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First Assistant Jobs in California (NOW HIRING)

Care Career

Travel RN First Assistant

Lakeport, CA · On-site

First Assist * Discipline: RN * Start Date: 10/05/2026 * Duration: 13 weeks * 40 hours per week * Shift: 10 hours, days * Employment Type: Travel The RN First Assistant carries out functions that ...

Adventist Health

RN First Assistant

Woodbridge, CA · On-site

Adventist Health is seeking an RN First Assistant to support surgical services in our faith-based, mission-driven system. In this role, you will provide first-assist support to surgeons, deliver high ...

Astrana Health, Inc.

RN First Assist

Aliso Viejo, CA · On-site

$135 - $177/hr

RN First Assist Department: 7420-Surgery & Recovery Employment Type: Full Time Location: 14662 Newport Ave, Tustin, CA 92780 ("HOSPITAL") Reporting To: Glenda Luce Compensation: $65.00 - $85.00 ...

Astrana Health, Inc.

$65 - $85/hr

RN First Assist Department: 7420-Surgery & Recovery Employment Type: Full Time Location: 14662 Newport Ave, Tustin, CA 92780 ("HOSPITAL") Compensation: $65.00 - $85.00 / hour Description About the ...

Astrana Health Management

RN First Assist

Tustin, CA · On-site

$90 - $117/hr

RN First Assist Department: 7420-Surgery & Recovery Employment Type: Full Time Location: 14662 Newport Ave, Tustin, CA 92780 ("HOSPITAL") Reporting To: Glenda Luce Compensation: $65.00 - $85.00 ...

Invited Clubs

1st Assistant Superintendent

Tarzana, CA · On-site

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 ...

ClubCorp

1st Assistant Superintendent

Tarzana, CA · On-site

$80K - $90K/yr

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 ...

Invited

1st Assistant Superintendent

Tarzana, CA · On-site

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 ...

Astrana Health, Inc.

RN First Assist

Tustin, CA · On-site

$65 - $85/hr

Description About the Role The Registered Nurse First Assistant (RNFA) is a highly skilled perioperative nurse who utilizes the nursing process to assess, plan, coordinate, implement, and evaluate ...

Meda Health

Travel RN First Assistant

Lakeport, CA · On-site

First Assist * Discipline: RN * Start Date: 10/05/2026 * Duration: 13 weeks * 40 hours per week * Shift: 10 hours, days * Employment Type: Travel IMPORTANT - TRAVEL ELIGIBILITY: Applicants must ...

Astrana Health

RN First Assist

Tustin, CA · On-site

$65 - $85/hr

About the Role The Registered Nurse First Assistant (RNFA) is a highly skilled perioperative nurse who utilizes the nursing process to assess, plan, coordinate, implement, and evaluate patient care ...

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All JobsFirst JobsFirst Assistant JobsFirst Assistant Jobs in California

First Assistant information

See California salary details

$32.1K

$131.7K

$189K

How much do first assistant jobs pay per year?

As of Sep 6, 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 is a first assistant?

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 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.

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.

How do I become a first assistant?

To become a first assistant, typically you need relevant experience in the field, strong communication and organizational skills, and often a background in the specific industry or environment. Some roles may require specific certifications or training, depending on the industry standards. Gaining practical experience through internships or entry-level positions can also be beneficial.

How much do first assistants make?

First assistants in Florida typically earn between $30,000 and $60,000 annually, depending on experience, location, and the industry they work in. They often require strong organizational skills and proficiency with office tools to perform their duties effectively.

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:

First Assistant jobs near you
Infographic showing various First Assistant job openings in California as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 15% Part Time, and 4% Contract. Highlights an 85% Physical, 1% Hybrid, and 14% Remote job distribution, with an average salary of $131,704 per year, or $63.3 per hour.

Travel RN First Assistant

Care Career

Lakeport, CA • On-site

Contractor

Medical, Dental, Vision

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

Care Career is seeking a travel nurse RN First Assist for a travel nursing job in Lakeport, California.

Job Description & Requirements
  • Specialty: First Assist
  • Discipline: RN
  • Start Date: 10/05/2026
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 10 hours, days
  • Employment Type: Travel

The RN First Assistant carries out functions that will assist the surgeon in performing a safe surgical procedure with optimum results for the patient. The RN First Assistant practices perioperative nursing, functions directly under the supervision of the surgeon during the surgical procedure, and does not function simultaneously as the scrub nurse.

Care Career Job ID #37781862. Pay package is based on 10 hour shifts and 40.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN First Assistant (RNFA)

About Care Career

Care Career brings together a portfolio of leading healthcare staffing organizations, each delivering specialized talent solutions across the industry. Wherever you want to go, We Make It Happen.

With travel nursing jobs across the country, you can discover the possibilities that create the lifestyle and financial position that you have dreamed of.

Care Career is a modern, transparent staffing firm creating the ultimate community of US.


Benefits
  • Referral bonus
  • Weekly pay
  • Medical benefits
  • Continuing Education
  • Dental benefits
  • Vision benefits

Apply