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
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
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
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
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
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
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
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
Graduate of an RN First Assist Program * 1 year of First Assist experience Additional Information * Organization: Henry Ford Providence Hospitals * Department: HFPNH Surgery * Shift: Day Job * Union ...
Graduate of an RN First Assist Program * 1 year of First Assist experience Additional Information * Organization: Henry Ford Providence Hospitals * Department: HFPNH Surgery * Shift: Day Job * Union ...
Graduate of an RN First Assist Program * 1 year of First Assist experience Henry Ford Providence Novi Hospital is a 277-bed facility offering advanced specialty care spanning cardiology, oncology ...
Graduate of an RN First Assist Program * 1 year of First Assist experience Henry Ford Providence Novi Hospital is a 277-bed facility offering advanced specialty care spanning cardiology, oncology ...
Graduate of an RN First Assist Program * 1 year of First Assist experience Henry Ford Providence Novi Hospital is a 277-bed facility offering advanced specialty care spanning cardiology, oncology ...
Graduate of an RN First Assist Program * 1 year of First Assist experience Henry Ford Providence Novi Hospital is a 277-bed facility offering advanced specialty care spanning cardiology, oncology ...
Assistant Superintendent
Dearborn, MI · On-site
Our Clubs offer first-class amenities, including championship golf courses, modern workspaces ... Job Summary The Assistant Superintendent is responsible for supporting the daily operations of the ...
Assistant Superintendent
Dearborn, MI · On-site
Our Clubs offer first-class amenities, including championship golf courses, modern workspaces ... Job Summary The Assistant Superintendent is responsible for supporting the daily operations of the ...
Assistant Superintendent
Dearborn, MI · On-site
Our Clubs offer first-class amenities, including championship golf courses, modern workspaces ... As the Assistant Superintendent you will schedule and maintain irrigation systems, apply pesticides ...
Assistant Superintendent
Dearborn, MI · On-site
Our Clubs offer first-class amenities, including championship golf courses, modern workspaces ... As the Assistant Superintendent you will schedule and maintain irrigation systems, apply pesticides ...
Assistant Superintendent
Dearborn, MI · On-site
Our Clubs offer first-class amenities, including championship golf courses, modern workspaces ... Job Summary The Assistant Superintendent is responsible for supporting the daily operations of the ...
Assistant Superintendent
Dearborn, MI · On-site
Our Clubs offer first-class amenities, including championship golf courses, modern workspaces ... Job Summary The Assistant Superintendent is responsible for supporting the daily operations of the ...
Physician Assistant/Nurse Practitioner (B), Plastic and Reconstructive Surgery - Royal Oak
Dearborn, MI · On-site
$100K - $129K/yr
This role functions primarily as a first assist in the operating room, including participation in complex microsurgical free flap reconstructions, while also providing independent postoperative ...
Physician Assistant/Nurse Practitioner (B), Plastic and Reconstructive Surgery - Royal Oak
Dearborn, MI · On-site
$100K - $129K/yr
This role functions primarily as a first assist in the operating room, including participation in complex microsurgical free flap reconstructions, while also providing independent postoperative ...
Physician Assistant/Nurse Practitioner (B), Plastic and Reconstructive Surgery - Royal Oak
Troy, MI · On-site
$102K - $132K/yr
This role functions primarily as a first assist in the operating room, including participation in complex microsurgical free flap reconstructions, while also providing independent postoperative ...
Physician Assistant/Nurse Practitioner (B), Plastic and Reconstructive Surgery - Royal Oak
Troy, MI · On-site
$102K - $132K/yr
This role functions primarily as a first assist in the operating room, including participation in complex microsurgical free flap reconstructions, while also providing independent postoperative ...
Physician Assistant/Nurse Practitioner (B), Plastic and Reconstructive Surgery - Royal Oak
Grosse Pointe, MI · On-site
$102K - $132K/yr
This role functions primarily as a first assist in the operating room, including participation in complex microsurgical free flap reconstructions, while also providing independent postoperative ...
Physician Assistant/Nurse Practitioner (B), Plastic and Reconstructive Surgery - Royal Oak
Grosse Pointe, MI · On-site
$102K - $132K/yr
This role functions primarily as a first assist in the operating room, including participation in complex microsurgical free flap reconstructions, while also providing independent postoperative ...
Physician Assistant/Nurse Practitioner (B), Plastic and Reconstructive Surgery - Royal Oak
Royal Oak, MI · On-site
$101K - $131K/yr
This role functions primarily as a first assist in the operating room, including participation in complex microsurgical free flap reconstructions, while also providing independent postoperative ...
Physician Assistant/Nurse Practitioner (B), Plastic and Reconstructive Surgery - Royal Oak
Royal Oak, MI · On-site
$101K - $131K/yr
This role functions primarily as a first assist in the operating room, including participation in complex microsurgical free flap reconstructions, while also providing independent postoperative ...
Physician Assistant/Nurse Practitioner (B), Plastic and Reconstructive Surgery - Royal Oak
Dearborn, MI · On-site
$100K - $129K/yr
This role functions primarily as a first assist in the operating room, including participation in complex microsurgical free flap reconstructions, while also providing independent postoperative ...
Physician Assistant/Nurse Practitioner (B), Plastic and Reconstructive Surgery - Royal Oak
Dearborn, MI · On-site
$100K - $129K/yr
This role functions primarily as a first assist in the operating room, including participation in complex microsurgical free flap reconstructions, while also providing independent postoperative ...
Physician Assistant/Nurse Practitioner (B), Plastic and Reconstructive Surgery - Royal Oak
Royal Oak, MI · On-site
$103K - $133K/yr
This role functions primarily as a first assist in the operating room, including participation in complex microsurgical free flap reconstructions, while also providing independent postoperative ...
Physician Assistant/Nurse Practitioner (B), Plastic and Reconstructive Surgery - Royal Oak
Royal Oak, MI · On-site
$103K - $133K/yr
This role functions primarily as a first assist in the operating room, including participation in complex microsurgical free flap reconstructions, while also providing independent postoperative ...
Physician Assistant/Nurse Practitioner (B), Plastic and Reconstructive Surgery - Royal Oak
Grosse Pointe, MI · On-site
$102K - $132K/yr
This role functions primarily as a first assist in the operating room, including participation in complex microsurgical free flap reconstructions, while also providing independent postoperative ...
Physician Assistant/Nurse Practitioner (B), Plastic and Reconstructive Surgery - Royal Oak
Grosse Pointe, MI · On-site
$102K - $132K/yr
This role functions primarily as a first assist in the operating room, including participation in complex microsurgical free flap reconstructions, while also providing independent postoperative ...
Physician Assistant/Nurse Practitioner (B), Plastic and Reconstructive Surgery - Royal Oak
Royal Oak, MI · On-site
$101K - $131K/yr
This role functions primarily as a first assist in the operating room, including participation in complex microsurgical free flap reconstructions, while also providing independent postoperative ...
Physician Assistant/Nurse Practitioner (B), Plastic and Reconstructive Surgery - Royal Oak
Royal Oak, MI · On-site
$101K - $131K/yr
This role functions primarily as a first assist in the operating room, including participation in complex microsurgical free flap reconstructions, while also providing independent postoperative ...
Physician Assistant/Nurse Practitioner (B), Plastic and Reconstructive Surgery - Royal Oak
Troy, MI · On-site
$103K - $133K/yr
This role functions primarily as a first assist in the operating room, including participation in complex microsurgical free flap reconstructions, while also providing independent postoperative ...
Physician Assistant/Nurse Practitioner (B), Plastic and Reconstructive Surgery - Royal Oak
Troy, MI · On-site
$103K - $133K/yr
This role functions primarily as a first assist in the operating room, including participation in complex microsurgical free flap reconstructions, while also providing independent postoperative ...
NP/PA
Grosse Pointe, MI · On-site
$102K - $132K/yr
No OR or first assist procedural work required * Manage acute neurosurgical and stroke emergencies, ICU care, elective neurosurgical procedures, and postoperative management * Patient load: ~10 ...
NP/PA
Grosse Pointe, MI · On-site
$102K - $132K/yr
No OR or first assist procedural work required * Manage acute neurosurgical and stroke emergencies, ICU care, elective neurosurgical procedures, and postoperative management * Patient load: ~10 ...
First Assistant information
See Detroit, MI salary details
$42.3K is the 25th percentile. Wages below this are outliers.
$29.7K - $43K
26% of jobs
$43K - $56.2K
0% of jobs
$56.2K - $69.4K
0% of jobs
$69.4K - $82.6K
0% of jobs
$82.6K - $95.9K
0% of jobs
$95.9K - $109.1K
0% of jobs
$109.1K - $122.3K
10% of jobs
The median wage is $133.5K / yr.
$122.3K - $135.5K
16% of jobs
$135.5K - $148.8K
0% of jobs
$148.8K - $162K
19% of jobs
$163.5K is the 75th percentile. Wages above this are outliers.
$162K - $175.2K
28% of jobs
$29.7K
$122.1K
$175.2K
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?

Full-time
Medical, Dental, Vision, Retirement, PTO
Re-posted 24 days ago
Job description
Exceptional opportunity for a Registered Nurse to support our vision and serve with us as a compassionate and transforming healing presence in our community. We seek Remarkable individuals from a variety of backgrounds, because diversity makes us stronger.
SUMMARY: Functions as the RN Care Manager in the Operating Room sharing accountability with other Care Managers on all
shifts to assist patient/families in achieving outcomes. Together with the health care team manages the continuity of
care, negotiates, directs and provides patient care services. Additionally, facilitates patient movement through the
perioperative experience. 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
Graduation from accredited nursing program
BSN degree preferred or must agree in writing to obtain a BSN within five years
Successful completion of RNFA formal program and RNFA exam
BLS Certification
CNOR Certification preferred
REQUIRED EXPERIENCE
- Three to five years of clinical experience in perioperative nursing including both circulating and scrubbing proficiency.
BENEFITS AVAILABLE TO YOU AS A COLLEAGUE OF TRINITY
Competitive compensation
Full benefits package including Medical, Dental, Vision, PTO, and more! Effective Day 1 of Employment - No Waiting Period!
Nurse Residency Program for all new nurses! Click here for more details
Retirement savings plan with employer match and contributions
Opportunity for growth and advancement throughout Trinity Health
Tuition Reimbursement
Free parking in proximity to your workplace.
Click Here to learn more about the benefits, culture and career development opportunities available to you at Trinity Health.
ABOUT TRINITY HEALTH OAKLAND HOSPITAL
Trinity Oakland Hospital is a497-bedcommunity teaching hospital, level II trauma center and longtime leader in health care in Oakland County. We provide comprehensive care including cardiovascular, stroke, orthopedics, obstetrics, gynecology and cancer care. The hospital has been a leading provider of the most advanced medical care for more than 90 years. As part of Trinity Health we have received numerous local and national awards in recognition of our leadership, quality outcomes and clinical excellence.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.