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First Assistant Jobs in Virginia (NOW HIRING)

UVA Health

Surgical First Assistant

Culpeper, VA · On-site

$42.06/hr

Surgical First Assistant Job Code: SS1701 Work a minimum of 3 ten hour shifts 0700-1730 per 6 weeks and one call weekend call shift depending on departments needs per 6 weeks. ABOUT US We are ...

UVA Health

Surgical First Assistant

Culpeper, VA · On-site

$30.55 - $49.61/hr

Surgical First Assistant Job Code: SS1701 4 ten hour days 0700-1730 with one call shift per week 1730-0700 and every 4th weekend Friday 1730-Monday 0700. ABOUT US We are ushering in a new era of ...

Inova

Surgical First Assistant

Alexandria, VA · On-site

Inova Alexandria Hospital is looking for a dedicated Surgical First Assist to join the team! Full-time (40 hrs/week) Day Shift: Monday-Friday, either two shifts-7:00am-3:00pm and two shifts-7:00am-7 ...

Riverside

$38.60 - $53.08/hr

Overview The Surgical First Assistant serves as first or second assistant on all surgical cases, under the direction of the surgeon to provide technical assistance as required by the type of ...

Riverside Health System Non-Providers

$38.60 - $53.08/hr

Overview The Surgical First Assistant serves as first or second assistant on all surgical cases, under the direction of the surgeon to provide technical assistance as required by the type of ...

Meda Health

Travel First Assist

Roanoke, VA · On-site

Specialty: First Assist Technician * Discipline: Allied Health Professional * Start Date: 08/31/2026 * Duration: 13 weeks * 40 hours per week * Shift: 10 hours, days * Employment Type: Travel ...

PRN Healthcare

Travel First Assist

Roanoke, VA · On-site

First Assist Technician * Discipline: Allied Health Professional * Start Date: 08/31/2026 * Duration: 13 weeks * 40 hours per week * Shift: 8 hours, days * Employment Type: Travel PRN Healthcare Job ...

Prime Staffing

Travel First Assist

Roanoke, VA · On-site

First Assist Technician * Discipline: Allied Health Professional * Start Date: 08/31/2026 * Duration: 13 weeks * 40 hours per week * Shift: 8 hours * Employment Type: Travel Prime Staffing Job ID ...

Care Career

Travel First Assist

Roanoke, VA · On-site

First Assist Technician * Discipline: Allied Health Professional * Start Date: 08/31/2026 * Duration: 13 weeks * 40 hours per week * Shift: 10 hours, days * Employment Type: Travel Prepare the ...

TravSource

Travel First Assist

Roanoke, VA · On-site

First Assist Technician * Discipline: Allied Health Professional * Start Date: 08/31/2026 * Duration: 13 weeks * 40 hours per week * Shift: 10 hours * Employment Type: Travel TravSource Job ID ...

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First Assistant information

See Virginia salary details

$32.2K

$132.3K

$189.9K

How much do first assistant jobs pay per year?

As of Aug 27, 2026, the average yearly pay for first assistant in Virginia is $132,307.00, according to ZipRecruiter salary data. Most workers in this role earn between $40,200.00 and $179,000.00 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 Virginia?

The most popular types of First jobs in Virginia are:

What cities in Virginia are hiring for First Assistant jobs?

Cities in Virginia with the most First Assistant job openings:

First Assistant jobs near you
Infographic showing various First Assistant job openings in Virginia as of August 2026, with employment types broken down into 1% As Needed, 70% Full Time, 25% Part Time, and 4% Contract. Highlights an 85% Physical, 1% Hybrid, and 14% Remote job distribution, with an average salary of $132,307 per year, or $63.6 per hour.

Surgical First Assistant

Culpeper, VA • On-site

UVA Health Northern VA & Culpeper
See more jobs at UVA Health Northern VA & Culpeperexternal

$42.06/hr

Other

Re-posted 27 days ago

Job description


Surgical First Assistant
Job Code: SS1701
Work a minimum of 3 ten hour shifts 0700-1730 per 6 weeks and one call weekend call shift depending on departments needs per 6 weeks.
ABOUT US
We are ushering in a new era of healthcare where achieving good health is just the beginning. At UVA Community Health, part of the world-class UVA Health academic health system, we are committed to caring for the whole person by building meaningful connections with our patients in the local setting of UVA Health's community hospitals, outpatient locations, and provider offices. By combining our team's talent and expertise, the breadth of capabilities across the entire UVA Health system, and our dedication to community wellness, we are bringing expert care close to home. As a member of the UVA Community Health team, individuals contribute to patient care decisions, support advanced medical technologies, and experience the satisfaction of making a difference in people's lives every day.
JOB TYPE
Classification: Non Exempt
Supervises Positions:
JOB SUMMARY
Under the direct and indirect supervision of the attending physician and in a cohesive manner with all surgical staff functions in a surgical assist role, the Surgical Assistant assists the team in providing quality individualized patient care during all phases of the patient' surgical experience. Demonstrates the knowledge and skills necessary to provide services appropriate to the age of the patients served. Assesses data reflective of the patient' status and interpret the information needed to identify each patient' requirements relative to his or her age, specific needs and provides services as described in the department' policies and procedures.
Competencies
  • Communication: Collaborates with the leadership team to identify and resolve unit issues.
    • Keeps co-workers and intra-op staff informed of any updates/issues.
    • Follows written instructions as needed.
  • Quality: Complies with established departmental and organization policies/guidelines.
    • Maintains, operates, and monitors all equipment according to manufacturer's recommendations and department standards.
  • Technical Competency: Demonstrates the knowledge and skills necessary to provide services appropriate to the age of the patients served.
    • Collects, organizes, and enters information into the patient scheduling application.
    • Assists with various types of surgical operations providing technically skilled duties, serving as surgical first assistant.
    • Demonstrates knowledge of instrumentation and sterile/aseptic technique.

QUALIFICATIONS
Education: High School Diploma or GED required. Graduate of a recognized First Assist program with National Certification. O a physician from another country and practicing in the United States as a First Assistant, this is acceptable.
Experience: Minimum of 2 years of experience as surgical first assistant preferred.
Licensure: Certified Surgical First Assistant required (unless a physician from another country). National Board of Surgical Technology and Surgical Assisting (NBSTSA) or National Commission for the Certification of Surgical Assistants (NCCSA) required.
Licensed by the Virginia Board of Medicine as a Surgical First Assistant required.
Refer to the Life Support Training Policy for additional details.
Additional Skills/Requirements Required: Ability to successfully complete generic and department-specific skill validation and competency testing. Demonstrate effective and appropriate customer service skills, verbal and nonverbal communication techniques, interpersonal relationship skills, and time management skills. Surgical tech experience to be able to independently scrub Orthopedics, General, Robotics, Vascular, Gynecological, and Spine cases. Ability to independently cover surgical first assistant call as needed.
Additional Skills/Requirements Preferred: N/A
The incumbent may be asked to perform additional duties as assigned.
PHYSICAL DEMANDS
Physical Demand Code: Medium to Heavy Physical Demand: The job requires constant standing, frequently walking, and bending/stooping. Proficient communicative, auditory, and visual skills. Attention to detail and ability to write legibly. Ability to lift/push/pull 100 lbs. For any weight over 35 lbs., use Safe Handling Equipment. This job description may not include all assigned duties, responsibilities, or aspects of the job described. It may be amended at any time at the sole discretion of UVA Community Health.
OTHER
May require the use of safety equipment, such as HEPA mask, for infection prevention: Yes
On call responsibilities as directed: Yes
Ability to travel between campus buildings, remote facilities, and out of town as needed: Yes
The base compensation for this role is $42.06 hourly.
Please note that the pay rate does not include any applicable incentive compensation programs such as shift differentials, clinical ladders, and other incentives that may be available for those in eligible positions.

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