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First Assistant Jobs in Delaware (NOW HIRING)

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First Assistant information

See Delaware salary details

$32.5K

$133.6K

$191.7K

How much do first assistant jobs pay per year?

As of Jul 6, 2026, the average yearly pay for first assistant in Delaware is $133,566.00, according to ZipRecruiter salary data. Most workers in this role earn between $40,500.00 and $180,700.00 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 Delaware? The most popular types of First jobs in Delaware are:
Certified Surgical Technician/1st Assistant

Certified Surgical Technician/1st Assistant

Bayhealth

Dover, DE • On-site

Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 3 days ago


Bayhealth (Delaware) rating

7.2

Company rating: 7.2 out of 10

Based on 54 frontline employees who took The Breakroom Quiz

328th of 877 rated healthcare providers


Job description

If you care about the opportunity to grow, to make a difference, to build a future and a life, then we just might have the career for you. Care to talk?
Bayhealth Medical Center is Central and Southern Delaware's healthcare leader with hospitals in Dover and Milford, as well as stand-alone Emergency Department in Smyrna and a hybrid Emergency Department and Urgent Care in Milton. We offer various practice settings throughout Kent and Sussex Counties. Bayhealth Medical Center Kent Campus is 90 minutes from Philadelphia, Washington, DC and Baltimore. Our Sussex Campus is 30 minutes to the Delaware beaches and relaxation in the sand!
Bayhealth Medical Center offers a competitive salary and comprehensive benefits package (for eligible positions) including:
  • Generous Paid Time Off and Paid Holidays
  • Matching 401(k)/403(b) Plans
  • Excellent Health, Dental, and Vision
  • Disability and Life Insurance options
  • On Site Child Care
  • Educational Reimbursement
  • Health Care and Dependent Care Flex Spending Accounts
  • Plus, an array of Voluntary Benefits to include Critical Care Coverage and more!

Location: Kent Campus Hospital
Status: Part Time 48 Hours
Shift: Days
SALARY RANGE: 33.63 - 52.12HOURLY
General Summary:
The Certified First Assistant (CFA) renders care by assisting, under the direct supervision of the surgeon, during invasive surgical and therapeutic procedures. The responsibility/accountability of the CFA is based on documented knowledge of human anatomy, physiology, and surgical procedures as well as demonstrated skills/expertise acquired through specialized preparation, formal instruction, and supervised practice.
Responsibilities:
1. Maintains a safe, comfortable, confidential, and therapeutic environment for patients/families in accordance with hospital standards including sensitivity to individual patient comfort and privacy through verbal and non-verbal communications utilizing age appropriate measures.
2. Possesses and consistently demonstrates a clear understanding of surgical conscience through preparation and maintenance of sterility in surgical environment, while preserving stringent infection control practices to ensure optimal patient care. a. Consistently demonstrates understanding and knowledge, and practices approved techniques for sterilization, decontamination and disinfection and documents these processes accurately.
3. Provides quality service for each procedure through attentiveness and appropriate anticipation in the needs of the surgeon. a. Properly identifies and demonstrates safe, appropriate, intended use of surgical instrumentation, supplies, and equipment. b. Uses surgical instruments to assist the surgeon and facilitate the surgical intervention. c. Possesses the essential mental discipline, fine motor skills, and clinical expertise to provide technical assistance to the surgeon, and to collaboratively direct the perioperative course. d. Demonstrates understanding of intraoperative diagnostic procedures.
4. Demonstrates positive professional verbal and non-verbal communication skills and recognizes their importance in the surgical setting by promoting, maintaining, and working to improve meaningful, positive and open communication and cooperation between all members of the health care team at all times. Identifies members of the surgical team with respect, recognizing their roles and scope of practice.
5. Performs all duties with knowledge and skill necessary to provide appropriate age specific care within all surgical specialties, including Cesarean Sections, and trauma.
6. Assists with the positioning, prepping, and draping of the patient proficiently in collaboration with the surgical team, or performs these functions independently, as directed by the surgeon.
7. Recognizes the importance of National Patient Safety Goals to include patient and surgical site identification processes with active participation in same. a. Along with entire surgical team, assumes accountability for verification of the correct surgical site immediately prior to the initiation of the surgical incision.
8. Actively participates in the departmental orientation process as a preceptor for new employees on all skill levels, as appropriate, and positively contributes toward their success.
9. Observes and reports patient's condition for signs, symptoms, and unusual occurrences, recognizing life-threatening situations and responding appropriately within their scope of practice.
10. Actively participates in preparation of assigned OR with team, to include case set up, room turnover, equipment set up and return of same to storage for scheduled procedures, emergency procedures, and during "on call" rotation.
11. Demonstrates proper identification, labeling, handling, and delivery of all types of surgical specimens and medications.
12. Enhances professional growth and development through participation in educational programs, current literature, meetings, and workshops. a. Maintains all mandatory requirements and educational offerings designated by Bayhealth. b. Participates in staff meetings and departmental meetings at least 8 times per year. c. Maintains credentials; seeks out and participates in lifelong learning opportunities.
13. Follows established departmental policies and procedures, standards of care, and actively demonstrates understanding and commitment to departmental performance improvement plan, and organizational safety and infection control guidelines. a. Bases practice behaviors on the knowledge and application of the scope of practice as defined by practice standards, and the facility guidelines for practice. b. Performs role only as First Assistant and not concurrently as a Surgical Technologist.
14. Actively supports the hospital mission of collaborative networking to satisfy community needs. Provides service consistent with hospital philosophy statement of delivering compassionate, competent care while assuming personal responsibility, promoting wellness, respecting diversity, and maintaining confidentiality.
15. Demonstrates the following position specific clinical knowledge and activities: a. Provides comprehensive clinical competency in all facets of the CFA role. b. Verbalizes knowledge and understanding of the infectious process, defense mechanisms, and the phases of wound healing. c. Verbalizes understanding of the principles of anesthesia administration relevant to CFA role. d. Provides retraction under direct supervision of the surgeon. e. Handles tissue safely. Provides exposure of operative site to promote a safe and effective surgical procedure. Promotes and maintains hemostasis. Assists with and/or performs wound closure. f. Cleans wound and correctly applies appropriate dressing. g. Connects and stabilizes all drains that have been placed/sutured into place. h. Assists with the application of casts or plaster splints. i. Maintains accountability for accurate counts of sponges, needles, and instruments during surgery. j. Performs duties as captain or co-captain of a specialty team if assigned. k. Orders supplies and maintains specialty equipment according to assigned responsibility. m. Understands the need to be flexible. Willingly accepts assignments wherever needed.
Required Education, Credential(s) and Experience:
  • Education: Certificate Program
    Certificate Program
    ; Surgical Technology
    First Assistant
    ;
  • Credential(s): Certified First Assistant
    Basic Life Support
    ;
  • Experience: Required: Previous surgical experience. Preferred: Current experience.

Preferred Education, Credential(s) and Experience:
  • Education:
  • Credential(s): Certified Surgical Technologist
  • Experience:

To view a full list of all open position at Bayhealth, please visit:
https://apply.bayhealth.org/join/

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