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1St Assistant Jobs in Virginia (NOW HIRING)

Surgical First Assistant Job Code: SS1701 Work a minimum of 3 ten hour shifts 0700-1730 per 6 weeks and one call weekend call shift depending on departments needs per 6 weeks. ABOUT US We are ...

Surgical First Assistant In Labor And Delivery Inova Alexandria Hospital is looking for a dedicated Surgical First Assistant in Labor and Delivery to join the team. This role will be FT and days may ...

New

Surgical First Assistant

Culpeper, VA · On-site

$30.55 - $49.61/hr

Surgical First Assistant Job Code: SS1701 4 ten hour days 0700-1730 with one call shift per week 1730-0700 and every 4th weekend Friday 1730-Monday 0700. ABOUT US We are ushering in a new era of ...

Inova Alexandria Hospital is looking for a dedicated Surgical First Assist to join the team! Full-time (40 hrs/week) Day Shift: Monday-Friday, either two shifts-7:00am-3:00pm and two shifts-7:00am-7 ...

Inova Alexandria Hospital is looking for a dedicated Surgical First Assistant in Labor and Delivery to join the team. This role will be FT and days may vary. Inova is consistently ranked a national ...

New

Inova Alexandria Hospital is looking for a dedicated Surgical First Assistant in Labor and Delivery to join the team. This role will be FT and days may vary. Inova is consistently ranked a national ...

Surgical First Assistant

Falls Church, VA · On-site

$48.51 - $79.07/hr

Inova Fairfax Hospital is looking for a dedicated Surgical First Assistant to join the team. This role will be Full-time and days may vary. Inova is consistently ranked a national healthcare leader ...

Surgical First Assistant

Fairfax, VA · On-site

$48.51 - $79.07/hr

Inova Alexandria Hospital is looking for a dedicated Surgical First Assistant in Labor and Delivery to join the team. This role will be FT and days may vary. Inova is consistently ranked a national ...

New

$38.60 - $53.08/hr

Overview The Surgical First Assistant serves as first or second assistant on all surgical cases, under the direction of the surgeon to provide technical assistance as required by the type of ...

$38.60 - $53.08/hr

Overview The Surgical First Assistant serves as first or second assistant on all surgical cases, under the direction of the surgeon to provide technical assistance as required by the type of ...

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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 Virginia?

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

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

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

Infographic showing various 1St Assistant job openings in Virginia as of August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 20% Part Time, 1% Temporary, and 3% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution.

Surgical First Assistant

Lewis-Gale Medical Center

Roanoke, VA • On-site

$2.6K/wk

Other

Re-posted 27 days ago


Job description

Certified Surgical First Assistant

Job Type: Travel

Profession: Certified Surgical First Assistant

Specialty: Surgical First Assistant

Weekly Pay: $2,646

Shift Details: 10-Hour Day

Job Order Details: Start Date 08/31/2026 End Date 11/30/2026 Duration 13 Week(s)

Client Details: City Salem State VA