We introduce a novel robotic scrub nurse system, RoboNurse-VLA, built on a Vision- Language-Action (VLA) model by integrating the Segment Anything Model 2 (SAM 2) and the Llama 2 language model. The proposed RoboNurse-VLA system enables highly precise grasping and handover of surgical instruments in real-time based on voice commands from the surgeon. Leveraging state- of-the-art vision and language models, the system can address key challenges for object detection, pose optimization, and the handling of complex and difficult-to-grasp instruments. Through extensive evaluations, RoboNurse-VLA demonstrates superior performance compared to existing models, achieving high success rates in surgical instrument handovers, even with unseen tools and challenging items. This work presents a significant step forward in autonomous surgical assistance, showcasing the potential of integrating VLA models for real- world medical applications.