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First Assistant Jobs in Massachusetts (NOW HIRING)

Care Career

Travel RN First Assist

Pittsfield, MA · 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 ...

UnitiMed

RNFA First Assist

Pittsfield, MA · On-site

Referral bonus up to $700 Registered Nurse (RN),First Assist, About the Company: Uniti Med is an award-winning healthcare staffing company with a mission to provide staffing services with heart.

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First Assistant information

See Massachusetts salary details

$35.5K

$145.7K

$209.1K

How much do first assistant jobs pay per year?

As of Sep 7, 2026, the average yearly pay for first assistant in Massachusetts is $145,745.00, according to ZipRecruiter salary data. Most workers in this role earn between $44,200.00 and $197,100.00 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 Massachusetts?

The most popular types of First jobs in Massachusetts are:

What cities in Massachusetts are hiring for First Assistant jobs?

Cities in Massachusetts with the most First Assistant job openings:

First Assistant jobs near you
Infographic showing various First Assistant job openings in Massachusetts 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 $145,745 per year, or $70.1 per hour.

RN - First Assistant (RNFA)

Berkshire Health Systems

Pittsfield, MA • On-site

Other

Re-posted 3 days ago

Berkshire Health Systems rating

8.2

Company rating: 8.2 out of 10

Based on 19 frontline employees who took The Breakroom Quiz

Job description

RN - First Assistant (RNFA)

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.

What Berkshire Health Systems employees say

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