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First Assistant Jobs in Alabama (NOW HIRING)

1st Assistant Managers A 1st Assistant Managers helps oversee in-store operations alongside the General Manager. The 1st Assistant Manager plays a major role in ensuring the store is in exceptional ...

1st Assistant Managers A 1st Assistant Managers helps oversee in-store operations alongside the General Manager. The 1st Assistant Manager plays a major role in ensuring the store is in exceptional ...

1st Assistant Managers A 1st Assistant Managers helps oversee in-store operations alongside the General Manager. The 1st Assistant Manager plays a major role in ensuring the store is in exceptional ...

1st Assistant Managers A 1st Assistant Managers helps oversee in-store operations alongside the General Manager. The 1st Assistant Manager plays a major role in ensuring the store is in exceptional ...

1st Assistant Managers A 1st Assistant Managers helps oversee in-store operations alongside the General Manager. The 1st Assistant Manager plays a major role in ensuring the store is in exceptional ...

1st Assistant Managers A 1st Assistant Managers helps oversee in-store operations alongside the General Manager. The 1st Assistant Manager plays a major role in ensuring the store is in exceptional ...

1st Assistant Managers A 1st Assistant Managers helps oversee in-store operations alongside the General Manager. The 1st Assistant Manager plays a major role in ensuring the store is in exceptional ...

1st Assistant Managers A 1st Assistant Managers helps oversee in-store operations alongside the General Manager. The 1st Assistant Manager plays a major role in ensuring the store is in exceptional ...

1st Assistant Managers A 1st Assistant Managers helps oversee in-store operations alongside the General Manager. The 1st Assistant Manager plays a major role in ensuring the store is in exceptional ...

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First Assistant information

See Alabama salary details

$29.5K

$121K

$173.6K

How much do first assistant jobs pay per year?

As of Aug 2, 2026, the average yearly pay for first assistant in Alabama is $120,959.00, according to ZipRecruiter salary data. Most workers in this role earn between $36,700.00 and $163,600.00 per year, depending on experience, location, and employer.

What are First Assistants?

First Assistants, often referred to as First Assistant Directors (First ADs) in film and television production, are responsible for coordinating all production activities on set. They assist the director by managing the shooting schedule, ensuring that cast and crew are prepared, and facilitating communication between departments. Their role is essential in keeping the production running smoothly, safely, and on time. First Assistants also help enforce safety protocols and can be involved in overseeing rehearsals and blocking scenes. Overall, they play a key organizational and leadership role in any production.

What are the key skills and qualifications needed to thrive as a First Assistant, and why are they important?

To thrive as a First Assistant, you need a comprehensive understanding of surgical procedures, aseptic techniques, and anatomy, usually backed by a relevant certification such as Certified Surgical First Assistant (CSFA) or equivalent clinical training. Familiarity with surgical instruments, operating room protocols, and electronic medical records is typically required. Strong attention to detail, effective communication, and the ability to work well under pressure are essential soft skills. These competencies ensure optimal surgical outcomes, enhance patient safety, and support seamless teamwork in the operating room.

What is the difference between First Assistant vs Second Assistant?

AspectFirst AssistantSecond Assistant
CredentialsTypically requires medical or legal certifications, depending on industrySimilar credentials, often with less experience required
Work EnvironmentHigh-pressure settings, assisting lead professionalsSupport role, often in administrative or support settings
Employer & Industry UsageUsed in legal, medical, or film industries as a primary support roleSupporting role, often subordinate to First Assistant
Common Search & ComparisonOften compared for responsibilities and qualificationsLess frequently searched in comparison to First Assistant

The First Assistant typically holds more responsibilities, requires specific certifications, and works closely with lead professionals in high-pressure environments. The Second Assistant generally provides support and performs delegated tasks, often with less experience or certification requirements. Understanding these differences helps clarify career progression and role expectations within the industry.

What's the easiest hospital job to get?

The easiest hospital job to get is often a patient transporter or hospital aide, which typically requires minimal formal education and on-the-job training. These roles usually have high turnover and may not require certifications, making them accessible entry-level positions in healthcare settings.

How much do first assistants make per hour?

First assistants typically earn between $15 and $25 per hour, depending on experience, location, and the industry they work in. They often work in fast-paced environments and may require skills in organization and communication.

What are some common challenges First Assistants face when supporting high-level executives or teams?

First Assistants often juggle multiple priorities, such as managing complex calendars, responding to urgent requests, and coordinating logistics for meetings or events. One common challenge is maintaining clear communication and anticipating the needs of executives, which requires strong organizational skills and discretion. Additionally, First Assistants may need to adapt quickly to changing schedules or last-minute tasks, making flexibility and problem-solving essential. Building good relationships with both internal teams and external contacts also helps ensure smooth workflow and successful collaboration.

Where do surgical first assistants make the most money?

Surgical first assistants tend to earn the highest salaries in regions with a high cost of living and advanced healthcare facilities, such as metropolitan areas or states with strong medical industries. Factors like experience, certifications, and the complexity of surgeries also influence earning potential, with those working in specialized or high-demand surgical fields typically earning more.

What does a first assistant do?

A first assistant is a key member of a production team, often in film or theater, responsible for supporting the director or producer by managing schedules, coordinating communication, and assisting with logistical tasks. They may also handle administrative duties, oversee daily operations, and ensure the smooth flow of the project. Strong organizational skills and knowledge of production processes are essential for this role.
What are the most commonly searched types of First jobs in Alabama? The most popular types of First jobs in Alabama are:
What cities in Alabama are hiring for First Assistant jobs? Cities in Alabama with the most First Assistant job openings:
Infographic showing various First Assistant job openings in Alabama as of July 2026, with employment types broken down into 1% As Needed, 67% Full Time, 25% Part Time, 1% Temporary, and 6% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $120,959 per year, or $58.2 per hour.

Full-time

Posted 9 days ago


Gadsden Regional Medical Center rating

5.0

Company rating: 5.0 out of 10

Based on 22 frontline employees who took The Breakroom Quiz

989th of 1,054 rated hospitals


Job description

Job Description

Job Summary 
The RN First Assist (RNFA) provides advanced perioperative nursing care, assisting surgeons during operative procedures to ensure optimal patient outcomes. This role includes preoperative, intraoperative, and postoperative responsibilities, supporting a variety of surgical specialties and units. The RNFA collaborates with multidisciplinary teams, utilizing advanced skills in tissue handling, wound management, and surgical techniques while maintaining compliance with regulatory and institutional standards. 
Essential Functions

  • Provides advanced surgical assistance to the operating surgeon, including tissue handling, suturing, and wound management.
  • Collaborates with the surgical team to plan, implement, and evaluate individualized perioperative care plans.
  • Ensures the operative field is maintained aseptically, adhering to infection control protocols and surgical standards.
  • Assesses patient needs preoperatively and postoperatively, providing education and emotional support as needed.
  • Monitors and manages intraoperative patient status, responding to changes and communicating effectively with the surgical team.
  • Maintains accurate and thorough documentation of perioperative care in compliance with organizational policies.
  • Provides mentorship and education to nursing staff and students, promoting best practices in perioperative care.
  • Collaborates with various units and specialties to provide RNFA support tailored to specific surgical procedures and patient populations.
  • Performs other duties as assigned.
  • Maintains regular and reliable attendance.
  • Complies with all policies and standards.

Qualifications

  • 2-4 years of perioperative nursing experience in an operating room setting required
  • 1-2 years of experience as a certified RN First Assist providing intraoperative surgical assistance preferred

Knowledge, Skills and Abilities

  • Advanced knowledge of surgical techniques, aseptic principles, and perioperative nursing practices.
  • Strong clinical decision-making and problem-solving skills in high-pressure environments.
  • Excellent communication and teamwork abilities for collaborating with multidisciplinary teams.
  • Proficiency in surgical instruments, technologies, and documentation systems.
  • Commitment to patient safety and quality improvement in the surgical setting.

Licenses and Certifications

  • RN - Registered Nurse - State Licensure and/or Compact State Licensure required and
  • CRNFA - Certified Registered Nurse First Assistant required
  • BCLS - Basic Life Support required and
  • ACLS - Advanced Cardiac Life Support required
  • CNOR - Certified Operating Room Nurse preferred

INDNUR


What Gadsden Regional Medical Center employees say

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Gadsden Regional Medical Center logo

About Gadsden Regional Medical Center

Sourced by ZipRecruiter

Gadsden Regional Medical Center is a 346 bed Acute Care Hospital with Inpatient and Outpatient care. We are accredited by the Joint Commission and Certified in hip and knee replacements. We have recognized programs in Cardiology, Pulmonology, Sleep Medicine and Stroke Services. We believe in the Power of People to create great care. We're nearly 2,000 Healthcare Professionals Strong, and We work hard every day to be a place of Healing, Caring and Connection for Patients and Families in Gadsden, Albertville, Attalla, Boaz, Fort Payne, Glencoe, Hokes Bluff, Jacksonville, Leesburg, Piedmont, Rainbow City, Southside, Steele, Wellington and surrounding Communities.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Gadsden, AL, US

Year founded

1906

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