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First Assistant Jobs in California (NOW HIRING)

First Assist * Discipline: RN * Start Date: 08/24/2026 * Duration: 13 weeks * 40 hours per week * Shift: 10 hours, days * Employment Type: Travel Meda Health Job ID #18726949. Pay package is based on ...

Superintendent First Assistant at Mulholland Hills Country Club | Premier Golf & Lifestyle Ready to join a dynamic company in the hospitality and service industry where people help drive the success ...

Superintendent First Assistant at Mulholland Hills Country Club | Premier Golf & Lifestyle Ready to join a dynamic company in the hospitality and service industry where people help drive the success ...

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First Assistant information

See California salary details

$32.1K

$131.7K

$189K

How much do first assistant jobs pay per year?

As of Jul 26, 2026, the average yearly pay for first assistant in California is $131,704.00, according to ZipRecruiter salary data. Most workers in this role earn between $40,000.00 and $178,100.00 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 California? The most popular types of First jobs in California are:
What cities in California are hiring for First Assistant jobs? Cities in California with the most First Assistant job openings:
Infographic showing various First Assistant job openings in California as of July 2026, with employment types broken down into 1% As Needed, 75% Full Time, 20% Part Time, 2% Temporary, and 2% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $131,704 per year, or $63.3 per hour.
Travel Nurse RN - First Assist

Travel Nurse RN - First Assist

Bestica

Bakersfield, CA • On-site

Contractor

Posted 10 days ago


Job description

Bestica is seeking a travel nurse RN First Assist for a travel nursing job in Bakersfield, California.

Job Description & Requirements
  • Specialty: First Assist
  • Discipline: RN
  • Start Date: 08/03/2026
  • Duration: 18 weeks
  • 40 hours per week
  • Shift: 10 hours, days
  • Employment Type: Travel

280942
🏥 Travel RN First Assistant (RNFA) | Bakersfield, CA | High Pay | 18 Weeks

Join a leading 254-bed Acute Care Hospital known for advanced surgical care and a strong perioperative team. This is a premium RNFA opportunity offering top-tier pay and hands-on experience assisting in complex surgical procedures.

📌 Job Details

  • Position: RN First Assistant (RNFA)
  • Start Date: 08/03/2026
  • Duration: 13 Weeks
  • Shift: Mid Shift (6:30 AM – 5:00 PM)
  • Schedule: 4x10s (40 hours/week)
  • Open Positions: 18 

🏥 Facility & Unit Information

  • Facility Type: Acute Care Hospital
  • Beds: 254
  • Trauma Level: Community Hospital (Non-designated Trauma)
  • Unit: Operating Room / RNFA
  • Patient Population: Adult & Geriatric
  • Charting System: EPIC (Preferred) 

⏰ Call & Scheduling Details

  • Call Requirement: Yes
    • At least 1 weekday call (until 11 PM) per week
    • 1 full weekend call (Friday – Monday 6:30 AM) every 6 weeks
  • Consistent scheduling with structured call rotation 

👩‍⚕️ Role Overview

As an RN First Assistant, you will play a critical role in the surgical team—working directly alongside surgeons during procedures and ensuring optimal patient outcomes throughout the perioperative process.

🔧 Key Responsibilities

  • Function as First Assistant during surgical procedures
  • Perform tissue handling, suturing, and hemostasis
  • Assist with incision, excision, and closure of surgical sites
  • Place drains and assist in advanced surgical techniques
  • Support cannulation/decannulation procedures when required
  • Perform scrubbing and circulating duties as needed
  • Ensure accurate instrument, sponge, and needle counts
  • Assist with patient positioning, prepping, and draping
  • Collaborate with surgeons, anesthesia, and OR staff for seamless care 

✅ Requirements

  • Experience:
    • RNFA program completion (AORN standards) – Required
    • 2+ years perioperative nursing experience – Preferred
  • Licensure & Certifications:
    • Active RN License (State of Practice)
    • BLS (AHA) – Required
    • ACLS (AHA) – Required
    • CNOR – Required
    • CRNFA – Preferred
    • PALS – Preferred
  • Preferred: AORN Membership 

🌟 Why You’ll Love This Assignment

  • Top Pay Rate💰
  • Work in a high-volume OR with advanced surgical cases
  • Strong, collaborative perioperative team environment
  • Gain experience in complex surgical assisting roles
  • Large facility with modern technology and resources
  • Multiple openings = higher chance of quick placement 

📍 Location Perks – Bakersfield, CA

  • Affordable cost of living for California 🏡
  • Sunny weather year-round ☀️
  • Close to Los Angeles, beaches, and national parks
  • Easy access to Yosemite & Sequoia National Parks 🌲
  • Growing city with dining, entertainment, and outdoor activities 

⚠️ Important Notes

  • Call commitment is required (weekday + weekend rotation)
  • Must have RNFA program completion (AORN standards)
  • Strong OR experience required for consideration 

If you're an experienced RN First Assistant looking for a high-paying, hands-on surgical role, this is your chance—apply now before these 18 openings fill!

280942 🏥 Travel RN First Assistant (RNFA) | Bakersfield, CA | High Pay | 18 Weeks Join a leading 254-bed Acute Care Hospital known for advanced surgical care and a strong perioperative team. This is a premium RNFA opportunity offering top-tier pay and hands-on experience assisting in complex surgical procedures. ________________________________________ 📌 Job Details • Position: RN First Assistant (RNFA) • Start Date: 08/03/2026 • Duration: 13 Weeks • Shift: Mid Shift (6:30 AM – 5:00 PM) • Schedule: 4x10s (40 hours/week) • Open Positions: 18 ________________________________________ 🏥 Facility & Unit Information • Facility Type: Acute Care Hospital • Beds: 254 • Trauma Level: Community Hospital (Non-designated Trauma) • Unit: Operating Room / RNFA • Patient Population: Adult & Geriatric • Charting System: EPIC (Preferred) ________________________________________ ⏰ Call & Scheduling Details • Call Requirement: Yes o At least 1 weekday call (until 11 PM) per week o 1 full weekend call (Friday – Monday 6:30 AM) every 6 weeks • Consistent scheduling with structured call rotation ________________________________________ 👩‍⚕️ Role Overview As an RN First Assistant, you will play a critical role in the surgical team—working directly alongside surgeons during procedures and ensuring optimal patient outcomes throughout the perioperative process. ________________________________________ 🔧 Key Responsibilities • Function as First Assistant during surgical procedures • Perform tissue handling, suturing, and hemostasis • Assist with incision, excision, and closure of surgical sites • Place drains and assist in advanced surgical techniques • Support cannulation/decannulation procedures when required • Perform scrubbing and circulating duties as needed • Ensure accurate instrument, sponge, and needle counts • Assist with patient positioning, prepping, and draping • Collaborate with surgeons, anesthesia, and OR staff for seamless care ________________________________________ ✅ Requirements • Experience: o RNFA program completion (AORN standards) – Required o 2+ years perioperative nursing experience – Preferred • Licensure & Certifications: o Active RN License (State of Practice) o BLS (AHA) – Required o ACLS (AHA) – Required o CNOR – Required o CRNFA – Preferred o PALS – Preferred • Preferred: AORN Membership ________________________________________ 🌟 Why You’ll Love This Assignment • Top Pay Rate💰 • Work in a high-volume OR with advanced surgical cases • Strong, collaborative perioperative team environment • Gain experience in complex surgical assisting roles • Large facility with modern technology and resources • Multiple openings = higher chance of quick placement ________________________________________ 📍 Location Perks – Bakersfield, CA • Affordable cost of living for California 🏡 • Sunny weather year-round ☀️ • Close to Los Angeles, beaches, and national parks • Easy access to Yosemite & Sequoia National Parks 🌲 • Growing city with dining, entertainment, and outdoor activities ________________________________________ ⚠️ Important Notes • Call commitment is required (weekday + weekend rotation) • Must have RNFA program completion (AORN standards) • Strong OR experience required for consideration ________________________________________ If you're an experienced RN First Assistant looking for a high-paying, hands-on surgical role, this is your chance—apply now before these 18 openings fill!

About Bestica

We are a trusted provider of solutions in Information Technology and Healthcare sectors to the DoD, Federal and Commercial markets. Our guiding principle and core values help us care for our people and the community; and build a culture of excellence which in turn helps us achieve our organizational objective of exceeding customer’s expectations in each and every project. Headquartered in San Antonio, TX, we were founded in 2005 and are certified as an 8(a) Business.

Benefits
  • Referral bonus

Bestica logo

About Bestica

Sourced by ZipRecruiter

Bestica is a recognized leader in the field of IT consulting and UX/UI staffing, located in San Antonio, TX, US. Its primary service offering revolves around connecting high-caliber IT and User Interface (UI)/User Experience (UX) talent with premier clients across a range of industries, with a particular emphasis on government services, healthcare, automotive, and education. Founded in 2011, Bestica has consolidated its position as a trusted service provider, exceeding client expectations and delivering expert insight into the rapidly evolving technology marketplace. The firm revolves around a mission of bridging the gap between businesses and exceptional IT and UX/UI professionals, recognizing the crucial role these experts play in contemporary business success.

Industry

Recruiting and staffing services

Company size

1 - 10 Employees

Headquarters location

San Antonio, TX, US

Year founded

2005