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1St Assistant Jobs in Silver Spring, MD (NOW HIRING)

VHC Health

Surgical Assistant/OR First Assist

Arlington, VA · On-site

$45.18 - $73.17/hr

Graduation from an accredited program for First Assistants is preferred. Experience: Three years of operating room experience is preferred. Certification/Licensure: Licensed Surgical Assistant by the ...

VHC Health

Surgical Assistant/OR First Assist

Arlington, VA · On-site

$45.18 - $73.17/hr

Graduation from an accredited program for First Assistants is preferred. Experience: Three years of operating room experience is preferred. Certification/Licensure: Licensed Surgical Assistant by the ...

VHC Health

Surgical Assistant/OR First Assist

Arlington, VA · On-site

$45.18 - $73.17/hr

Graduation from an accredited program for First Assistants is preferred. Experience: Three years of operating room experience is preferred. Certification/Licensure: Licensed Surgical Assistant by the ...

VHC Health

Surgical Assistant/OR First Assist

Arlington, VA · On-site

$45.18 - $73.17/hr

Graduation from an accredited program for First Assistants is preferred. Experience: Three years of operating room experience is preferred. Certification/Licensure: Licensed Surgical Assistant by 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.

1St Assistant jobs near you
Infographic showing various 1St Assistant job openings in Silver Spring, MD as of August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 19% Part Time, 1% Temporary, and 4% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution.

Surgical First Assist - LSA, RNFA, PA/NP (Robotics, GYN, Plastics, Spine) DMV - Sign- ON Bonus [...]

Fairfax, VA • On-site

MPOWERHealth
Health Care and Social Assistance • 201 - 500 employees
Learn more about MPOWERHealthexternal

Other

Medical, Dental, Vision, Retirement

Posted 11 days ago

Job description

Overview Join Our Team as a Surgical First Assist - Robotics, Spine, Plastics (LSA/PA/NP/RNFA/CSA) at MPOWERHealth! THIS IS AN OR ONLY ROLE.

We are not a locums, travel, or staffing company--this is a full-time, salaried position with full benefits!

MPOWERHealth is a health services organization that partnersdirectly with hospitals, health systems, and surgeons to deliver exceptionalpatient care by providingIntraoperative Neuromonitoring and Surgical First Assist services.

About DMV

The DMV region offers a unique blend of professional opportunity, cultural diversity, and exceptional amenities. Residents enjoy access to a robust job market, renowned museums and attractions, top-ranked educational institutions, and a wide range of dining, entertainment, and outdoor activities.

Relocating? We've Got You.

We make the move easy:Relocation assistance is available for this role — so if DMV isn't home yet, we'll help make the move easier.

Responsibilities

Who is MPOWERHealth?

MPOWER - We Are MPOWERHealth

Why You'll Love Working Here

  • Comprehensive health coverage - multiple medical plan options to fit your life
  • Health Savings Accountwith company contributions
  • Dental and vision coveragefor you and your dependents
  • 401(k) with company matchto help you build your future
  • Wellness programwith health insurance incentives

What You'll Do

  • Lead as First Assist:Serve as the primary surgical first assist, providing critical hands-on support throughout procedures.
  • Set the Stage Pre-Op:Confirm cases, meet patients, walk them through procedures, gather documentation, and coordinate closely with OR staff.
  • Deliver in the OR:Support patient positioning, maintain a sterile field, anticipate the surgeon's next move, and work in sync with the surgical team.
  • Follow Through Post-Op:Assist with patient transfer, deliver thorough PACU handoffs, and complete documentation with precision.
  • Help Us Get Better:Contribute to clinical and operational initiatives - education, training, and process improvement.
  • Keep Growing:Bring a willingness to learn new surgical specialties and expand your skill set.
Qualifications

What You Bring

Experience:

  • At least 2 years of surgical assisting experience
  • Hands-on experience assisting in Robotics, Spine, and Plastics
  • Spine experience is a plus

Education & Credentials:

  • Strong technical skills in the operating room
  • Graduate of an Accredited program- PA/NP/CSFA
  • Ability to acquire VA/MD state license

What Sets You Apart:

  • Strong interpersonal skills and the ability to adapt to different personalities and needs
  • A customer-service mindset
  • Confidence to work independently and autonomously

Physical Requirements:Able to perform all essential duties with or without accommodation, including:

  • Ability to lift, sit, stand, or squat
  • Constant seeing, hearing, and speaking
  • Frequent lifting up to 20+ lbs., plus bending, reaching, standing, walking, and kneeling

MPOWERHealth is an equal opportunity employer. It is our policy not to discriminate against any applicant or employee because of age, color, sex, disability, national origin, race, religion, or veteran status.

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