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Certified Surgical First Assistant

Portland, OR · On-site

$2.1K - $2.3K/wk

Certified Surgical First Assistant (CSFA) | Portland, OR Join a leading healthcare organization committed to delivering exceptional surgical care. Adventist Health Portland is seeking a skilled and ...

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How much do certified surgical first assist jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for certified surgical first assist in the United States is $43.34, according to ZipRecruiter salary data. Most workers in this role earn between $30.77 and $52.40 per hour, depending on experience, location, and employer.

What is a certified surgical first assist?

Certified Surgical First Assists (CSFAs) are highly trained healthcare professionals who work alongside surgeons during surgical procedures. They provide direct assistance by helping control bleeding, suturing incisions, and ensuring optimal visibility for the surgeon. CSFAs play a critical role in patient safety and surgical outcomes by anticipating the surgeon’s needs and responding quickly during operations. They typically have advanced education and certification beyond that of a standard surgical technologist. Their expertise allows them to take on more responsibilities in the operating room, contributing to a successful surgical team.

What does a certified surgical first assist do?

A Certified Surgical First Assist (CSFA) works closely with surgeons by providing direct support before, during, and after surgical procedures. They help with tasks such as positioning the patient, ensuring proper exposure of the surgical site, controlling bleeding, and suturing incisions. CSFAs also collaborate with scrub techs, circulating nurses, and anesthesiologists to maintain a sterile and efficient environment. This role requires strong teamwork, communication, and adaptability to respond to the dynamic needs of the surgical team.

What are the key skills and qualifications needed to thrive as a certified surgical first assist?

To thrive as a Certified Surgical First Assist, you need advanced knowledge of surgical procedures, sterile techniques, and a related healthcare degree with certification such as the CSFA credential. Familiarity with operating room equipment, surgical instruments, and electronic health records is essential. Strong attention to detail, teamwork, and the ability to stay calm under pressure are crucial soft skills. These capabilities ensure patient safety, efficient surgical support, and seamless collaboration within the surgical team.

What is the difference between Certified Surgical First Assist vs Surgical Technologist?

AspectCertified Surgical First AssistSurgical Technologist
CredentialsCertified Surgical First Assist (CSFA) certification, RN or surgical assistant certificationPost-secondary education, certification as Surgical Technologist (CST)
Work EnvironmentOperating rooms, assisting surgeons during proceduresPreparing operating rooms, sterilizing equipment, passing instruments
Employer & IndustryHospitals, surgical centers, clinicsHospitals, outpatient surgical centers, clinics

Certified Surgical First Assist and Surgical Technologist both work in surgical settings, but the CSFA has advanced training to assist directly during surgeries, while Surgical Technologists prepare the environment and assist indirectly. The CSFA typically requires additional certifications and hands-on experience, making it a more specialized role in surgical teams.

What cities are hiring for Certified Surgical First Assist jobs?

Cities with the most Certified Surgical First Assist job openings:

What states have the most Certified Surgical First Assist jobs?

States with the most job openings for Certified Surgical First Assist jobs include:

What job categories do people searching Certified Surgical First Assist jobs look for?

The top searched job categories for Certified Surgical First Assist jobs are:

Certified Surgical First Assist jobs near you
Infographic showing various Certified Surgical First Assist job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 71% Full Time, 23% Part Time, and 5% Contract. Highlights an 88% Physical, 1% Hybrid, and 11% Remote job distribution, with an average salary of $90,141 per year, or $43.3 per hour.

Certified Surgical First Assist

United Surgical Partners International Inc (USPI)

Mount Juliet, TN

Per diem

Posted 16 days ago

United Surgical Partners International rating

5.3

Company rating: 5.3 out of 10

Based on 16 frontline employees who took The Breakroom Quiz

Job description

PRN Certified Surgical First Assistant (CSFA)

Providence Surgery Center is an accredited ambulatory surgery center recognized by The Joint Commission, reflecting our commitment to the highest standards of patient safety and quality care. The center is physician owned.

The facility includes:
•    2 Operating Rooms
•    1 Treatment Room

Our advanced technology and skilled surgical teams support procedures across multiple specialties, including:
•    Cardiac
•    ENT
•    Orthopedic
•    Pain Management
•    Podiatry

The Certified Surgical First Assistant (CSFA) provides direct support to surgeons before, during, and after surgical procedures. This role is essential to ensuring safe, efficient, and high quality surgical care. The CSFA functions as a key member of the perioperative team, assisting with operative procedures while maintaining strict adherence to sterile technique, regulatory standards, and patient safety protocols.

Qualifications

•    Graduate of an accredited Surgical First Assist or equivalent program
•    Certified Surgical First Assistant (CSFA) credential required
•    Active certification and compliance with continuing education requirements
•    Current BLS certification (ACLS preferred or as required by the center)
•    Multispecialty experience in an operating room or ambulatory surgery center preferred
•    Ability to function effectively in a fast paced, multispecialty surgical environment
•    Excellent communication and teamwork skills

 
Who We Are

At USPI, we create relationships that create better care. We partner with physicians and healthcare systems to provide first-class ambulatory solutions throughout the United States. We are committed to providing surgical services in the most efficient and clinically excellent manner.
USPI is committed to, and proud of, our inclusive culture. An inclusive culture, in our view, is respectful of differences and nurtures and supports the contributions of each individual, while also embracing and leveraging diversity. A diverse workforce, combined with an inclusive culture, makes USPI stronger and better able to meet the needs of our diverse patient and physician population.

#USP-123

#LI-KB3


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