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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 Jun 3, 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 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 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 job makes $10,000 a month without a degree?

A First Assistant, such as an executive or personal assistant, can earn around $10,000 per month with extensive experience, strong organizational skills, and sometimes specialized knowledge. High-level assistants in corporate or entertainment industries may reach this income level, especially with overtime, bonuses, or working for high-net-worth clients.

What jobs make $3,000 a month without a degree?

A First Assistant in certain industries, such as film or theater, can earn around $3,000 a month depending on experience and workload. Other roles like administrative assistants, sales representatives, or skilled trades workers may also reach this income level without a formal degree, often requiring on-the-job training or certifications. Income varies based on location, industry, and experience.

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 are the most commonly searched types of First jobs in Delaware? The most popular types of First jobs in Delaware are:
First Assistant jobs near you
Infographic showing various First Assistant job openings in Delaware as of May 2026, with employment types broken down into 1% As Needed, 74% Full Time, 19% Part Time, 1% Temporary, and 5% Contract. Highlights an 98% Physical, 1% Hybrid, and 1% Remote job distribution, with an average salary of $133,566 per year, or $64.2 per hour.

RN FIRST ASSIST - OPERATING ROOM - PER DIEM

Bebee Healthcare

Lewes, DE • On-site

Per diem

Posted 11 days ago

Job description

Why Beebe?
Become part of the Beebe team-an inclusive, mission-driven organization located in a vibrant coastal community. At Beebe, you'll build a rewarding career while making a meaningful impact on the health and well-being of our patients. Join a team committed to excellence, collaboration, and compassionate care, and experience the fulfillment that comes from supporting a community that trusts and values the work you do every day.
Overview
The Registered Nurse First Assistant (RNFA) is a clinically competent, professional registered nurse who demonstrates advanced expertise in the perioperative field. The per diem RNFA delivers comprehensive perioperative care to surgical patients through all phases of the nursing process, including assessment, planning, intervention, implementation, and evaluation.
With specialized RN First Assist training completed, the RNFA functions as an essential member of the surgical team, supporting safe, efficient, and evidence-based surgical care. This role integrates advanced clinical skills, critical thinking, and perioperative knowledge to optimize patient outcomes throughout the operative experience.
Responsibilities
First Assisting Responsibilities
  • Initiate appropriate intraoperative behaviors unique to first assisting: provide hemostasis to reduce potential for fluid volume deficit by clamping and/or legating vessels using ESU, direct pressure, applying chemical agents that promote coagulation and other means as directed by the surgeon.
  • Provide exposure of the operative site through appropriate use of retractors, other instruments, and through suctioning and sponging.
  • Use surgical instruments skillfully in ways consistent with their design and purpose as directed by the surgeon.

Scrub / Surgical Routines & Aseptic Technique
  • Demonstrates competency in performance of scrub/surgical routines and aseptic technique.
  • Utilizes proper scrub, gown and gloving technique for self, surgeon, and assistant.
  • Ongoing monitoring of asepsis in all roles-scrub, circulator, and assistant.
  • Anticipates needs of surgeon.
  • Consistently recognizes sequence of procedures in all roles-scrub, circulator, and assistant.
  • Passes instruments correctly.
  • Appropriate review and preparation for assigned procedures.

Sterilization Processes & Instrument Handling
  • Understands and utilizes established guidelines for operation of autoclaves and steris units.
  • Performs daily A-Test/Biological tests as required.
  • Performs proper care, handling, and assembly of instruments for processing.
  • Ensures complete/thorough documentation of all flash and steris cycles as per protocol.

Supply, Instrument, and Equipment Accountability
  • Accepts personal accountability for proper handling, judicious use, and optimum care of all department supply, instrument, and equipment inventory.

Perioperative Nursing Process
  • Patient assessment: collecting, interpreting, recording, and communicating pertinent data relevant to patient care in surgery.
  • Care planning: utilization of collected data to plan appropriately for intraoperative nursing care.
  • Implementing: provides direct patient care to meet physical and psychological needs.
  • Evaluating care: continuously evaluates patient response to nursing intervention and modifies care plan to achieve desired outcome.

Theoretical Knowledge & Clinical Competence
  • Demonstrates and conveys theoretical knowledge and skills related to perioperative nursing care.
  • Understands the "why" concept as well as the "how" process.

Intraoperative Documentation
  • Thorough/Accurate/Complete documentation of intraoperative patient care.

Patient Positioning & Skin Integrity
  • Understands/Demonstrates/Conveys knowledge related to proper intraoperative patient positioning.
  • Universal skin care precautions.
  • Prevention of nerve damage.
  • Prevention of pressure-related skin breakdown.

Surgical Counts
  • Assists with completion and accuracy of surgical sponge, sharps/miscellaneous items, and instrument counts as per established policies and guidelines.

Preference Sheet Management
  • Assists with maintenance of up-to-date preference sheets in conjunction with Resource RNs and department Nurse Managers.

Critical Thinking, Prioritization & Time Management
  • Effectively demonstrates critical thinking.
  • Prioritizes duties appropriately.
  • Demonstrates strong time management skills throughout the perioperative arena.

Charge Accuracy & Cost Efficiency
  • Maintains accuracy with patient charge process.
  • Uses case supplies cost efficiently.
  • Ensures all pertinent data is provided to post-case data personnel to facilitate a time-efficient billing process.

Turnover Efficiency
  • Strives to ensure efficiency in turnaround time between procedures.
  • Readily available as needed.
  • Communicates with OR Desk/Charge RN and/or department Nurse Manager.
  • Performs gross cleaning of body fluid spills to confine contamination throughout the procedure.
  • Prioritizes case completion process.
  • Assists with room cleanup tasks as necessary.
  • Prioritizes case setup process toward maximum efficiency.

Accreditation & Regulatory Compliance
  • Adheres to all accreditation, regulatory, and safety requirements throughout the perioperative process.

Qualifications
  • Completed RN First Assist Training
  • Minimum of 2 years of recent perioperative nursing experience
  • Strong clinical judgment, communication skills, and commitment to patient-centered care

Credentials
  • RN - Registered Nurse
  • BLS - Basic Life Saving certification
  • CNOR - Certified Nursing - OR

Education
  • Graduate of an accredited nursing school

Entry
USD $39.88/Hr.
Max
USD $65.80/Hr.

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