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First Assistant Jobs in Cleveland, OH (NOW HIRING)

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First Assistant information

See Cleveland, OH salary details

$31.5K

$129.5K

$185.8K

How much do first assistant jobs pay per year?

As of Aug 15, 2026, the average yearly pay for first assistant in Cleveland, OH is $129,465.00, according to ZipRecruiter salary data. Most workers in this role earn between $39,300.00 and $175,100.00 per year, depending on experience, location, and employer.

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 role. Some positions may require specific certifications or training, and gaining experience through entry-level roles can help advance to a first assistant position.

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 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 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 are the most commonly searched types of First jobs in Cleveland, OH?

The most popular types of First jobs in Cleveland, OH are:

What cities near Cleveland, OH are hiring for First Assistant jobs?

Cities near Cleveland, OH with the most First Assistant job openings:

First Assistant jobs near you

Surgical First Assistant

Crystal Clinic Orthopaedic Center

Fairlawn, OH • On-site

Full-time

Re-posted 22 days ago

Crystal Clinic Orthopaedic Center rating

7.6

Company rating: 7.6 out of 10

Based on 16 frontline employees who took The Breakroom Quiz

Job description

The Essentials:

Schedule: Four 10 Hour Shifts | 7:00 AM - 5:30 PM | Full-time | Minimal On-Call Requirement

Location: Fairlawn, OH - Hospital - 3557 Embassy Pkwy | On-Site

Specialties: Operating Room, First Assisting, Orthopaedics, Plastics

What you'll do:

  • Work closely with surgeons in the operating room during a surgical procedure. anticipate the needs of the surgical team and during an operation, assist the surgeon with tasks such as selecting equipment, holding open incisions, controlling bleeding, closing the incision, among other technical tasks.
  • interact with surgeons, anesthesiologists, nurses, and other health care staff. provides support for surgical procedures by serving as general assistant to nurses and physicians and by preparing the operation rooms with necessary equipment, instruments, and supplies.
  • Positions patient and tends to patient's warmth and comfort needs. The surgeon shall convey the exact position that will give the best exposure for the surgical procedure
  • Inspects and prepares skin for surgical procedure
  • Proficiency in suturing as evidenced by required competency of surgical team and verification evidenced by competency of all required skills.
  • Assists in the visualization of the operative site by the following: appropriate placement and securing of retractors. Digital manipulation of tissue, suctioning, irrigating, or sponging.

What We're Looking For:

Education: Completion of a first assisting program

Experience: Three (3) to Five (5) years of demonstrated experience in field or profession preferred.

Certifications/Licenses/Registrations: Completion of an approved CST/CSFA program (The National Board of Surgical Technology and Surgical Assisting) or military training. First assistant certification required BLS preferred

What Crystal Clinic Orthopaedic Center employees say

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