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First Assistant Jobs in Washington (NOW HIRING)

VHC Health

L&D OR First Assistant

Arlington, VA · On-site

$45.18 - $73.17/hr

Position Title L&D OR 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 under ...

VHC Health

L&D OR First Assistant

Arlington, VA

$17.25 - $21.50/hr

Position TitleL&D OR 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 under ...

CT Assist

CVOR NP, locums

Falls Church, VA · On-site

$115 - $135/hr

* CVOR Nurse Practitioner * 5+ years EVH and first assist experience * 4 10-12 hour days * OR Only * Rotating Call * Duration: 6 months * Summer Start * Virginia * Must have 5 or more years of ...

Core Group Resources

1st AE w/ Tankerman PIC

Annapolis, MD · On-site

$79K - $106K/yr

1st Assistant Engineer w/ Tankerman PIC Job Summary Looking for a 1st Assistant Engineer for a hitch onboard a deepwater offshore drillship operating in the Gulf. This is a working engineering ...

UVA Health

Surgical Assistant, Senior

Manassas, VA · On-site

$41.54 - $67.46/hr

Graduate of a recognized first assist program with National Certification or RN required. Or, if a physician from another country and practicing in the United States as a First Assistant, this is ...

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All JobsFirst JobsFirst Assistant JobsFirst Assistant Jobs in Washington

First Assistant information

See Washington salary details

$36.8K

$151.1K

$216.9K

How much do first assistant jobs pay per year?

As of Sep 1, 2026, the average yearly pay for first assistant in Washington is $151,147.00, according to ZipRecruiter salary data. Most workers in this role earn between $45,900.00 and $204,400.00 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 Washington?

The most popular types of First jobs in Washington are:

What cities in Washington are hiring for First Assistant jobs?

Cities in Washington with the most First Assistant job openings:

First Assistant jobs near you
Infographic showing various First Assistant job openings in Washington as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 15% Part Time, 2% Temporary, and 8% Contract. Highlights an 80% Physical, 1% Hybrid, and 19% Remote job distribution, with an average salary of $151,147 per year, or $72.7 per hour.

Surgical First Assist - LSA, RNFA, PA/NP (Robotics, GYN, Plastics, Spine) DMV - Sign- ON Bonus and R

MPOWERHealth

Fairfax, VA • On-site

Full-time, Temporary

Medical, Dental, Vision, Retirement

Posted 6 days ago

Job description

Overview

Join Our Team as a Surgical First Assist – Robotics, Spine, Plastics (LSA/PA/NP/RNFA/CSA) at MPOWERHealth! THIS IS AN OR ONLY ROLE.

We are not a locums, travel, or staffing company--this is a full-time, salaried position with full benefits! 

MPOWERHealth is a health services organization that partners directly with hospitals, health systems, and surgeons to deliver exceptional patient care by providing Intraoperative Neuromonitoring and Surgical First Assist services. 

About DMV

The DMV region offers a unique blend of professional opportunity, cultural diversity, and exceptional amenities. Residents enjoy access to a robust job market, renowned museums and attractions, top-ranked educational institutions, and a wide range of dining, entertainment, and outdoor activities.

Relocating? We've Got You.

We make the move easy: Relocation assistance is available for this role — so if DMV isn't home yet, we'll help make the move easier.

 
 

Responsibilities

Who is MPOWERHealth? 

MPOWER - We Are MPOWERHealth

Why You'll Love Working Here

  • Comprehensive health coverage — multiple medical plan options to fit your life
  • Health Savings Account with company contributions
  • Dental and vision coverage for you and your dependents
  • 401(k) with company match to help you build your future
  • Wellness program with health insurance incentives

What You'll Do

  • Lead as First Assist: Serve as the primary surgical first assist, providing critical hands-on support throughout procedures.
  • Set the Stage Pre-Op: Confirm cases, meet patients, walk them through procedures, gather documentation, and coordinate closely with OR staff.
  • Deliver in the OR: Support patient positioning, maintain a sterile field, anticipate the surgeon's next move, and work in sync with the surgical team.
  • Follow Through Post-Op: Assist with patient transfer, deliver thorough PACU handoffs, and complete documentation with precision.
  • Help Us Get Better: Contribute to clinical and operational initiatives — education, training, and process improvement.
  • Keep Growing: Bring a willingness to learn new surgical specialties and expand your skill set.
 

Qualifications

What You Bring

Experience:

  • At least 2 years of surgical assisting experience
  • Hands-on experience assisting in Robotics, Spine, and Plastics
  • Spine experience is a plus

Education & Credentials:

  • Strong technical skills in the operating room
  • Graduate of an Accredited program- PA/NP/CSFA 
  • Ability to acquire VA/MD state license 
     

What Sets You Apart:

  • Strong interpersonal skills and the ability to adapt to different personalities and needs
  • A customer-service mindset
  • Confidence to work independently and autonomously
     

Physical Requirements: Able to perform all essential duties with or without accommodation, including:

  • Ability to lift, sit, stand, or squat
  • Constant seeing, hearing, and speaking
  • Frequent lifting up to 20+ lbs., plus bending, reaching, standing, walking, and kneeling

???? Ready to Elevate Your Career?

If you're passionate about surgical excellence, thrive in a dynamic OR environment, and want to be part of a company that’s redefining musculoskeletal care, we want to hear from you! 

Apply now and take your career to the next level with MPOWERHealth!

MPOWERHealth is an equal opportunity employer. It is our policy not to discriminate against any applicant or employee because of age, color, sex, disability, national origin, race, religion, or veteran status.

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