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First Assistant Jobs in Belleville, IL (NOW HIRING)

Assured Nursing is seeking a travel nurse RN First Assist for a travel nursing job in Saint Louis, Missouri. & Requirements * Specialty: First Assist * Discipline: RN * Start Date: ASAP * Duration ...

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First Assistant information

See Belleville, IL salary details

$31.6K

$129.6K

$186K

How much do first assistant jobs pay per year?

As of Sep 2, 2026, the average yearly pay for first assistant in Belleville, IL is $129,622.00, according to ZipRecruiter salary data. Most workers in this role earn between $39,300.00 and $175,300.00 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 cities near Belleville, IL are hiring for First Assistant jobs?

Cities near Belleville, IL with the most First Assistant job openings:

Infographic showing various First Assistant job openings in Belleville, IL as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 15% Part Time, and 4% Contract. Highlights an 85% Physical, 1% Hybrid, and 14% Remote job distribution, with an average salary of $129,622 per year, or $62.3 per hour.

First - Surgical Technologist (Non-RN) Assistant

BJC HealthCare

Saint Louis, MO

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 20 days ago


BJC Healthcare rating

7.5

Company rating: 7.5 out of 10

Based on 232 frontline employees who took The Breakroom Quiz

232nd of 898 rated healthcare providers


Job description

Additional Information About the Role

Join the Surgical Services Team at BJC Healthcare - Barnes Jewish Hospital.  BJC Healthcare - Barnes Jewish Hospital is dedicated to your growth and development.  Be a part of an environment where you can thrive! 

      • Schedule: Monday to Friday
      • Hours: 6:30am start time
      • 4/10s or 3/12s Hour Shifts
      • Education:
        • Must have completed an accredited First Assistant Surgical Technologist Program.
        • Must have Completed a CSTFA or CSFA certification.

Overview


Preferred Qualifications

Role Purpose

Acts as a first assistant to surgeons during surgical procedures in the operating room. Performs selected technical duties in an expanded perioperative role under the direction of the surgeon.

Responsibilities

  • Delivers intraoperative patient care as the first assistant to the surgeon(s) as a collaborative team member.
  • Maintains accountability for the provision of surgical instruments to the surgical team.
  • Functions as a member of the surgical team and contribute to the overall efficiency of the perioperative department.
  • Participates in professional development and life-long learning.
  • Minimum Requirements

    Education

  • High School Diploma or GED
  • Experience

  • <2 years
  • Licenses & Certifications

  • CERT SURG TECH FIRST ASSIST
  • Surgical Technician
  • Preferred Requirements

    Education

  • Associate's Degree
  • Experience

  • 2-5 years
  • Supervisor Experience

  • No Experience

  • Benefits and Legal Statement

    BJC Total Rewards

    At BJC we're committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being.

    • Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date
    • Disability insurance* paid for by BJC
    • Annual 4% BJC Automatic Retirement Contribution
    • 401(k) plan with BJC match
    • Tuition Assistance available on first day
    • BJC Institute for Learning and Development
    • Health Care and Dependent Care Flexible Spending Accounts
    • Paid Time Off benefit combines vacation, sick days, holidays and personal time
    • Adoption assistance

    To learn more, go to our Benefits Summary.

    *Not all benefits apply to all jobs

    The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer

    Qualifications:

    Role Purpose

    Acts as a first assistant to surgeons during surgical procedures in the operating room. Performs selected technical duties in an expanded perioperative role under the direction of the surgeon.

    Responsibilities

  • Delivers intraoperative patient care as the first assistant to the surgeon(s) as a collaborative team member.
  • Maintains accountability for the provision of surgical instruments to the surgical team.
  • Functions as a member of the surgical team and contribute to the overall efficiency of the perioperative department.
  • Participates in professional development and life-long learning.
  • Minimum Requirements

    Education

  • High School Diploma or GED
  • Experience

  • <2 years
  • Licenses & Certifications

  • CERT SURG TECH FIRST ASSIST
  • Surgical Technician
  • Preferred Requirements

    Education

  • Associate's Degree
  • Experience

  • 2-5 years
  • Supervisor Experience

  • No Experience
  • Education:UNAVAILABLEEmployment Type: FULL_TIME

    What BJC Healthcare employees say

    Pay

    Benefits

    Hours and flexibility

    Workplace

    Get the full story on Breakroom


    BJC Healthcare logo

    About BJC Healthcare

    Sourced by ZipRecruiter

    BJC Healthcare, situated in Saint Louis, MO, US, is one of the largest healthcare organizations in the United States. Launched in 1993, BJC encompasses 15 hospitals and multiple health service organizations covering the metropolitan St. Louis area, mid-Missouri and Southern Illinois. This healthcare titan's services cover a vast field, from community health and wellness, to pediatric care, to advanced specialty care. BJC is well-known for its two nationally recognized hospitals, Barnes-Jewish Hospital and St. Louis Children's Hospital, both affiliated with Washington University School of Medicine. Its mission revolves around improving the health and well-being of the communities it serves through leadership, education, innovation, and excellence in medicine.

    Industry

    Health care and social assistance

    Company size

    10,000+ Employees

    Headquarters location

    Saint Louis, MO, US