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First Assistant Jobs in Virginia (NOW HIRING)

VHC Health

OR Surgical First Assistant

Arlington, VA · On-site

Position TitleOR Surgical First Assistant Purpose & Scope: The Surgical Assistant renders direct patient care by assisting the surgeon in the surgical treatment of the patient. This is accomplished ...

VHC Health

OR Surgical First Assistant

Arlington, VA

Graduation from an accredited program for First Assistants is preferred. Experience: Three years of operating room experience is preferred. Certification/Licensure: Licensed Surgical Assistant by the ...

VHC Health

OR Surgical First Assistant

Arlington, VA · On-site

$45.18 - $73.17/hr

Graduation from an accredited program for First Assistants is preferred. Experience: Three years of operating room experience is preferred. Certification/Licensure: Licensed Surgical Assistant by the ...

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All JobsFirst Assistant JobsFirst Assistant Jobs in Virginia

First Assistant information

See Virginia salary details

$32.2K

$132.3K

$189.9K

How much do first assistant jobs pay per year?

As of Jun 22, 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.

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 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
Surgery First Assistant Certified

Surgery First Assistant Certified

Chippenham Hospital

Mechanicsville, VA

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 4 days ago

Job description

Introduction

Do you have the career opportunities as a(an) Surgery First Assistant Certified you want with your current employer? We have an exciting opportunity for you to join Chippenham Hospital which is part of the nation's leading provider of healthcare services, HCA Healthcare.

Currently offering a sign-on bonus up to 10k.  

Benefits

Chippenham Hospital offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

  • Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
  • Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
  • Free counseling services and resources for emotional, physical and financial wellbeing
  • 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  • Employee Stock Purchase Plan with 10% off HCA Healthcare stock
  • Family support through fertility and family building benefits with Progyny and adoption assistance.
  • Referral services for child, elder and pet care, home and auto repair, event planning and more
  • Consumer discounts through Abenity and Consumer Discounts
  • Retirement readiness, rollover assistance services and preferred banking partnerships
  • Education assistance (tuition, student loan, certification support, dependent scholarships)
  • Colleague recognition program
  • Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
  • Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

Our teams are a committed, caring group of colleagues. Do you want to work as a(an) Surgery First Assistant Certified where your passion for creating positive patient interactions is valued? If you are dedicated to caring for the well-being of others, this could be your next opportunity. We want your knowledge and expertise!

Job Summary and QualificationsWhat qualifications you will need:


  • Basic Cardiac Life Support must be obtained within 30 days of employment start date
  • High School Graduate / GED
  • Vocational School Graduate
  • (SA) Surgical Assistant, or (CSA) Certified Surgical Assistant

No Travel Required

3 years experience Required Years of Experience

Chippenham Hospital has provided quality healthcare services since 1972, giving patient's access to highly-trained physicians and advanced technology. With more than 50 years of pioneering healthcare, our 460+ bed hospital is one of the region's leading acute care facilities located on the Southside of Richmond. We are the region's first choice for orthopedics, joint care, behavioral health and cardiovascular care. The Joint Commission awarded Chippenham Hospital the Gold Seal of Approval and named us a Top Performer on Key Quality Measures for advanced primary stroke, heart attack, heart failure, pneumonia, perinatal care, hip and knee replacement and surgical care. We are also a Level I Burn Center and Level I Trauma Center.

"Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Surgery First Assistant Certified opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Apply