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First Assistant Jobs in Nevada (NOW HIRING)

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CVOR Assistant

Las Vegas, NV

$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 Aug 4, 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.

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 role. Some positions may require specific certifications or training, and gaining experience through entry-level roles can help advance to a first assistant position.

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 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 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 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:
First Assistant jobs near you
Infographic showing various First Assistant job openings in Nevada as of July 2026, with employment types broken down into 1% As Needed, 72% Full Time, 22% Part Time, 2% Temporary, 2% Contract, and 1% Nights. Highlights an 97% Physical, and 3% Remote job distribution, with an average salary of $135,894 per year, or $65.3 per hour.

Certified Surgical First Assistant (CSFA)

United Surgical Partners International Inc (USPI)

Las Vegas, NV

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 18 days ago

United Surgical Partners International rating

5.7

Company rating: 5.7 out of 10

Based on 15 frontline employees who took The Breakroom Quiz

Job description

Durango Outpatient Surgery Center is seeking a Full Time Certified Surgical First Assistant (CSFA)/ CST to join the team!

                                            $5,000 Sign-On Bonus!   

Durango Outpatient Surgery Center is a fast-paced Ambulatory Surgery Center committed to producing the highest quality work and experience for patients and their families.  Our mission is to provide first-class surgical services to the local community in a safe, comfortable, welcoming environment, one in which we would be happy to treat our own families. We have 5 operating rooms offering a full range of surgical procedures including: Bariatrics, Colorectal, General Surgery/Robotics, GI, OB/Gynecology, Sports Medicine, Orthopedic, Pain Management, Podiatry, and Spine.

What You Will Do   (Job Summary):

The CSFA/CST is a vital member of the surgical team, responsible for providing advanced assistance during operative procedures and supporting all aspects of perioperative care in an outpatient surgery center. This dual-role position requires expertise in both first assisting and surgical technology, ensuring safe, efficient, and high‑quality patient care.      Will work in CST role on cases where CSFA is not required.    

 First Assist Duties (CSFA)

  • Provide direct surgical first assistance under the direction of the surgeon, including:
    • Tissue handling, exposure, and retraction
    • Hemostasis techniques (clamping, ligating, cauterizing)
    • Suturing, stapling, and wound closure
    • Application of dressings and splints
  • Anticipate surgeon needs and maintain a proactive approach during procedures
  • Assist with patient positioning, prepping, and draping
  • Ensure proper use of instruments, equipment, and surgical technologies
  • Maintain strict adherence to sterile technique and safety protocols

Surgical Technologist Duties (CST)

  • Prepare operating rooms with appropriate instruments, supplies, and equipment
  • Perform surgical scrub duties for a variety of outpatient procedures
  • Maintain accurate counts of instruments, sponges, and sharps
  • Assist with turnover and room readiness between cases
  • Collaborate with RNs, anesthesia providers, and surgeons to ensure smooth workflow
  • Participate in equipment troubleshooting and basic maintenance
  • Support inventory management, including restocking and supply rotation
  • Monday to Friday work schedule!
  • NO weekend and holiday work!
  • NO call required!

What We Offer                                       

USPI offers the following benefits, subject to employment status:       

  • Medical, dental, vision, disability, and life insurance
  • Paid time off (vacation & sick leave) - Starting PTO accrual is 15 days per year. 
  • 401k retirement plan
  • Paid holidays
  • Health savings accounts, healthcare & dependent flexible spending accounts
  • Employee Assistance program, Employee discount program
  • Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.

#LI-AB3


Required Skills

Requirements:

  • High School diploma or GED   
  • Graduate of a Surgical Technologist program.   Certification required.  
  • Graduate of a Certified Surgical First Assistant (CSFA) program.   CSFA certification required
  • BLS, and Advanced Life Support (ACLS) certification accredited by AHA required. 
  • 1+ year surgical experience with multiple procedures, including orthopedic and general procedures 
  • Demonstrates clinical competency, leadership, and teaching capabilities.
  • Physically and emotionally capable of performing responsibilities of position. 

Who We Are

We are part of a much larger team with United Surgical Partners International (USPI).  At USPI, we create relationships that create better care. We partner with physicians and healthcare systems to provide first-class ambulatory solutions throughout the United States. We are committed to providing surgical services in the most efficient and clinically excellent manner.

USPI is committed to, and proud of our inclusive culture. An inclusive culture, in our view, is respectful of differences and nurtures and supports the contributions of each individual, while also embracing and leveraging diversity. A diverse workforce, combined with an inclusive culture, makes USPI stronger and better able to meet the needs of our diverse patient and physician population.


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