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First Assistant Jobs in Ohio (NOW HIRING)

Cynet Health

Surgical First Assist - CSFA

Cleveland, OH · On-site

Surgical Assistant/First Assist Job Type: Travel Profession: Surgical Assistant Specialty: OR Tech Duration: 13 weeks Shift: Monday - Friday, 8.0 hours per shift Experience: Minimum of three (3) ...

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First Assistant information

See Ohio salary details

$30.9K

$126.9K

$182.1K

How much do first assistant jobs pay per year?

As of Jul 12, 2026, the average yearly pay for first assistant in Ohio is $126,872.00, according to ZipRecruiter salary data. Most workers in this role earn between $38,500.00 and $171,600.00 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 Ohio? The most popular types of First jobs in Ohio are:
What cities in Ohio are hiring for First Assistant jobs? Cities in Ohio with the most First Assistant job openings:
First Assistant jobs near you
Infographic showing various First Assistant job openings in Ohio as of July 2026, with employment types broken down into 1% As Needed, 74% Full Time, 22% Part Time, 1% Temporary, and 2% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $126,872 per year, or $61 per hour.
Registered Nurse First Assistant

Registered Nurse First Assistant

Crystal Clinic Orthopaedic Center

Fairlawn, OH

Other

Posted 16 days ago

Crystal Clinic Orthopaedic Center rating

7.6

Company rating: 7.6 out of 10

Based on 16 frontline employees who took The Breakroom Quiz

Job description

About This Job

As a Registered Nurse First Assistant (RNFA), you play a critical role in the surgical team, directly supporting surgeons and ensuring optimal patient outcomes. You extend the surgeon's capabilities, providing advanced nursing care in the operating room. This position demands precision, expertise, and a deep commitment to patient safety and surgical excellence. You contribute significantly to the efficiency and success of surgical procedures, directly impacting patient recovery and well-being.

Job Duties and Responsibilities
  • Assists surgeons directly during various surgical procedures, anticipating needs and responding effectively.
  • Performs precise suturing and wound closure techniques, ensuring optimal healing and cosmetic results.
  • Achieves and maintains hemostasis through various methods, minimizing blood loss and complications.
  • Handles delicate tissue with expert care, preventing damage and promoting patient recovery.
  • Maintains strict sterile technique and aseptic technique throughout the surgical field, preventing infection.
  • Contributes to comprehensive perioperative care, from patient assessment to post-operative planning.
  • Executes safe and effective patient positioning for surgery, preventing injury and optimizing surgical access.
  • Manages and utilizes a wide range of surgical instruments with proficiency and confidence.
  • Collaborates with the surgical team, anesthesiologists, and other healthcare professionals to deliver seamless care.
  • Applies advanced knowledge of anatomy, physiology, and surgical procedures to support decision-making.
Required QualificationsEducation
  • Holds a current, unencumbered Registered Nurse (RN) license and current CNOR certification. BLS required
  • Completion ofan accredited Registered Nurse First Assistant (RNFA) program.
Experience
  • Possesses a minimum of two years of operating room (OR) experience as a circulating or scrub nurse.
  • Demonstrates prior experience in a first assistant role.
Knowledge/Skills
  • Applies expert knowledge in Surgical Assisting, Suturing, Hemostasis, and Tissue Handling.
  • Masters techniques for Wound Closure, Sterile Technique, and Aseptic Technique.
  • Understands and implements best practices in Perioperative Care and Patient Positioning.
  • Proficiently uses and identifies Surgical Instruments.
  • Exhibits strong critical thinking, problem-solving, and decision-making abilities.
  • Communicates clearly and effectively with surgical team members and patients.
Required Qualifications
  • Possesses experience in a specialized surgical area (e.g., cardiovascular, neurosurgery, orthopedics).

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