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First Assistant Jobs in Oregon (NOW HIRING)

Neurosurgery Physician Assistant

Salem, OR · On-site

$100K - $136K/yr

Serve as the primary first-assist in the OR for neurosurgical cases, including spinal fusions, craniotomies, and laminectomies. • Clinical Management: Independently see patients for pre-operative ...

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First Assistant information

See Oregon salary details

$34.4K

$141.1K

$202.5K

How much do first assistant jobs pay per year?

As of Jul 12, 2026, the average yearly pay for first assistant in Oregon is $141,096.00, according to ZipRecruiter salary data. Most workers in this role earn between $42,800.00 and $190,800.00 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 Oregon? The most popular types of First jobs in Oregon are:
What cities in Oregon are hiring for First Assistant jobs? Cities in Oregon with the most First Assistant job openings:
Infographic showing various First Assistant job openings in Oregon as of July 2026, with employment types broken down into 1% As Needed, 76% Full Time, 19% Part Time, 1% Temporary, 2% Contract, and 1% Nights. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $141,096 per year, or $67.8 per hour.
Cert Surgical First Assistant

Other

Re-posted 10 days ago


Samaritan Health Services rating

7.5

Company rating: 7.5 out of 10

Based on 65 frontline employees who took The Breakroom Quiz

232nd of 881 rated healthcare providers


Job description

  • JOB SUMMARY/PURPOSE
    • Assists the surgeon during operative and other invasive procedures. Provides aid in exposure, hemostasis, closure, and other intraoperative technical functions that assists the surgeon in performing safe and efficient surgical intervention for the surgical procedure(s) with the goal of optimal results for the patient. Performs functions during the operation under the direction and supervision of the surgeon and in accordance with hospital policy, Medical staff Rules and Regulations and appropriate laws and regulations. In addition to intraoperative duties, provides support to the entire surgical team to facilitate the comprehensive perioperative interventions for safe and efficient patient care processes.
  • DEPARTMENT DESCRIPTION
    • The surgical operating room (SOR) staff provide intraoperative care to surgical and procedural sedation patients. The SOR staff provide service for the patient population of pediatrics, adolescents, adult and elderly patients. The SOR staff work with a variety of provider specialties in caring for people being discharged same day or for those patients who are being admitted to the hospital.
  • EXPERIENCE/EDUCATION/QUALIFICATIONS
    • High school diploma or equivalent required.
    • Current Certified Surgical First Assistant (CSFA) or equivalent certification required.
    • Healthcare Provider Level BLS required.
  • KNOWLEDGE/SKILLS/ABILITIES
    • Computer Literacy - Knowledge of electronic equipment, computer hardware and software relative to access and use of employee program responsibilities. Ability to access and use electronic instruments and equipment related to performing required surgical procedure functions.
    • Critical thinking - Ability to analyze, proactively plan, prepare, organize, prioritize and make effective clinical decisions. Possess skills to make appropriate decisions based on the surgeon’s and/or patient’s needs (or seek help appropriately) in order to provide safe, efficient and timely support to the surgeon and surgical team.
    • Time Management – Able to perform multiple tasks simultaneously and thrive in a dynamic fast-paced, often stressful environment.
    • Communication/Teamwork- Ability to share, instruct, and assist other members of the surgical team and other hospital department leaders and staff. Demonstrate professional accountability and collaborative team work with a focus on proactive and ongoing exchange of helpful communications.
    • Problem Solving - Ability to identify issues, research and review related information, employ creativity and alternative thinking to develop and evaluate options and implement solutions related to providing appropriate size, type and/or style of instrumentation and/or equipment.
    • Social Perceptiveness - Ability to work with a diverse population from pediatrics to geriatrics with basic understanding of age-related differences in the planning and assistance in the performance of the related surgical procedure(s). Ability to tactfully discuss issues.
    • Knowledge of proper decontamination, washing, sorting, and reassembling of instruments. Knowledge of proper use of equipment utilized in the operating room. Knowledge of surgeon needs and techniques for procedures. Knowledge of basic and specialty instrumentation for: General, Ophthalmology, ENT, Ortho, OB/GYN, Urology, Vascular, Plastic, Endoscopic and Minimally Invasive Surgery procedures. Knowledge of surgical products and implants and the relevant applications; updating knowledge as needed.
  • PHYSICAL DEMANDS
    • Rarely
      (1 - 10% of the time)

      Occasionally
      (11 - 33% of the time)

      Frequently
      (34 - 66% of the time)

      Continually
      (67 – 100% of the time)

      WALK - STAIRS

      SIT LIFT (Waist to Eye: up to 54") 0 - 20 Lbs

      WALK – INCLINE

      LIFT (Knee to chest: 24"-54") 40 – 60 Lbs

      CARRY 1-handed, 20 - 40 pounds

      CARRY 2-handed, 20 - 60 pounds

      PUSH (60 or more pounds force)

      PULL (60 or more pounds force)

      LIFT (Knee to Chest: 24”- 54") 20 - 40 Lbs

      Walk – LEVEL SURFACE

      Lift (Waist to Eye; up to 54”) 0 – 20 Lbs0

      Lift (Floor to Waist; 0 – 36”) 40 - 60 Lbs

      LIFT (Overhead: 54" and above) 0 - 20 Lbs

      CARRY 1-handed, 0 - 20 pounds

      CARRY 2-handed, 20 - 40 pounds

      SQUAT Static (hold >30 sec)
      SQUAT Repetitive

      BEND FORWARD at waist

      REACH - Forward

      REACH – Upward

      MANUAL DEXTERITY
      Hands/wrists

      FINGER DEXTERITY

      PINCH Fingers

      GRASP Hand/Fist

      PUSH (0-20 pounds force)

      PULL (0–20 pounds force)

      STAND


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