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First Assistant Jobs in Pennsylvania (NOW HIRING)

Amergis Healthcare Staffing

Physician Assistant

Monroeville, PA · On-site

$99K - $134K/yr

First assist role in cardiac surgery * Daily Endoscopic Vein Harvesting (EVH) * Mix of OR, inpatient rounding, and outpatient clinic * Epic EMR * Collaborative team environment with dedicated cardiac ...

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First Assistant information

See Pennsylvania salary details

$32.6K

$133.8K

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How much do first assistant jobs pay per year?

As of Aug 22, 2026, the average yearly pay for first assistant in Pennsylvania is $133,772.00, according to ZipRecruiter salary data. Most workers in this role earn between $40,600.00 and $180,900.00 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 Pennsylvania?

The most popular types of First jobs in Pennsylvania are:

What cities in Pennsylvania are hiring for First Assistant jobs?

Cities in Pennsylvania with the most First Assistant job openings:

First Assistant jobs near you
Infographic showing various First Assistant job openings in Pennsylvania as of August 2026, with employment types broken down into 1% As Needed, 72% Full Time, 23% Part Time, and 4% Contract. Highlights an 85% Physical, 1% Hybrid, and 14% Remote job distribution, with an average salary of $133,772 per year, or $64.3 per hour.

Surgical First Assistant (Certified)- Operating Room

WellSpan Health

Gettysburg, PA • On-site

Part-time

Re-posted yesterday

WellSpan Health rating

7.6

Company rating: 7.6 out of 10

Based on 304 frontline employees who took The Breakroom Quiz

190th of 891 rated healthcare providers

Job description


PRN (As Needed)
Call 1500 -0700 weekdays, 24 or 12 hour weekends
General Summary
Performs a variety of duties in the operative treatment of surgical patients. Assists in positioning, skin preparation and draping of the patient. Provides hemostasis, wound exposure, handles tissue appropriately to reduce the potential for injury, sutures tissue, and applies dressings to the wound under the direction of the surgeon. Uses surgical instruments skillfully in ways consistent with their design and purpose. Performs other medical services as required within the scope of practice for a Certified Surgical Technologist.
Responsibilities
Essential Functions:
  • Provides primary surgical assistance to the surgeon during the operative procedure.
  • Assists in positioning, skin preparation, and draping of the patient.
  • Provides hemostasis, wound exposure, handles tissue appropriately to reduce the potential for injury, sutures tissue, and applies dressings to the wound under the direction of the surgeon.
  • Uses surgical instruments skillfully in ways consistent with their design and purpose.
  • Assists in transporting the patient postoperatively.
  • Communicates information to the post anesthesia care unit.

Common Expectations:
  • Demonstrates knowledge of the principles of growth and development over the life span of the assigned patient population. Assesses and interprets patient age specific data and provides appropriate, age specific treatment. Provides direct patient care to assigned patient age group(s).
  • Demonstrates a commitment to patient, visitor and staff by: complying with all applicable safety regulations; learning the impact of medical errors and methodology that will lead to reduction of errors; reporting actual and potential errors, as well as hazardous conditions; identifying opportunities to standardize processes and "error proof" systems that will lead to increased safety; and participating in safety education programs and root cause analyses as required.
  • Maintains professional affiliations and enhances professional growth and development to keep abreast of latest trends in field of expertise.
  • Participates in professional activities and medical education to maintain national certification.
  • Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.

Qualifications
Qualifications
Minimum Education:
  • Certificate Program Post High School Vocational/Specialized Training. Required
  • Associates Degree Preferred

Work Experience:
  • 2 years As a Certified Surgical Technologist. Required

Licenses:
  • Certified Surgical Technologist Upon Hire Required or
  • Certified Surgical First Assistant Upon Hire Required or
  • Certified Surgical Assistant - ABSA Upon Hire Required and
  • Basic Life Support Upon Hire Required

Courses and Training:
  • Successful completion of a Certified Surgical First Assistant program that includes a didactic and at least 140 documented procedures. Upon Hire Required
  • Must qualify to be credentialed through medical staff services within 120 days Required

Knowledge, Skills, and Abilities:
  • Demonstrates knowledge and skill in applying principles of asepsis and infection control.
  • Demonstrates knowledge of surgical anatomy, physiology, and operative technique relative to operative procedures wherein the CSFA assists.
  • Demonstrates ability to recognize safety hazards and initiate appropriate corrective action.
  • Demonstrates ability to function effectively and harmoniously as a team member.

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