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First Assistant Jobs in California (NOW HIRING)

RN, First Assistant

Stockton, CA · On-site

$51.52 - $74.22/hr

Functions as a first assistant during surgical incision, excision, and repair of pathology throughout the perioperative period on procedures for which privileges have been granted. Participates in ...

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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 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 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:

Travel Nurse RN - First Assist

Health Saviours

Chico, CA • On-site

Contractor

Posted 5 days ago


Job description

Health Saviours is seeking a travel nurse RN First Assist for a travel nursing job in Chico, California.

Job Description & Requirements
  • Specialty: First Assist
  • Discipline: RN
  • Start Date: 07/27/2026
  • Duration: 16 weeks
  • 40 hours per week
  • Shift: 10 hours, days
  • Employment Type: Travel

Job Description:

The Registered Nurse First Assistant is a licensed professional who renders direct patient care as a part of the perioperative role by functioning as a first assistant to the surgeon.  The RNFA practices an expanded role of perioperative nursing and has acquired knowledge, skills and judgment necessary to assist the surgeon through organized instruction and supervised practice.  The RNFA practices under the supervision of the surgeon in the Operating Room and Labor and Delivery Suite as a First Assistant. 

**Position will be required to be credentialed through the Enloe Medical Staff office** (Minimum 6-8 week processing time)

Requirements: 

- Certified Nurse Operating Room (CNOR)
- Current licensure with the California Board of Registered Nursing
- Current BLS
- Current ACLS recognition

About Health Saviours

Health Saviours


At Health Saviours, we are passionate about making a difference in the healthcare industry by providing top-notch staffing solutions to meet the evolving needs of healthcare facilities and professionals across the USA. Founded on the principles of integrity, excellence, and compassion, we have established ourselves as a trusted partner in the healthcare community, dedicated to fostering a culture of excellence and support for both our clients and our staff.

Our Vision


Our vision at Health Saviours is to be the leading provider of healthcare staffing solutions, recognized for our unwavering commitment to quality, professionalism, and innovation. We strive to create a world where every healthcare professional feels valued, empowered, and inspired to make a positive impact in the lives of others.

Our Approach


At Health Saviours, we take a personalized approach to staffing, focusing on building meaningful relationships with both our clients and our candidates. We understand that every healthcare facility has unique staffing requirements, and every healthcare professional has unique career goals. That’s why we take the time to listen, understand, and tailor our solutions to meet the specific needs of each client and candidate.



Benefits
  • Weekly pay
  • Holiday Pay
  • Retention bonus
  • Referral bonus