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First Assistant Jobs in Maine (NOW HIRING)

First Assistant/RN

Ellsworth, ME ยท On-site

$39.51 - $61.04/hr

To carry out the functions that will assist the surgeon in performing a safe operation with optimal results for the patient. The RNFA practices peri-operative nursing and is therefore responsible for ...

Physician Assistant - Podiatry

Rockport, ME ยท On-site

$115K - $149K/yr

First assist with Podiatrists in the operating room for a variety of foot and ankle procedures, limb salvage and/or reconstruction * Independently evaluate, diagnose, and manage a subset of routine ...

First assist with Podiatrists in the operating room for a variety of foot and ankle procedures, limb salvage and/or reconstruction * Independently evaluate, diagnose, and manage a subset of routine ...

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First Assistant information

See Maine salary details

$31.5K

$129.2K

$185.4K

How much do first assistant jobs pay per year?

As of Sep 5, 2026, the average yearly pay for first assistant in Maine is $129,207.00, according to ZipRecruiter salary data. Most workers in this role earn between $39,200.00 and $174,800.00 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 Maine?

The most popular types of First jobs in Maine are:

Infographic showing various First Assistant job openings in Maine as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 20% Part Time, 1% Temporary, and 5% Contract. Highlights an 83% Physical, 1% Hybrid, and 16% Remote job distribution, with an average salary of $129,207 per year, or $62.1 per hour.

Travel Nurse RN - First Assist

Healthtrust Workforce Solutions Maine Health

Portland, ME โ€ข On-site

Contractor

Posted 24 days ago


Job description

Healthtrust Workforce Solutions Maine Health is seeking a travel nurse RN First Assist for a travel nursing job in Portland, Maine.

Job Description & Requirements
  • Specialty: First Assist
  • Discipline: RN
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 8 hours, days
  • Employment Type: Travel

First Assist Congenital Cardiac Nurse

Position Summary

The First Assist Congenital Cardiac Nurse (RNFA) is a highly specialized registered nurse who provides surgical first-assist support for congenital cardiac procedures. This role requires advanced knowledge and technical skills in congenital cardiac surgeries, collaboration with the surgical team, and a commitment to exceptional patient care. The RNFA works directly under the supervision of the operating surgeon, assisting with procedures on pediatric and adult patients with congenital heart defects. EMR EPIC

Required Minimum Knowledge, Skills, and Abilities (KSAs)

Required Education and Licensure

  • Current Registered Nurse (RN) licensure in Maine.
  • Completion of an accredited RNFA program.
  • CNOR certification (preferred).
  • Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) certifications and PALS.

Experience

  • Minimum of 3-5 years of operating room experience, with at least 1-2 years in cardiac surgery.  Travel experience preferred.
  • Demonstrated expertise in congenital cardiac surgery is highly preferred.

Skills and Competencies

  • Proficiency in first-assist techniques and sterile field management.
  • Strong critical thinking and decision-making abilities in high-pressure environments.
  • Excellent interpersonal and communication skills.
  • Commitment to patient-centered care and clinical excellence.


 

Essential Functions

 Surgical First Assisting

  • Serve as the first assist to the surgeon during congenital cardiac surgeries, including tasks such as tissue handling, wound closure, and hemostasis.
  • Utilize advanced surgical techniques in line with surgeon preferences and patient needs.
  • Anticipate the surgeon's needs and ensure the operating room environment is optimized for efficiency and safety.

Preoperative and Postoperative Care

  • Collaborate in the preoperative assessment and preparation of patients for congenital cardiac procedures.
  • Support postoperative care by assisting with wound management, monitoring recovery, and providing patient education.
  • Participate in multidisciplinary rounds to ensure continuity of care.

Team Collaboration and Leadership

  • Partner with surgeons, anesthesiologists, perfusionists, and operating room staff to ensure seamless surgical workflows.
  • Mentor and educate nursing staff on congenital cardiac procedures and assistive techniques.