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1st Assistant Accountant information

What is a 1st assistant accountant?

1st Assistant Accountants are finance professionals who support the production accountant on film, television, or other media projects. They are responsible for managing daily accounting operations, such as processing invoices, handling payroll, managing petty cash, and ensuring compliance with financial policies. Their work helps keep the production's finances organized and accurate, making sure all transactions are properly tracked and reported. They often liaise with other departments to resolve financial queries and assist with budget management throughout the production.

What are the key skills and qualifications needed to thrive as a 1st assistant accountant, and why are they important?

To thrive as a 1st Assistant Accountant, you need a solid understanding of accounting principles, attention to detail, and a degree in accounting or finance. Familiarity with accounting software like QuickBooks or SAP, and experience with spreadsheets and financial reporting tools, are typically required. Strong organizational skills, effective communication, and the ability to work under pressure help individuals excel in this role. Mastering these skills ensures accurate financial records, supports compliance, and contributes to the efficient operation of the finance department.

What are some common challenges faced by a 1st assistant accountant during film or television production, and how can they be managed effectively?

A 1st Assistant Accountant in film or television production often faces challenges such as managing tight deadlines, handling last-minute changes in budgets, and ensuring accurate documentation for union and non-union payroll. To manage these effectively, strong organizational skills and clear communication with the production team are essential. Staying proactive in tracking expenses and collaborating closely with the Production Accountant and department heads helps maintain financial control and compliance throughout the project.

What is the difference between 1St Assistant Accountant vs Accounts Payable Clerk?

Aspect1St Assistant AccountantAccounts Payable Clerk
CredentialsAccounting degree or diploma, relevant certificationsHigh school diploma, some accounting courses
Work EnvironmentFinance departments, accounting firmsFinance or accounting departments, often in larger organizations
ResponsibilitiesAssisting in financial reporting, reconciliations, supporting accountantsProcessing invoices, managing payments, maintaining vendor records

The 1St Assistant Accountant typically has broader responsibilities, including supporting financial statements and reconciliations, while the Accounts Payable Clerk focuses mainly on processing payments and managing vendor accounts. Both roles require accounting knowledge, but the Assistant Accountant often works more closely with senior finance staff and handles more complex tasks.

How to get the 1st assistant accountant job with no experience?

To secure a first assistant accountant position with no experience, focus on gaining relevant skills through online courses in accounting software like Excel or QuickBooks, and consider obtaining entry-level certifications such as the Foundation Certificate in Accounting. Internships or volunteer roles can also provide practical exposure and demonstrate commitment to employers. Strong attention to detail and basic understanding of financial principles are essential for entry-level accounting roles.

What is the average salary for a 1st assistant accountant?

The average salary for a first assistant accountant typically ranges from $45,000 to $65,000 annually, depending on experience, location, and industry. Entry-level positions may start lower, while experienced professionals with certifications like CPA can earn higher salaries. The role often requires proficiency in accounting software and strong attention to detail.
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1st Assistant Accountant jobs near you
Infographic showing various 1St Assistant Accountant job openings in the United States as of September 2026, with employment types broken down into 2% As Needed, 72% Full Time, 22% Part Time, 1% Temporary, and 3% Contract. Highlights an 98% Physical, 1% Hybrid, and 1% Remote job distribution.

RN First Assist

Nashville, TN • On-site

Nashville General Hospital
Health Care and Social Assistance • 501 - 1,000 employees
Learn more about Nashville General Hospitalexternal

Other

Posted 21 days ago

Nashville General Hospital rating

7.7

Company rating: 7.7 out of 10

Based on 8 frontline employees who took The Breakroom Quiz

226th of 1,066 rated hospitals

Job description

Description
Title and Definition
Essential Responsibilities
  • Responsible to the patient and the surgical team to assist, educate and otherwise facilitate an optimal outcome for the patient
  • Participate in preoperative assessment and planning for surgical patients specific to RNFA activities (eg, anatomical exposure, wound closure) in collaboration with perioperative team members.
  • Develop an individualized perioperative patient plan of care.
  • Implement the plan of care by:
  • Assist with positioning, prepping and draping of the patient or perform there independently, if so directed by the surgeon.
  • Protecting the patient from injury caused by extraneous objects and chemical, electrical, laser, mechanical, and thermal sources;
  • Participating in accounting procedures to protect the patient from unintended retained surgical items;
  • Performing interventions necessary to ensure that the patient's procedure is performed on the correct site, side, and level;
  • Delays surgical procedure if any discrepancy among parties, patient history and physical, consents, or scheduled procedure occurs.
  • Assisting with management of the patient's specimens as necessary;
  • Communicating the patient's current status to relevant parties throughout the continuum of care;
  • Administering medications safely and correctly;
  • Performing interventions to maintain the patient's wound and tissue perfusion at or above baseline levels;
  • Performing interventions to maintain the status of the patient's genitourinary, gastrointestinal, musculoskeletal, endocrine, respiratory, cardiovascular, and neurological systems and fluid, electrolyte, and acid-base balances at or above baseline levels;
  • Performing interventions to ensure the patient is at or returned to normothermia at the conclusion of the immediate postoperative period;
  • Performing interventions to protect the patient from surgical site infection;
  • Assessing the knowledge level of the patient or designated support person;
  • Demonstrates the ability to operate specialized equipment intra-operatively; i. e. stapling instrumentation, laparoscopic tools and equipment, orthopedic drills, and instrumentation, lasers, etc. per established procedures.
  • Providing education regarding the expected psychosocial response, nutritional management, medication management, pain management, wound management, and expected responses to the operative or invasive procedure;
  • Acts as a resource person for the operating room staff.
Essential Responsibilities:
  • Acts as a resource person for the operating room staff.
  • Involve the patient or designated support person actively in decisions affecting his or her perioperative care and the rehabilitation process;
  • Protecting the patients' rights, dignity, and privacy;
  • Providing age-specific, culturally competent, ethical care within legal standards of practice; and
  • Providing consistent and comparable care regardless of the setting.
  • Function as an RN first assistant during operative and other invasive procedures by:
  • Providing exposure through correct use of instruments, retractors, suction, and sponging techniques;
  • Placing and holding surgical retractors and demonstrating stamina for sustained retraction
  • Retaining manually controlled retractors in the position set by the surgeon with regard to surrounding tissue.
  • Anticipating retraction needs with knowledge of the surgeon's preferences and anatomic structures
  • Packing sponges or laparotomy pads into body cavities to hold tissues and organs out of the operative field
  • Managing all instruments in the operative field to prevent obstruction of the surgeon's view.
  • Considers anatomical and physiological implications when selecting, placing, and moving retractors to provide surgical site exposure and reduce tissue injury.
  • Suctions surgical site as necessary to remove smoke, blood, and fluids from the site to improve visualization and decrease biohazard exposure.
  • Provide hemostasis by:
  • Applying electrocautery tip to clamps or vessels in a safe and knowledgeable manner as directed by the surgeon.
  • Sponging and utilizing pressure as necessary.
  • Utilizing suction techniques.
  • Applying clamps on superficial vessels and the tying off, electrocoagulation of them as directed by the surgeon.
  • Placing suture ligatures in the muscle, subcutaneous, and skin layers.
  • Placing hemoclips on bleeders as directed by the surgeon.
  • Perform knot tying by:
  • Choosing suturing material and techniques (eg, knot tying, ligation of vessels, wound closure) based on physician preference, density of tissue, support for suture line, potential tissue necrosis, need to evert skin edges, and cosmetic effect.
  • Having knowledge of the basic techniques.
  • Tying knots firmly to avoid slipping.
  • Avoiding undue friction to prevent fraying of suture.
  • Carrying knot down to the tissue
  • Approximating tissue rather than pulling tightly to prevent necrosis.
Essential Responsibilities:
  • Approximating tissue rather than pulling tightly to prevent necrosis.
  • Correctly approximating tissue layers under the direction of the surgeon
  • Demonstrates proficiency in skin stapling techniques by assessing blood supply of tissues to be stapled, inspection of staple line, and applying skin staples correctly.
  • Handling and dissecting tissues in collaboration with the surgeon;
  • Clamp and sever tissue
  • Grasp and fixate with screws, staples and other devices
  • Perform specialized tissue handling, dissection, or cutting techniques under the direction of the operating surgeon
  • Clamping blood vessels, coagulating bleeding points, and ligating vessels in collaboration with the surgeon;
  • Suturing muscle, fascia, subcutaneous, and skin in collaboration with the surgeon.
  • Placing drains as directed by the surgeon
  • Assist with applying casts, plaster splints or other devices as indicated
  • Serve as an educator, mentor, consultant, and resource to peers, colleagues, and others in relation to RNFA activities
  • Transfer care as applicable.
  • Delegate tasks according to TN Nurse Practice Act and job descriptions.
  • Document nursing care accurately, completely, and legibly.
  • Collaborate effectively with other disciplines as applicable.
  • Ability to be self-directed in accomplishing the coordination and decision making responsibilities of this position, and be resourceful in problem solving.
Employee Relations:
  • Listen attentively and responsively to information provided.
  • Comprehend information, anticipate information needs of others. Keep others informed in a complete and accurate manner.
  • Supply information requested by nursing personnel, patients, visitors, hospital departments, outside agencies and various health care institutions, using established policy and procedure.
  • Establish and maintain effective working relationships with fellow employees, administrative staff and the general public.
  • Communicates changes in the patient's situation to members of the healthcare team as intervention progresses to determine a need for new treatments or a change in existing treatments.
Customer Satisfaction:
  • Takes appropriate action to address customer concerns and complaints
  • Implements innovative approaches to meet the needs of patients and families
  • Responsible for assessing, planning, implementing and coordinating patient care throughout the perioperative continumum
  • Ability to correlate clinical data with patient's medical and nursing care
  • Ability to handle difficult situations involving patients, physicians, or others in a professional manner
  • Supports perioperative patients' health care rights by involving individuals in their own care.
Quality and Regulatory Standards:
  • Reports illegal, incompetent, or impaired practices
  • Assumes a leadership role in the provision of quality nursing care for patients receiving care
  • Know the accurate standards of clinical competency for the safe care of the unit's patients
  • Understand key quality and safety improvement measures
  • Assist with safety survey scores and actios to improve
  • Remains informed of innovative clinical trends through benchmarking and evidence-based practice
  • Actively participates in preparation of regulatory agency reviews.
Financial Responsibility:
  • Assist in assuring operational cost, equipment and supply cost stay within the unit's budget
  • Collaborates with the surgeon and other members of the health care team to promote efficient use of time, supplies, equipment, and personnel.
Education:
  • Seeks opportunities and experiences to increase skills and maintain competency necessary to practice as an RNFA
  • Assist with orientation, training and developing of employees within the department as necessary
  • Identifies, initiates, and collaborates to provide needed educational programs
  • Ensures compliance with educational requirements through scheduling, planning, and support.
  • Demonstrates current evidence-based practice
  • Recognized as an expert clinician and a leader within area of specialty
  • Maintains current licensure necessary for job requirements
  • Complete annual performance evaluation for self and employees and implement plans of correction when needed
  • Maintain required competencies for self
  • Pursue professional growth and participates in a professional organization.
Professional Requirements:
  • Influences multidisciplinary relationships by enhancing collaborative processes, "corporate culture," institutional values, and professionalism.
  • Practices first assisting in accordance with professional standards, state and federal laws and regulations, and accreditation standards.
  • Adhere to dress code, appearance is neat and clean.
  • Complete annual education requirements.
  • Maintain patient confidentiality at all times
  • Ability to maintain confidentiality of all medical, financial, and legal information
  • Report to work on time and as scheduled.
  • Wear identification while on duty.
  • Maintain regulatory requirements, including all state, federal and local regulations.
  • Represent the organization in a positive and professional manner at all times.
  • Comply with all organizational policies and standards regarding ethical business practices.
  • Participate in performance improvement and continuous quality improvement activities.
  • Attend regular staff meetings and in-services.
  • Follow through on commitments; accepts responsibility for personal actions; and adapt to change.
  • OR on call is Required at times.
Experience:
  • Healthcare/Medical - Nurse: Registered Nurse- Preferred
  • Two years perioperative RN or RNFA experience- Required
Additional Certification & Licensures details
  • Current and valid Registered Nurse licensure, RN First Assistant licensure in TN (CRNFA preferred but not required), Certified Nurse of the Operating Room (CNOR)
  • BLS Required by hire date
  • ACLS and CPI Required within 90 days of hire date

We are an E-Verify employer.
For more information, please click on the following links:
E-Verify Participation Poster: English Spanish
E-Verify Right to Work Poster: English Spanish

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