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First Assistant Jobs in Nevada (NOW HIRING)

Join ROC as a First Assist! We'd love to show you what it's like to work here. If selected for an interview, you'll see the surgery center and our people in action. This position will remain posted ...

Certified Surgical First Assist

Las Vegas, NV ยท On-site

$43.37 - $60.12/hr

Completion of CAAHEP accredited first assist program and/or evidence of preceptorship of 140 operative cases as surgical first assist and/or evidence of previous experience in the role of a Certified ...

CVOR First Assist Technician Diverse Lynx, based in Princeton, NJ, is a Healthcare Staffing agency serving a broad array of U.S. healthcare facilities, from hospitals and clinics to labs and nursing ...

CVOR Assistant

Las Vegas, NV ยท On-site

$44.43 - $66.61/hr

The Certified Surgical Technologist - Surgical First Assistant (CSTFA) - CVOR provides aid in exposure, hemostasis, and other technical functions, including saphenous vein harvesting, that will help ...

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First Assistant information

See Nevada salary details

$33.1K

$135.9K

$195K

How much do first assistant jobs pay per year?

As of Jul 14, 2026, the average yearly pay for first assistant in Nevada is $135,894.00, according to ZipRecruiter salary data. Most workers in this role earn between $41,200.00 and $183,800.00 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 Nevada? The most popular types of First jobs in Nevada are:
What cities in Nevada are hiring for First Assistant jobs? Cities in Nevada with the most First Assistant job openings:
Surgical First Assist

Surgical First Assist

Reno Orthopedic Center

Reno, NV โ€ข On-site

Full-time

Medical, PTO

Re-posted 9 days ago


Job description

Do you have a fascination with surgery? Love the hustle and bustle of the operating room? Love problem solving and knowing advanced technical skills?ย Join ROC as a First Assist!ย We'd love to show you what it's like to work here. If selected for an interview, you'll see the surgery center and our people in action. This position will remain posted until filled.

You would be in the operating room as the surgeons are operating, providing help as needed. We want our patients to get back to moving the way they want to be moving, and the surgery is a major part of that! You would play a role in improving their lives each day. Develop strong relationships with our surgeons and medical providers and find your people here at ROC.

ROC is expanding with two more operating suites opening in 2025. Join our team to be part of the growth and excitement!

What would you do as a First Assist?

You can expect to regularly:

  • Set up surgical instruments, supplies and equipment according to the procedure and surgeon preferences.ย 
  • Prepare the surgical suite for operation, including supporting the surgeon with instruments and supplies, assist with positioning the patient for surgery properly and turning over the rooms after the patient returns to recovery.
  • Work with the surgeon to help as needed, including preparing surgical grafts, performing closure of incisions, and applying various wound dressings or splints.
  • Count sponges, needles and instruments before and after surgery. ย 

Requirements

  • Certifications/Education
    • Active certification of Certified Surgical First Assist (CSFA) through the National Board of Surgical Technology and Surgical Assisting;
  • Knowledge of:
    • Proper patient positioning and safety;
    • Surgical procedures and required equipment/instruments;
  • Experience:
    • Communicating professionally with all levels of staff and providers.

Preferred Qualifications - How can you set yourself apart from other applicants? (if app.)

  • Related experience.

Travel: May require travel to and from other locations based on manager and surgeon discretion.

#IH

Benefits

Check out our home page by clicking on "View all jobs" to explore the many benefits ROC provides to employees, from medical insurance to paid time off and beyond! This position is eligible for full-time benefits and would work a 40-hour per week schedule.