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First Assistant Jobs in Detroit, MI (NOW HIRING)

EducationCurrent Michigan RN license, BSN preferredRegistered Nurse First Assistant (RNFA) and/or Certified Surgical Tech First Assist (CSTFA)Must currently be RNFA certified or obtain your RNFA ...

Superintendent First Assistant at TPC Michigan | Dearborn, MI | Invited Ready to join a dynamic company in the hospitality and service industry where people help drive the success of the business?

Superintendent First Assistant at TPC Michigan | Dearborn, MI | Invited Ready to join a dynamic company in the hospitality and service industry where people help drive the success of the business?

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First Assistant information

See Detroit, MI salary details

$29.7K

$122K

$175.1K

How much do first assistant jobs pay per year?

As of Jul 13, 2026, the average yearly pay for first assistant in Detroit, MI is $122,048.00, according to ZipRecruiter salary data. Most workers in this role earn between $37,000.00 and $165,100.00 per year, depending on experience, location, and employer.

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's the easiest hospital job to get?

The easiest hospital job to get is often a patient transporter or hospital aide, which typically requires minimal formal education and on-the-job training. These roles usually have high turnover and may not require certifications, making them accessible entry-level positions in healthcare settings.

How much do first assistants make per hour?

First assistants typically earn between $15 and $25 per hour, depending on experience, location, and the industry they work in. They often work in fast-paced environments and may require skills in organization and communication.

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.

Where do surgical first assistants make the most money?

Surgical first assistants tend to earn the highest salaries in regions with a high cost of living and advanced healthcare facilities, such as metropolitan areas or states with strong medical industries. Factors like experience, certifications, and the complexity of surgeries also influence earning potential, with those working in specialized or high-demand surgical fields typically earning more.

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 producer by managing schedules, coordinating communication, and assisting with logistical tasks. They may also handle administrative duties, oversee daily operations, and ensure the smooth flow of the project. Strong organizational skills and knowledge of production processes are essential for this role.
What are the most commonly searched types of First jobs in Detroit, MI? The most popular types of First jobs in Detroit, MI are:
What cities near Detroit, MI are hiring for First Assistant jobs? Cities near Detroit, MI with the most First Assistant job openings:
Infographic showing various First Assistant job openings in Detroit, MI as of July 2026, with employment types broken down into 42% Full Time, 29% Part Time, and 29% Contract. Highlights an 100% In-person job distribution, with an average salary of $122,048 per year, or $58.7 per hour.

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PTO

Re-posted 28 days ago


Job description

Position Description: HighlightsNo nights, no weekends, no holidays, paid vacation so you can have a better work/life balance.New plastic surgery practice open in Novi, MICompetitive compensation and benefitsAn opportunity to work in the cosmetic industry providing happy medicine treating healthy patients who are excited to look and feel better about themselves.A private practice feel with the support and competitive compensation/benefits of working at a large company.At Illuum Cosmetic Surgery we believe that our team members are the keys to our success.Company MissionIlluum Cosmetic Surgerys mission is to help people become the best versions of themselves through affordable and accessible full-service cosmetic surgery services using cutting-edge techniques by the highest quality staff and surgeons. Our holistic, patient-focused experience begins with understanding our patients desires, empowering them with trusted information, and ends with extraordinary results that illuminate ones best self from the inside out.Position SummaryThe RNFA/CSTFA works closely, hands-on, with the surgeon to aid in the process of prepping/draping patients for surgery, suturing, hemostasis, clamping, and provides surgical site exposureThey will assist in positioning patients to ensure a safe operation, applying dressings and garments, transport to the PACU, and room turnoverEssential Duties/FunctionsProvides hemostasis, suturing, and wound management Works in collaboration with the surgeon and other healthcare team members to achieve optimal patient outcomes Assist in the development of treatment plans in conjunction with lead surgeon(s) Assist surgeon(s) during the surgery including passing requested instruments, sutures, equipment, and retractionAssist with room turnover by helping to clean the operating room post-operation and set up for the next procedureAccount for all tools, instruments, and sharps during the procedure Help with center opening/closing duties if requiredHelp with preparing, cleaning, and sterilizing instruments, equipment, and operating rooms if requiredPlacement of pneumatic tourniquet, urinary catheter placement, placement/suturing of surgical drainsClosure of all wound layers (fascia, subcutaneous, and skin)Assist with taking standardized photos if requiredEnsures adequate inventory of controlled drugs, supplies, instrumentation and equipment are available to meet patient needsMixing liposuction tumescent bagsAssist with unpackaging and restocking inventoryCheck sharps boxes and change any that are full, empty all linen/biohazard bags, logs, wheeling patientsStart and remove IVs if neededLaunch in Prean and discharge from PACU when needed if properly trainedComplete all mandatory trainingFollow all state, federal and/or local health and safety rules, laws, and regulations*Additional job duties as assigned.EducationCurrent Michigan RN license, BSN preferredRegistered Nurse First Assistant (RNFA) and/or Certified Surgical Tech First Assist (CSTFA)Must currently be RNFA certified or obtain your RNFA certification within 1 year of employment, CNOR preferredPast experience as a surgeon from another country is a plusMust currently be BLS and ACLS certified or obtain your certifications within 30 days of employment (reimbursement is available)ExperienceMinimum three (3) years of ambulatory surgery clinical experience as a Registered Nurse First Assist (RNFA) or Certified Surgical Tech First Assist (CSTFA)Interpersonal Skills and AttributesBilingual English and Spanish is a plusAbility to maintain strict confidentiality regarding patient health informationAbility to focus on patient safety, teamwork, patient outcomes, patient experience and quality improvementAbility to communicate effectively both verbally and in writingStrong communication skills: written and verbal and interpersonalMicrosoft Office experienceRequires critical thinking skills, decisive judgment, and the ability to work with minimal supervisionFlexible, reliable, patient-oriented, and self-motivatedMust be able to work in a stressful environment and take appropriate actionProfessional behavior/appearance requiredAbility to focus on patient safety, teamwork, patient outcomes, patient experience and quality improvementAbility to work within a team setting in accordance with our overall mission and goalAble to apply common sense understanding to carry out detailed written or oral instructionsPhysical/Sensory RequirementsAbility to be active and on your feet throughout the dayAbility to lift up to 50 pounds (to help assist with patients)Corrected hearing and vision to normal rangeFull range of motion, manual and finger dexterity, and hand-eye coordinationBenefitsHealth InsuranceVision InsuranceDental Insurance401k and Matching ProgramHealth Savings AccountPaid Time OffPaid HolidaysEmployee Incentive Program for Complimentary Plastic Surgery Procedures, Botox, and Fillers Additional Information: $80,000 - $120,000