insurance companies for the limited time I worked with a private Ortho Surgeon. He hired a PA who can get reimbursement from third party insurance and Medicare for first assisting. The RN in my area who is an RNFA rarley gets to scrub if at all, and will not be considered for a "good" job until they can get reimbursment. Docs here want an assistant ,but they want the assistant to pay for themselves via insurance reimbursement. Wake up RN's! the PA's and Techs are taking our jobs little by little. There are people who will disagree with my statement but come to Alabama and learn the truth on how the OR RN is becoming extinct.