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 ...
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 ...
Travel Surgical First Assistant
Commerce, MI · On-site
Surgical First Assistant * Discipline: Allied Health Professional * Start Date: 08/24/2026 * Duration: 13 weeks * 40 hours per week * Shift: 8 hours, days * Employment Type: Travel TRA First Assist ...
Travel Surgical First Assistant
Commerce, MI · On-site
Surgical First Assistant * Discipline: Allied Health Professional * Start Date: 08/24/2026 * Duration: 13 weeks * 40 hours per week * Shift: 8 hours, days * Employment Type: Travel TRA First Assist ...
1st Assistant Superintendent
Dearborn, MI · On-site
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?
1st Assistant Superintendent
Dearborn, MI · On-site
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?
1st Assistant Superintendent
Dearborn, MI · On-site
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?
1st Assistant Superintendent
Dearborn, MI · On-site
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?
1st Assistant Superintendent
Dearborn, MI · On-site
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?
1st Assistant Superintendent
Dearborn, MI · On-site
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?
Surgical First Assistant * Discipline: Allied Health Professional * Start Date: 08/24/2026 * Duration: 13 weeks * 40 hours per week * Shift: 8 hours, days * Employment Type: Local Contract TRA First ...
Surgical First Assistant * Discipline: Allied Health Professional * Start Date: 08/24/2026 * Duration: 13 weeks * 40 hours per week * Shift: 8 hours, days * Employment Type: Local Contract TRA First ...
Registered Nurse First Assistant
Pontiac, MI · On-site
Under general direction of the surgeon, provides direct patient care as a first assistant during surgical intervention. REQUIRED EDUCATION / LICENSURE * Requires current Michigan Nursing License
Registered Nurse First Assistant
Pontiac, MI · On-site
Under general direction of the surgeon, provides direct patient care as a first assistant during surgical intervention. REQUIRED EDUCATION / LICENSURE * Requires current Michigan Nursing License
Registered Nurse First Assistant
Pontiac, MI · On-site
Under general direction of the surgeon, provides direct patient care as a first assistant during surgical intervention. REQUIRED EDUCATION / LICENSURE * Requires current Michigan Nursing License
Registered Nurse First Assistant
Pontiac, MI · On-site
Under general direction of the surgeon, provides direct patient care as a first assistant during surgical intervention. REQUIRED EDUCATION / LICENSURE * Requires current Michigan Nursing License
Registered Nurse First Assistant
Pontiac, MI · On-site
Under general direction of the surgeon, provides direct patient care as a first assistant during surgical intervention. REQUIRED EDUCATION / LICENSURE * Requires current Michigan Nursing License
Registered Nurse First Assistant
Pontiac, MI · On-site
Under general direction of the surgeon, provides direct patient care as a first assistant during surgical intervention. REQUIRED EDUCATION / LICENSURE * Requires current Michigan Nursing License
Certified Registered Nurse specializing in First Assistant credentialed from the National Assistant at Surgery Certification preferred. * Pediatric Advanced Life Support preferred. American Heart ...
Certified Registered Nurse specializing in First Assistant credentialed from the National Assistant at Surgery Certification preferred. * Pediatric Advanced Life Support preferred. American Heart ...
Graduate of an RN First Assist Program * 1 year of First Assist experience
Graduate of an RN First Assist Program * 1 year of First Assist experience
Certified Registered Nurse specializing in First Assistant credentialed from the National Assistant at Surgery Certification preferred. * Pediatric Advanced Life Support preferred. American Heart ...
Certified Registered Nurse specializing in First Assistant credentialed from the National Assistant at Surgery Certification preferred. * Pediatric Advanced Life Support preferred. American Heart ...
Certified Registered Nurse specializing in First Assistant credentialed from the National Assistant at Surgery Certification preferred. * Pediatric Advanced Life Support preferred. American Heart ...
Certified Registered Nurse specializing in First Assistant credentialed from the National Assistant at Surgery Certification preferred. * Pediatric Advanced Life Support preferred. American Heart ...
Certified Registered Nurse specializing in First Assistant credentialed from the National Assistant at Surgery Certification preferred. * Pediatric Advanced Life Support preferred. American Heart ...
Certified Registered Nurse specializing in First Assistant credentialed from the National Assistant at Surgery Certification preferred. * Pediatric Advanced Life Support preferred. American Heart ...
Certified Registered Nurse specializing in First Assistant credentialed from the National Assistant at Surgery Certification preferred. * Pediatric Advanced Life Support preferred. American Heart ...
Certified Registered Nurse specializing in First Assistant credentialed from the National Assistant at Surgery Certification preferred. * Pediatric Advanced Life Support preferred. American Heart ...
Functioning in an expanded Perioperative role acts as a first or second assistant during surgical procedures under the supervision of the surgeon. Other direct care responsibilities include planning ...
Functioning in an expanded Perioperative role acts as a first or second assistant during surgical procedures under the supervision of the surgeon. Other direct care responsibilities include planning ...
Functioning in an expanded Perioperative role acts as a first or second assistant during surgical procedures under the supervision of the surgeon. Other direct care responsibilities include planning ...
Functioning in an expanded Perioperative role acts as a first or second assistant during surgical procedures under the supervision of the surgeon. Other direct care responsibilities include planning ...
Registered Nurse First Assistant
Pontiac, MI · On-site
Under general direction of the surgeon, provides direct patient care as a first assistant during surgical intervention. REQUIRED EDUCATION / LICENSURE * Requires current Michigan Nursing License
Registered Nurse First Assistant
Pontiac, MI · On-site
Under general direction of the surgeon, provides direct patient care as a first assistant during surgical intervention. REQUIRED EDUCATION / LICENSURE * Requires current Michigan Nursing License
Registered Nurse First Assistant (RNFA) Registered Nurse First Assistant (RNFA) works under the supervision and direction of the operating room surgeon and in collaboration with the health care team ...
Registered Nurse First Assistant (RNFA) Registered Nurse First Assistant (RNFA) works under the supervision and direction of the operating room surgeon and in collaboration with the health care team ...
Functioning in an expanded Perioperative role acts as a first or second assistant during surgical procedures under the supervision of the surgeon. Other direct care responsibilities include planning ...
Functioning in an expanded Perioperative role acts as a first or second assistant during surgical procedures under the supervision of the surgeon. Other direct care responsibilities include planning ...
First Assistant information
See Detroit, MI salary details
$45.8K is the 25th percentile. Wages below this are outliers.
$32.2K - $46.5K
26% of jobs
$46.5K - $60.8K
0% of jobs
$60.8K - $75.1K
0% of jobs
$75.1K - $89.4K
0% of jobs
$89.4K - $103.7K
0% of jobs
$103.7K - $118K
0% of jobs
$118K - $132.3K
10% of jobs
The median wage is $144.4K / yr.
$132.3K - $146.7K
16% of jobs
$146.7K - $161K
0% of jobs
$161K - $175.3K
19% of jobs
$176.9K is the 75th percentile. Wages above this are outliers.
$175.3K - $189.6K
28% of jobs
$32.2K
$132.1K
$189.6K
How much do first assistant jobs pay per year?
How do I become a first assistant?
What is a first assistant?
What are the key skills and qualifications needed to thrive as a first assistant, and why are they important?
What is the difference between First Assistant vs Second Assistant?
| Aspect | First Assistant | Second Assistant |
|---|---|---|
| Credentials | Typically requires medical or legal certifications, depending on industry | Similar credentials, often with less experience required |
| Work Environment | High-pressure settings, assisting lead professionals | Support role, often in administrative or support settings |
| Employer & Industry Usage | Used in legal, medical, or film industries as a primary support role | Supporting role, often subordinate to First Assistant |
| Common Search & Comparison | Often compared for responsibilities and qualifications | Less 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?

Other
PTO
Re-posted 21 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