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1St Assistant Jobs in Virginia (NOW HIRING)

McLendon Leadershi

Allied Health - First Assist

Roanoke, VA · On-site

$70 - $95/hr

Overview The Certified Surgical First Assistant (CSFA) provides advanced intraoperative support to surgeons across specialties. They handle suturing, retraction, and hemostasis in general, ortho, and ...

New

GHR Healthcare - Travel

Travel First Assist

Roanoke, VA · On-site

First Assist Technician * Discipline: Allied Health Professional * Start Date: ASAP * Duration: 13 weeks * 36 hours per week * Shift: 10 hours, days * Employment Type: Travel GHR Healthcare - Travel ...

Uniti Med

Travel Surgical First Assistant

Norfolk, VA · On-site

Specialty: Surgical First Assistant * Discipline: Allied Health Professional * Start Date: 10/05/2026 * Duration: 13 weeks * 36 hours per week * Shift: 12 hours, days * Employment Type: Travel ...

Valley Health

$34.37 - $51.55/hr

DepartmentSURGICAL SERVICES - 206210Worker Sub TypeRegularWork Shift Pay Range $34.37 - $51.55 The Certified Surgical First Assistant (CSFA) is an allied health professional who works under the ...

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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:

1St Assistant jobs near you
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.

Registered Nurse First Assistant (RNFA)

UVA Health Northern VA & Culpeper

Manassas, VA • On-site

Full-time

Re-posted 22 days ago

Job description


Job Title Registered Nurse First Assistant (RNFA)
Job Code: SS1703
Full-time
$15,000 sign-on bonus for eligible candidates
ABOUT US
We are ushering in a new era of healthcare where achieving good health is just the beginning. At UVA Community Health, part of the world-class UVA Health academic health system, we are committed to caring for the whole person by building meaningful connections with our patients in the local setting of UVA Health's community hospitals, outpatient locations, and provider offices. By combining our team's talent and expertise, the breadth of capabilities across the entire UVA Health system, and our dedication to community wellness, we are bringing expert care close to home.
As a member of the UVA Community Health team, individuals contribute to patient care decisions, support advanced medical technologies, and experience the satisfaction of making a difference in people's lives every day.
JOB TYPE
Classification: Non-Exempt
Supervises Positions: No
JOB SUMMARY
Description:
The Registered Nurse First Assistant (RNFA) is a perioperative registered nurse who functions in an expanded role to work collaboratively with the surgeon and the surgical team. The RNFA provides first-assist services during surgical procedures, performs perioperative nursing responsibilities, and ensures high-quality patient care throughout the surgical experience.
The RNFA practices under the RN scope of practice, Virginia Board of Nursing regulations, and facility policies, with documented RNFA training, competency, and surgeon delegation. This role integrates both circulating/scrub nursing responsibilities and technical first-assist duties.
Job Competencies:
First Assist Responsibilities
  • Provides first-assist duties including exposure, tissue handling, retraction, hemostasis, suturing, and wound management
  • Applies knowledge of instrumentation, anatomy, and sterile/aseptic technique
  • Independently scrubs and assists across specialties including, but not limited to Orthopedics, General, Robotics, Vascular, Gynecology, and Spine
  • Anticipates surgeon needs and ensures safe, efficient operative flow
  • Participates in preoperative planning with surgeons and the surgical team
  • Demonstrates knowledge and skills appropriate to the age and needs of the patient

Perioperative RN Responsibilities
  • Performs circulating nurse duties according to Operating Room standards and policies
  • Prepares the operating room with supplies, instruments, and equipment needed for the scheduled procedure
  • Supports anesthesia providers and ensures safe patient positioning
  • Monitors compliance with aseptic technique and safety protocols
  • Engages in preadmission, preoperative, and postoperative RN duties as applicable to Outpatient Surgery (Outpatient Surgery Center, Preadmission, Post-Anesthesia Care Unit)
  • Provides patient and family education regarding the perioperative process
  • Conducts nursing assessments and documents care in accordance with policy

Communication & Collaboration
  • Utilizes SBARQ and other structured communication tools
  • Coordinates patient care activities with physicians, anesthesia, surgical technologists, and perioperative staff
  • Maintains timely and accurate documentation
  • Communicates updates or issues to the leadership team and intra-operative staff

Patient Care & Advocacy
  • Acts as an advocate for patient rights, privacy, and dignity
  • Provides emotional support and individualized patient education
  • Develops and implements nursing plans of care tailored to patient needs
  • Ensures continuity of care across all perioperative phases

Quality, Safety & Competency
  • Follows departmental and organizational policies and guidelines.
  • Maintains, operates, and monitors equipment according to manufacturer and hospital standards.
  • Completes department-specific competency validation and ongoing training.
  • Participates in on-call rotation as assigned.

The incumbent may be asked to perform additional duties as assigned.
QUALIFICATIONS
Education:
  • Graduate of an accredited School of Nursing required
  • Bachelor's Degree in Nursing required
  • Completion of an accredited RNFA program required

Experience:
  • Minimum two years of perioperative RN experience required
  • Experience as an RNFA preferred

Licensure:
  • Current RN license in the Commonwealth of Virginia
  • Certified Nurse Operating Room (CNOR) certification required
  • RNFA certification or documented completion of RNFA program required
  • Refer to the Life Support Training policy for additional details

Additional Skills/Requirements Required:
  • Ability to independently scrub and first-assist across multiple specialties
  • Strong critical thinking, assessment, and decision-making abilities
  • Excellent communication, teamwork, and patient education skills
  • Ability to multitask, prioritize, and respond effectively in emergencies

Must meet all competency validations for perioperative RN and RNFA duties.
Additional Skills/Requirements Preferred:
PHYSICAL DEMANDS
Physical Demand Code: Nursing 20A / Medical Tech 17A
Work Function/Activity: Medium to Heavy Physical Demand
  • Constant standing, frequent walking, bending/stooping
  • Ability to lift/push/pull up to 100 lbs. with assistance (Safe Handling Equipment required >35 lbs.)
  • Requires strong visual, auditory, and verbal communication abilities
  • Frequent repetitive motions and ability to maintain attention to detail

OTHER
  • May require the use of safety equipment, such as HEPA mask, for infection prevention: Yes
  • On call responsibilities as directed: Yes
  • Ability to travel between campus buildings, remote facilities, and out of town as needed: Yes

The base compensation range for this role is $40.44- $66.96 hourly
Individual compensation will be determined by the selected candidate's qualifications, previous work experience, and/or education. Please note that the pay range does not include any applicable incentive compensation programs such as shift differentials, clinical ladders, and other incentives that may be available for those in eligible positions.

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