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1St Assistant Jobs (NOW HIRING)

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 ...

Overview Surgical First Assistant, Operating Room $7,500 Sign-on Bonus for Experienced SFAs Full Time, 80 Hours Per Pay Period, Day Shift Parkwest Overview: Parkwest Medical Center, Covenant Health ...

WI · On-site

$91 - $149/hr

Surgical first assist, including sharp dissection * Vascular dissection for cannulation of kidneys placed on perfusion devices * Renal Pulsatile perfusion * How to independently recover research ...

The Surgical First Assist (SFA) is accountable for all activities related to the surgical recovery and safe preservation of organs from donors. SFA's wear many different 'Scrub-Hats' in the delicate ...

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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 cities are hiring for 1St Assistant jobs?

Cities with the most 1St Assistant job openings:

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

The most popular types of 1St jobs are:

What states have the most 1St Assistant jobs?

States with the most job openings for 1St Assistant jobs include:

Infographic showing various 1St Assistant job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 21% Part Time, 1% Temporary, and 3% Contract. Highlights an 98% Physical, 1% Hybrid, and 1% Remote job distribution.

Surgical First Assistant

TriStar Skyline Medical Center

Nashville, TN • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 25 days ago


Job description


Do you want to join an organization that invests in you as a(an) Certified Surgical First Assistant? At TriStar Skyline Medical 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. 


Benefits 


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


  • Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. 


  • Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. 


  • Free counseling services and resources for emotional, physical and financial wellbeing 


  • 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) 


  • Employee Stock Purchase Plan with 10% off HCA Healthcare stock 


  • Family support through fertility and family building benefits with Progyny and adoption assistance. 


  • Referral services for child, elder and pet care, home and auto repair, event planning and more 


  • Consumer discounts through Abenity and Consumer Discounts 


  • Retirement readiness, rollover assistance services and preferred banking partnerships 


  • Education assistance (tuition, student loan, certification support, dependent scholarships) 


  • Colleague recognition program 


  • Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) 


  • Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. 


Learn more about Employee Benefits 


Note: Eligibility for benefits may vary by location. 


You contribute to our success. Every role has an impact on our patients’ lives and you have the opportunity to make a difference. We are looking for a dedicated Certified Surgical First Assistant like you to be a part of our team. 


Job Summary and Qualifications 


The Certified First Assistant is an active member of the healthcare team in the operating room. Responsible for assisting the healthcare team in assessing the needs of the patients, infancy through life span, and for organizing and planning care sufficient to meet identified needs during the preoperative and intra-operative phase. Pre-operative patient management is, included but not limited to, communicating with other healthcare providers regarding the patients’ plan of care. Intra-operatively, included but not limited to, using instruments/medical devices, providing exposure, handling and/or cutting tissue, providing hemostasis and suturing. The CFA may be asked to precept/mentor others within his/her realm of expertise. 


What qualifications you will need: 


  • High School Graduate / GED 


  • Minimum of 3 years experience preferred 


  • Certified as a Surgical First Assistant (CSFA by the NBSTSA) 


  • Basic Cardiac Life Support, or CPR must be obtained within 30 days of employment start date 



TriStar Skyline Medical Center is a 250+ bed facility. We are Tennessee's first comprehensive stroke center and a national leader in neuroscience. In addition, we are equipped with 3 helipads, new ICU and Medical/Surgical floors, and burn care services. We offer a CARF accredited Inpatient Rehabilitation program and are an ACS verified Level II Trauma Center. As an Accredited Chest Pain Center with PCI, TriStar Skyline is a leading provider of emergency heart care. 


"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 Certified Surgical First Assistant opening. Qualified candidates will be contacted for interviews.Submit your resume today to join our community of caring! 


We are an 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.