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1St Assistant Jobs in Michigan (NOW HIRING)

EducationCurrent Michigan RN license, BSN preferredRegistered Nurse First Assistant (RNFA) and/or Certified Surgical Tech First Assist (CSTFA)Must currently be RNFA certified or obtain your RNFA ...

Superintendent First Assistant at TPC Michigan | Dearborn, MI | Invited Ready to join a dynamic company in the hospitality and service industry where people help drive the success of the business?

Superintendent First Assistant at TPC Michigan | Dearborn, MI | Invited Ready to join a dynamic company in the hospitality and service industry where people help drive the success of the business?

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1St Assistant information

What is a 1st assistant?

A 1st Assistant, often referred to as a First Assistant or First Assistant Director (1st AD) in the film and television industry, is responsible for coordinating the cast and crew, managing the shooting schedule, and ensuring that production runs smoothly and on time. They act as the right hand to the director, facilitating communication between departments and maintaining order on set. Their role is crucial in keeping the project organized and addressing any logistical challenges that arise during filming.

What are the key skills and qualifications needed to thrive as a 1st assistant, and why are they important?

To excel as a 1st Assistant, you need a solid understanding of surgical procedures, sterile techniques, and anatomy, usually supported by certification as a Certified First Assistant (CFA) or similar credential. Familiarity with surgical instruments, operating room protocols, and electronic health record systems is typically required. Attention to detail, teamwork, and strong communication skills help you anticipate surgeon needs and support the surgical team effectively. These skills and qualities are crucial for ensuring patient safety, efficient procedures, and smooth teamwork in the operating room.

What are some common challenges faced by a 1st assistant, and how can they be effectively managed?

As a 1st Assistant, one of the most common challenges is managing multiple priorities and ensuring smooth communication between the director, department heads, and crew. The role often requires rapid problem-solving and adaptability, especially when unexpected changes or time constraints arise on set. Effective organization, proactive planning, and maintaining a calm, positive attitude help address these challenges. Building strong professional relationships and being clear in your communication can also make a significant difference in ensuring production runs efficiently.

What is the difference between 1St Assistant vs 2Nd Assistant?

Aspect1St Assistant2Nd Assistant
CredentialsRelevant certifications, experience in assisting senior staffSimilar credentials, often less experience required
Work EnvironmentSupports primary assistant, often in busy or high-pressure settingsAssists the 1st Assistant, typically in less complex tasks
Industry UsageCommon in legal, medical, and corporate sectorsOften found in same industries, supporting the 1st Assistant

The 1st Assistant and 2nd Assistant roles are closely related, with the 1st Assistant typically having more experience and taking on more responsibilities. The 2nd Assistant supports the 1st Assistant and handles secondary tasks. Both roles are essential in high-demand environments like legal, medical, or corporate settings, but the 1st Assistant usually works directly with senior staff and manages more complex duties.

What are the most commonly searched types of 1St jobs in Michigan?

The most popular types of 1St jobs in Michigan are:

What cities in Michigan are hiring for 1St Assistant jobs?

Cities in Michigan with the most 1St Assistant job openings:

Infographic showing various 1St Assistant job openings in Michigan as of August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 19% Part Time, 2% Temporary, and 3% Contract. Highlights an 98% Physical, 1% Hybrid, and 1% Remote job distribution.

OR FIRST ASSIST

Novi, MI โ€ข On-site

Other

PTO

Re-posted 27 days ago


Job description

Position Description: HighlightsNo nights, no weekends, no holidays, paid vacation so you can have a better work/life balance.New plastic surgery practice open in Novi, MICompetitive compensation and benefitsAn opportunity to work in the cosmetic industry providing happy medicine treating healthy patients who are excited to look and feel better about themselves.A private practice feel with the support and competitive compensation/benefits of working at a large company.At Illuum Cosmetic Surgery we believe that our team members are the keys to our success.Company MissionIlluum Cosmetic Surgerys mission is to help people become the best versions of themselves through affordable and accessible full-service cosmetic surgery services using cutting-edge techniques by the highest quality staff and surgeons. Our holistic, patient-focused experience begins with understanding our patients desires, empowering them with trusted information, and ends with extraordinary results that illuminate ones best self from the inside out.Position SummaryThe RNFA/CSTFA works closely, hands-on, with the surgeon to aid in the process of prepping/draping patients for surgery, suturing, hemostasis, clamping, and provides surgical site exposureThey will assist in positioning patients to ensure a safe operation, applying dressings and garments, transport to the PACU, and room turnoverEssential Duties/FunctionsProvides hemostasis, suturing, and wound management Works in collaboration with the surgeon and other healthcare team members to achieve optimal patient outcomes Assist in the development of treatment plans in conjunction with lead surgeon(s) Assist surgeon(s) during the surgery including passing requested instruments, sutures, equipment, and retractionAssist with room turnover by helping to clean the operating room post-operation and set up for the next procedureAccount for all tools, instruments, and sharps during the procedure Help with center opening/closing duties if requiredHelp with preparing, cleaning, and sterilizing instruments, equipment, and operating rooms if requiredPlacement of pneumatic tourniquet, urinary catheter placement, placement/suturing of surgical drainsClosure of all wound layers (fascia, subcutaneous, and skin)Assist with taking standardized photos if requiredEnsures adequate inventory of controlled drugs, supplies, instrumentation and equipment are available to meet patient needsMixing liposuction tumescent bagsAssist with unpackaging and restocking inventoryCheck sharps boxes and change any that are full, empty all linen/biohazard bags, logs, wheeling patientsStart and remove IVs if neededLaunch in Prean and discharge from PACU when needed if properly trainedComplete all mandatory trainingFollow all state, federal and/or local health and safety rules, laws, and regulations*Additional job duties as assigned.EducationCurrent Michigan RN license, BSN preferredRegistered Nurse First Assistant (RNFA) and/or Certified Surgical Tech First Assist (CSTFA)Must currently be RNFA certified or obtain your RNFA certification within 1 year of employment, CNOR preferredPast experience as a surgeon from another country is a plusMust currently be BLS and ACLS certified or obtain your certifications within 30 days of employment (reimbursement is available)ExperienceMinimum three (3) years of ambulatory surgery clinical experience as a Registered Nurse First Assist (RNFA) or Certified Surgical Tech First Assist (CSTFA)Interpersonal Skills and AttributesBilingual English and Spanish is a plusAbility to maintain strict confidentiality regarding patient health informationAbility to focus on patient safety, teamwork, patient outcomes, patient experience and quality improvementAbility to communicate effectively both verbally and in writingStrong communication skills: written and verbal and interpersonalMicrosoft Office experienceRequires critical thinking skills, decisive judgment, and the ability to work with minimal supervisionFlexible, reliable, patient-oriented, and self-motivatedMust be able to work in a stressful environment and take appropriate actionProfessional behavior/appearance requiredAbility to focus on patient safety, teamwork, patient outcomes, patient experience and quality improvementAbility to work within a team setting in accordance with our overall mission and goalAble to apply common sense understanding to carry out detailed written or oral instructionsPhysical/Sensory RequirementsAbility to be active and on your feet throughout the dayAbility to lift up to 50 pounds (to help assist with patients)Corrected hearing and vision to normal rangeFull range of motion, manual and finger dexterity, and hand-eye coordinationBenefitsHealth InsuranceVision InsuranceDental Insurance401k and Matching ProgramHealth Savings AccountPaid Time OffPaid HolidaysEmployee Incentive Program for Complimentary Plastic Surgery Procedures, Botox, and Fillers Additional Information: $80,000 - $120,000