1

First Assistant Jobs in New York (NOW HIRING)

Surgical Physician Assistant

Yonkers, NY · On-site

$150K - $180K/yr

Minimum of 3 years first assist or if new candidate recently completed a surgical residency. LOCATION: * Southern Westchester County, New York. JOB SUMMARY: 40hrs/wk. Excellent opportunity for ...

Surgical Physician Assistant

Yonkers, NY · On-site

$150K - $180K/yr

Minimum of 3 years first assist or if new candidate recently completed a surgical residency. LOCATION: * Southern Westchester County, New York. JOB SUMMARY: 40hrs/wk. Excellent opportunity for ...

First Assist, pre/post op and admit/discharge - Surgical Pool of all specialties. This role will be 4-10 hour days - no weekends! Compensation : $ 145000 Job ID : 43455 Job Function: * Work 4-10 hour ...

next page

Showing results 1-20

First Assistant information

See New York salary details

$35.6K

$146K

$209.5K

How much do first assistant jobs pay per year?

As of Jun 16, 2026, the average yearly pay for first assistant in New York is $146,000.00, according to ZipRecruiter salary data. Most workers in this role earn between $44,300.00 and $197,500.00 per year, depending on experience, location, and employer.

How do I become a first assistant?

To become a first assistant, candidates typically 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, and on-the-job experience is highly valued. Developing a good understanding of the job's responsibilities and building professional relationships can also help advance to this position.

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 jobs pay 2000 a day?

First Assistants in film and television production can earn around $2,000 or more per day, especially for high-profile projects or with extensive experience. Such roles often require specialized skills, industry connections, and the ability to work long hours on set. Other high-paying freelance or consulting roles in finance, law, or executive management can also reach this daily rate, but they typically require advanced qualifications and significant expertise.

How much do first assistants make per hour?

First assistants typically earn between $15 and $30 per hour, depending on experience, location, and the industry they work in. They often work in fast-paced environments and may require strong organizational skills and familiarity with office tools.

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 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 lead professionals. They handle tasks such as coordinating schedules, managing equipment, and assisting with technical or logistical needs to ensure smooth operations. Strong organizational skills and knowledge of industry tools are essential for this role.
What are the most commonly searched types of First jobs in New York? The most popular types of First jobs in New York are:
What cities in New York are hiring for First Assistant jobs? Cities in New York with the most First Assistant job openings:
Infographic showing various First Assistant job openings in New York as of June 2026, with employment types broken down into 1% As Needed, 74% Full Time, 18% Part Time, 3% Temporary, and 4% Contract. Highlights an 98% Physical, 1% Hybrid, and 1% Remote job distribution, with an average salary of $146,000 per year, or $70.2 per hour.
Operating Room First Assistant (CRNFA)

Operating Room First Assistant (CRNFA)

Spire Orthopedic Partners

Stamford, CT

$56.60 - $70.75/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 28 days ago


Job description

**Certified Registered Nurse First Assistant (CRNFA) required**

Who we are:  

Spire Orthopedic Partners is a growing national partnership of orthopedic practices that provides the support, capital and operational resources physicians need to grow thriving practices for the future. As a Management Services Organization (MSO), Spire provides the infrastructure for administrative operations that allows practices to operate at their highest level, so doctors can focus their efforts on what matters most – patient care. Headquartered in Stamford, Connecticut, the Spire network spans the Northeast with more than 165 physicians, 1,800 employees, 285 other clinical providers and 40 locations in New York, Connecticut, Rhode Island and Massachusetts. 

What you’ll do:

Assists the surgeons with surgery, wound closure and dressing. Facilitates patient and procedure flow through the OR and ensures the provision of high-quality patient care on a day-to-day basis. The Operating Room Nurse First Assist practices within the Patient and Family Centered Care Model and will assess, plan, implement and evaluate care for patients, coordinate ancillary staff and collaborate with interdisciplinary health care team.

ACCOUNTABILITIES: (include, but are not limited to)

  • Assist Surgeon with surgery, wound closure and dressing
  • Surgical tasks include, but are not limited to, opening and closing surgical sites, exposure of the surgical site, harvesting grafts, dissecting tissue, removing tissue, implanting devices, and altering tissues
  • Positions the patient per the surgeon’s instruction
  • Provides visualization of the operative site by ensuring appropriate placement and securing of retractors with or without padding. Packs site with sponges, uses digital manipulation of tissue, suctions, irrigates and uses proper body mechanics to prevent obstruction of the surgeon’s view.
  • Utilizes appropriate techniques to assist with hemostasis by clamping or cauterizing vessels or tissue, tying or ligating clamped vessels or tissue, applying hemostatic clips and placing local hemostatic agents.
  • Participates in volume replacement or auto transfusion techniques as appropriate.
  • Utilizes appropriate techniques to assist with closure of body planes. Closes skin with method per surgeon’s directive (suture, staples, etc.).
  • Selects and applies appropriate wound dressings.
  • Provides assistance in securing drainage systems to tissue.
  • Safely and competently administers pharmaco-therapeutics, adhering to medication policies, procedures, practices and standards, and monitors the outcomes based on the patient’s response to treatment.
  • Demonstrates skill in the use of appropriate equipment.
  • Assists the surgeon during specific procedures. Performs other functions during surgery as directed.
  • Assists with the positioning, prepping and draping of the patient. May perform these actions independently, if directed by the surgeon.
  • Maintains knowledge of basic knot tying techniques to include two handed tie, one handed tie and instrument tie.
  • Assists the surgeon at the completion of the procedure by affixing and stabilizing all drains; cleaning the wound and applying dressings; assisting with the application of casts, splints, special dressings and abduction devices.
  • Removes sutures and/or skin staples/clips during intra-operative phase, at surgeon’s request.
  • Performs other duties as assigned

Who you are: 

Qualifications:

  • Minimum three years of recent operating room nursing first assist experience
  • Excellent communication and interpersonal skills: Ability to communicate professionally (i.e. using expressive vocabulary that communicates a complete and detailed message, avoiding spelling errors, employing a respectful tone)
  • Ability to maintain enthusiasm while facing a high volume and a large variety of duties
  • Ability and interest in learning procedures and software functionalities that could improve the effectiveness and efficiency of individual and department efforts
  • Organized, with the ability to prioritize and multi-task
  • Extremely reliable, patient and professional
  • Reacts calmly and effectively under stress
  • Interprets, adapts and applies guidelines and procedures appropriately
  • Ability to develop and maintain effective and professional working relationships with patients, medical staff, coworkers and the public by demonstrating empathy and tact
  • Must be a team player with a positive attitude, the ability to work effectively with a diverse population, and the ability to demonstrate patience and professionalism
  • Promotes teamwork through collaboration, represents the practice in a professional manner, and maintains the strictest confidentiality on all patient issues

REQUIREMENTS: 

  • Active CT Registered Connecticut Nurse license
  • Certified Registered Nurse First Assistant (CRNFA) required
  • Associate Degree in Nursing, BSN preferred
  • Advanced Cardiac Life Support must be obtained within 90 days of employment start date
  • Basic Cardiac Life Support must be obtained within 30 days of employment start date
  • PALS Pediatric Adv Life Supt must be obtained within 90 days of employment start date

What we offer:  

  • Excellent growth and advancement opportunities  
  • Dynamic environment  
  • Access to a diverse network of practitioners  
  • Broad infrastructure of tools and programs to enhance the employee experience     
  • Competitive Compensation  
  • Generous PTO   
  • Benefits package: health, dental, vision, 401(k), etc.  

We are an equal-opportunity employer. Qualified Applicants are considered for positions and are evaluated without regard to actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex, or gender (including pregnancy, childbirth, and related medical conditions), gender identity or gender expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, protected medical condition as defined by applicable state or local law, genetic information, or any other characteristic protected by applicable federal, state, or local laws and ordinances (referred to as “protected characteristics”).  

IND3