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First Assistant Jobs in West Virginia (NOW HIRING)

WVU Medicine

PRN Surg Tech-First Asst

Glen Dale, WV · On-site

Certified Surgical First Assistant (CSFA) through the National Board of Surgical Technology and Surgical Assisting (NBSTSA) * Certified Surgical Assistant (CSA) through the National Commission for ...

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First Assistant information

See West Virginia salary details

$25.2K

$103.3K

$148.3K

How much do first assistant jobs pay per year?

As of Sep 7, 2026, the average yearly pay for first assistant in West Virginia is $103,314.00, according to ZipRecruiter salary data. Most workers in this role earn between $31,400.00 and $139,700.00 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.
First Assistant jobs near you
Infographic showing various First Assistant job openings in West Virginia as of August 2026, with employment types broken down into 55% Full Time, 10% Part Time, and 35% Contract. Highlights an 100% In-person job distribution, with an average salary of $103,314 per year, or $49.7 per hour.

RN - First Assistant (RNFA)

Mission Hospital

Charleston, WV • On-site

$3.1K/wk

Other

Re-posted 28 days ago

Mission Health (North Carolina) rating

7.5

Company rating: 7.5 out of 10

Based on 7 frontline employees who took The Breakroom Quiz

Job description

Details
Client Name
CAMC- Memorial Hospital
Job Type
Travel
Offering
Nursing
Profession
RN
Specialty
First Assistant (RNFA)
Job ID
36801923
Job Title
RN - First Assistant (RNFA)
Weekly Pay
$3101.0
Shift Details
Shift
4x10 Hour Day Shift
Scheduled Hours
40
Job Order Details
Start Date
08/20/2026
End Date
11/19/2026
Duration
13 Week(s)
Job Description
The RN First Assistant carries out functions that will assist the surgeon in performing a safe surgical procedure with optimum results for the patient. The RN First Assistant practices perioperative nursing, functions directly under the supervision of the surgeon during the surgical procedure, and does not function simultaneously as the scrub nurse.
Client Details
Address
3200 MacCorkle Avenue Southeast
City
Charleston
State
WV
Zip Code
25304

What Mission Health (North Carolina) employees say

Pay

Hours and flexibility

Workplace

Get the full story on Breakroom

Mission Health logo

About Mission Health

Sourced by ZipRecruiter

Mission Hospital, located in Asheville, is Mission Health's flagship hospital and is licensed for 763 beds. Business North Carolina ranked Mission Hospital the No. 1 "Best Hospital" in North Carolina for 2017 and 2018, and Mission Hospital ranked among the top 1% of "Best Hospitals" nationally in 2016 by Healthgrades. We are the regional referral center for tertiary and quaternary care and the region's only Level II trauma center. Mission Hospital also includes Mission Children's Hospital - the region's only children's hospital - providing 30 pediatric sub-specialists. We're the busiest surgical hospital west of Raleigh, North Carolina, and the second-busiest in the state. Mission Hospital provides the only open heart and interventional cardiology in the region, and is the only Cyberknife provider west of Raleigh.

Industry

Hospitals and health care and social assistance

Company size

10,000+ Employees

Headquarters location

Asheville, NC, US

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