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First Assist Jobs in Colorado (NOW HIRING)

RN Surgical First Assistant

Colorado Springs, CO ยท On-site

$45.05 - $69.82/hr

MHC First Assist Work Schedule: Full Time, 80.00 hours per pay period (2 weeks) Shift: Flex Pay: $45.05 - $69.82 / hour. Pay is dependent on applicant's relevant experience This position is an onsite ...

RN Surgical First Assistant

Colorado Springs, CO ยท On-site

$45.05 - $69.82/hr

MHC First Assist Work Schedule: Full Time, 80.00 hours per pay period (2 weeks) Shift: Flex Pay: $45.05 - $69.82 / hour. Pay is dependent on applicant's relevant experience This position is an onsite ...

RN Surgical First Assistant

Colorado Springs, CO ยท On-site

$45.05 - $69.82/hr

MHC First Assist Work Schedule: Full Time, 80.00 hours per pay period (2 weeks) Shift: Flex Pay: $45.05 - $69.82 / hour. Pay is dependent on applicant's relevant experience This position is an onsite ...

RN Surgical First Assistant

Colorado Springs, CO ยท On-site

$45.05 - $69.82/hr

MHC First Assist Work Schedule: Full Time, 80.00 hours per pay period (2 weeks) Shift: Flex Pay: $45.05 - $69.82 / hour. Pay is dependent on applicant's relevant experience This position is an onsite ...

Surgical First Assist (FT)

Fruita, CO ยท On-site

$37.96/hr

Must have current BLS, Certification as Surgical Technologist or Surgical Assist, Certified First Assist preferred. Experience: 1-2 years related experience required as a Surgical Assist REQUIRED ...

Showing results 41-60

First Assist information

See Colorado salary details

$9

$19

$30

How much do first assist jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for first assist in Colorado is $19.92, according to ZipRecruiter salary data. Most workers in this role earn between $15.91 and $22.26 per hour, depending on experience, location, and employer.

What skills do you need for a first assist?

A first assist role typically requires strong communication skills, attention to detail, and the ability to follow instructions precisely. Knowledge of medical procedures, certifications such as CPR or basic life support, and the ability to work in a fast-paced environment are also important.

What are some common challenges faced by first assist professionals in the operating room, and how can they be managed?

First Assist professionals often encounter the challenge of adapting quickly to different surgeons' preferences and surgical techniques, as well as managing fast-paced, high-pressure situations. Effective communication and anticipation of the surgical team's needs are essential to ensure smooth procedures. Staying current with advances in surgical technology and participating in ongoing training can help First Assists overcome these challenges and contribute positively to patient outcomes.

What is a first assist?

First Assist professionals, also known as Surgical First Assistants or First Assistants, are healthcare practitioners who work alongside surgeons during operations. Their primary role is to provide direct support in the operating room, such as preparing the surgical site, controlling bleeding, suturing, and handling surgical instruments. First Assists may be registered nurses, physician assistants, or surgical technologists with specialized training. They are essential team members who help ensure procedures run smoothly, safely, and efficiently. Their responsibilities vary depending on the surgical team and type of procedure.

What is the difference between First Assist vs Surgical Technologist?

AspectFirst AssistSurgical Technologist
CredentialsCertified First Assistant (CFA), surgical assisting certificationsCertified Surgical Technologist (CST), surgical tech certifications
Work EnvironmentAssist surgeons directly during procedures, operating roomsPrepare operating rooms, sterilize instruments, assist during surgeries
Employer & IndustryHospitals, surgical centers, clinicsHospitals, outpatient surgical centers, clinics

First Assist and Surgical Technologist roles both work in surgical settings, but First Assist professionals directly support surgeons during procedures, requiring advanced certifications. Surgical Technologists prepare the operating room and assist indirectly. While both are vital in surgical teams, First Assist roles involve more direct patient and surgical support, often with higher certification requirements.

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

To thrive as a First Assist, you need a solid background in surgical techniques, anatomy, and sterile procedures, usually supported by certification as a Surgical First Assistant or Physician Assistant. Familiarity with surgical instruments, operating room technology, and patient monitoring systems is essential. Strong attention to detail, teamwork, and the ability to remain calm under pressure are critical soft skills for this role. These competencies ensure safe, efficient surgeries and optimal outcomes for patients.

How long does it take to be a first assist?

Becoming a first assist typically requires completing a registered nursing program or a physician assistant program, followed by specialized training or certification in surgical assisting. The process can take approximately 2 to 4 years depending on the educational path and certification requirements.
What cities in Colorado are hiring for First Assist jobs? Cities in Colorado with the most First Assist job openings:
Infographic showing various First Assist job openings in Colorado as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 19% Part Time, and 4% Contract. Highlights an 87% Physical, 1% Hybrid, and 12% Remote job distribution, with an average salary of $41,437 per year, or $19.9 per hour.

Certified First Assistant CFA PRN

Western Orthopedics

Denver, CO โ€ข On-site

$42.14 - $63.20/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 8 days ago


Job description

Hourly Wage Estimate: $42.14 - $63.20 / hour
Learn more about the benefits offered for this job.

The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range.

Do you want to join an organization that invests in you as a(an) Certified First Assistant CFA PRN? At Western Orthopedics, 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.

Job Summary and Qualifications

GENERAL SUMMARY OF DUTIES: Performs as first assistant to the operating surgeon during cardiac, vascular, and non-vascular cases performed by the surgeons.

DUTIES INCLUDE BUT NOT LIMITED TO:

  • Recognizes safety hazards and initiates appropriate corrective action.
  • Applies principles of asepsis and infection control skillfully.
  • Applies knowledge of surgical anatomy, physiology and operative relative to operative procedures wherein the CFA assists.
  • Performs positioning, prepping and draping the patient.
  • Provides hemostasis by clamping blood vessels, coagulation bleeding pints, ligating vessels and by other means as directed by the surgeon.
  • Provides exposure through appropriate use of instruments, retractors, suctioning and sponging techniques.
  • Proficient in endovascular vein harvesting for revascularization. Supports the education of EVH in current CV surgery team.
  • Handles tissue as directed by the surgeon.
  • Performs wound closure as directed by the surgeon; sutures the peritoneum, fascia, subcutaneous tissue and skin.
  • Anticipates the surgeonโ€™s needs based on a knowledge and application of the surgical process and assists with retracting and suturing.
  • Assists with transferring the patient to and from the operating room.
  • Coordinates the OR schedule for the practice.
  • Responsible for orienting and mentoring new employees.
  • Demonstrates flexibility to work with all surgeons
  • Serves as a liaison between operating surgeons and OR for special needs for cases, i.e. equipment, new procedures, etc.
  • Must read and understand and adhere to all Physician Services policies and procedures.
  • Practices and adheres to the Code of Conduct and Mission and Values statements. 

EDUCATION:

  • Graduate from accredited surgical technology or assisting program

EXPERIENCE:

  • Minimum of 3 years of experience as a First Assistant preferred.

CERTIFICATION/LICENSE:

  • Current Certification as a CSFA through the National Board of Surgical Technology and Surgical Assisting

Weโ€™ve expanded the eligibility criteria for our Certified First Assist position!

In addition to the Certified Surgical First Assistant (CSFA) credential from the NBSTSA, we now also accept the Surgical Assistant โ€“ Certified (SA-C) from the ABSA and the Certified Surgical Assistant (CSA) from the NCCSA.

If you hold any of these recognized first assist credentials, we encourage you to apply with HCA HealthONE Physician Services!

Benefits

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

  • Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
  • Wellbeing support, including free counseling and referral services
  • Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
  • Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
  • Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
  • Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

Supporting HCA Healthcare's 186 hospitals and 2,400+ sites of care, Physician Services plays a crucial role as the main entry point for patients looking for high-quality healthcare within the HCA Healthcare system. With a focus on meeting the needs of our patients at all access points, Physician Services is dedicated to implementing innovative, physician-driven, value-added solutions to assist physicians in providing high-quality, patient-centered care, aligning with our mission to care for and enhance human life.

HCA Healthcare has been recognized as one of the Worldโ€™s Most Ethical Companiesยฎ by the Ethisphere Institute more than ten times. โ€ฏIn recent years, HCA Healthcare spent an estimated $3.7 billion in costs for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.


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

We are an equal 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.