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First Assistant Jobs in New Hampshire (NOW HIRING)

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First Assistant information

See New Hampshire salary details

$31.6K

$129.8K

$186.2K

How much do first assistant jobs pay per year?

As of Aug 25, 2026, the average yearly pay for first assistant in New Hampshire is $129,783.00, according to ZipRecruiter salary data. Most workers in this role earn between $39,400.00 and $175,500.00 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 New Hampshire?

The most popular types of First jobs in New Hampshire are:

First Assistant jobs near you
Infographic showing various First Assistant job openings in New Hampshire as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 19% Part Time, and 6% Contract. Highlights an 87% Physical, 1% Hybrid, and 12% Remote job distribution, with an average salary of $129,783 per year, or $62.4 per hour.

Registered Nurse First Assist (RNFA) - Operating Room - Per Diem

Nashua, NH

solutionhealth
Health Care and Social Assistance • 51 - 200 employees
Learn more about solutionhealthexternal

Part-time

Medical, Dental, Vision, Life, Retirement

Re-posted 12 days ago

Job description

Come work at the best place to give and receive care!

Job Description:

Registered Nurse - First Assist - Operating RoomPer Diem

Who We Are:

SNHMC has nine operating room suites, 25 pre-op/PACU bays, and a sterile processing department. Hours are flexible, with 8-, 10-, and 12-hour day shifts available. The OR has a dedicated call team Sunday through Thursday nights beginning at 7PM, making OR call minimal. Services range from elective and non-elective procedures, including neurological, orthopedic, gynecological, urological, bariatric, colorectal, vascular, ENT, general, breast, and plastics. Surgical services are growing and evolving, utilizing the latest technology for the wide variety of procedures we perform. The OR also offers Periop-101 and advancements.

About the Job:

As a member of the Surgical Services team, the RN First Assist (RNFA) is responsible for the delivery of safe, effective, and quality, patient-family centered care in the OR and other areas of perioperative services for all patient populations. The incumbent will function as a RN First Assistant during operative and other invasive procedures and throughout the perioperative continuum in accordance with scope of practice credentials, privileges, experience, education, and competency verification. This role assists the surgical team with the verification process and basic intra-operative procedures and case closure protocol.

In addition to the basic RN responsibilities, the RN, FA, will perform advanced tasks including suctioning and irrigation, patient positioning, placing clamps and sutures, cauterizing wounds and vessels and closing wounds. The incumbent will work under the supervision of the surgeon, in collaboration with the RN Circulator and is accountable to the Clinical Nurse Manager and/or Director of Perioperative Services.

What You'll Do:

  • Assist surgical team with verification process, intra-operative procedures, and closure.

  • Review the surgical booking and match procedures to preference cards.

  • Assess patients at intervals in accordance with facility or health care organization policies and procedures.

  • Evaluate surroundings to maintain sterile field.

  • Perform as a team member, participating in time out and pre- and intra-op communications.

  • Participate in preoperative assessment and planning for surgical patients specific to RN First Assist activities including, but not limited to, anatomical exposure and wound closure in collaboration with perioperative team members.

Who You Are:

  • Bachelor's degree in nursing from an accredited school of nursing required

  • Graduate of an accredited Registered Nurse First Assist program required.

  • Current Registered Nurse licensure in the State of New Hampshire required.

  • RN First Assistant Certification (CRNFA) required.

  • Certification Nurse, Operating Room (CNOR) certification required.

  • Current BLS certification required.

  • A minimum of two (2) years as a Registered Nurse required.

  • Knowledge and skills acquired through Reg education and certification.

Why You'll Love Us:

  • Southern NH Medical Center is a 5-time Magnet designated hospital

  • Health, dental, prescription, and vision coverage for full-time & part-time employees

  • Medical, dental, and vision coverage

  • Life insurance

  • Short- and long-term disability

  • Flexible Spending Accounts (FSA)

  • Competitive pay

  • Tuition & Certification Reimbursement

  • Nursing Student Loan Paydown Program

  • 403(b) Retirement Savings Plan

  • Education & Paid training courses for continued career progression

& So much more!

Work Shift:

varied

SolutionHealth is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law.

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