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1St Assistant Jobs in Missouri (NOW HIRING)

RNFA First Assist

Saint Louis, MO ยท On-site

$2.3K - $2.4K/wk

Contract - W2 First Assist Registered Nurse (RN) Job Location: St. Louis, Missouri Start Date: August 24, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay: $2385.32 - $2480.32 Duration ...

Certified First Assistant * Cert Nurse OR (CNOR) * CERTIFIED RN FIRST ASSIST Overview Barnes-Jewish West County Hospital offers highly specialized surgical and medical services in an intimate ...

Delivers intraoperative patient care as the first assistant to the surgeon(s) as a collaborative team member. Pre-operatively performs a focused nursing assessment in reference to planned procedure.

RN - First Assist

Saint Louis, MO ยท On-site

$38.42 - $64.34/hr

Delivers intraoperative patient care as the first assistant to the surgeon(s) as a collaborative team member. Pre-operatively performs a focused nursing assessment in reference to planned procedure.

RN - First Assist

Saint Louis, MO ยท On-site

$38.42 - $64.34/hr

Delivers intraoperative patient care as the first assistant to the surgeon(s) as a collaborative team member. Pre-operatively performs a focused nursing assessment in reference to planned procedure.

Delivers intraoperative patient care as the first assistant to the surgeon(s) as a collaborative team member. Pre-operatively performs a focused nursing assessment in reference to planned procedure.

Role Purpose Performs an expanded perioperative role as a first assistant to surgeons during surgical procedures in the operating room. RNFA works alongside the surgeon to provide direct patient care.

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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 Missouri?

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

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

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

Infographic showing various 1St Assistant job openings in Missouri as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 18% Part Time, 1% Temporary, and 2% Contract. Highlights an 98% Physical, 1% Hybrid, and 1% Remote job distribution.

Surgical First Assist

Blue River Surgery Center

Kansas City, MO โ€ข On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 23 days ago


Job description

Do you want to join an organization that invests in you as a(an) Surgical First Assist? At Blue River Surgery Center, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.

Job Summary and Qualifications

As a Certified First Assist, you will work under the direction of the operating surgeon. You will function as first/second assistant to the surgeon during the operative procedure, providing aid in exposure, hemostasis, and other technical functions to ensure safe and efficient outcomes. You will be responsible for restocking and changing over rooms between cases.

What you will do in this role:

  • You will demonstrate the necessary practical, technical and/or specialized knowledge and skills required in accordance with ASA (Association of Surgical Assistants) and other regulatory standards
  • Communicate with the surgeon prior to the case to ascertain specific needs
  • You will share information with the remainder of the surgical team in a timely manner
  • You will assisting with patient positioning, skin preparation, and surgical draping according to the surgeonโ€™s protocol
  • You will anticipate the needs of the surgeon in order to expedite the procedure, while minimizing the patientโ€™s exposure to surgical and anesthetic stress
  • You will ensure the temperature of the patient is discussed with anesthesia personnel in compliance with desired temperature ranges
  • You will assist the surgeon by providing retraction and aiding exposure of the operative site
  • Facilitate hemostasis of the surgical site by performing suction, irrigation and sponging during a surgical procedure
  • You will assist with skin or external suturing and stapling under the surgeonโ€™s direction

Qualifications for this role:

  • You are a graduate of a CAAHEP-accredited program in surgical assisting and attain the CSFA credential administrated by the National Board of Surgical Technology and Surgical Assisting
  • BLS certification
  • You have one year experience in an operating room setting, preferably in an ambulatory surgery center
  • You are a Certified Surgical Assistant (CSA)
  • You have a valid BCLS Certification upon employment***online certification not acceptable.
Benefits

Blue River Surgery Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

  • Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
  • Wellbeing support, including free counseling and referral services
  • Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
  • Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
  • Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
  • Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

Blue River Surgery Center is the newest member of the Surgery Ventures Group powered by HCA Healthcare opening in early 2024. This state-of-the-art facility will include five operating rooms and two specialty procedures rooms. The center will be staffed by a skilled team of registered nurses and OR techs. Our specialties will include orthopedics, GI, podiatry, general and vascular surgery. The Center is located in South Kansas City near I-435 and Holmes.

HCA Healthcare has been recognized as one of the Worldโ€™s Most Ethical Companiesยฎ by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in costs for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.


"Good people beget good people."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Surgical First Assist opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.