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First Assistant Jobs in Elizabethtown, NC (NOW HIRING)

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First Assistant information

See Elizabethtown, NC salary details

$25.2K

$103.4K

$148.4K

How much do first assistant jobs pay per year?

As of Aug 12, 2026, the average yearly pay for first assistant in Elizabethtown, NC is $103,415.00, according to ZipRecruiter salary data. Most workers in this role earn between $31,400.00 and $139,900.00 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 cities near Elizabethtown, NC are hiring for First Assistant jobs? Cities near Elizabethtown, NC with the most First Assistant job openings:

Travel Surgical First Assistant OR

ADN Healthcare

Lumberton, NC • On-site

Contractor

Medical, Dental, Vision, Life

Posted 6 days ago


Job description

ADN Healthcare is seeking a travel Surgical First Assistant for a travel job in Lumberton, North Carolina.

Job Description & Requirements
  • Specialty: Surgical First Assistant
  • Discipline: Allied Health Professional
  • Start Date: 08/24/2026
  • Duration: 13 weeks
  • 36 hours per week
  • Shift: 12 hours, days
  • Employment Type: Travel

Weekly rate listed is an estimate and can vary based on the applicant's home location, VMS Fees, and onboarding costs.
Our Client is currently seeking Surgical First Assistant OR for positions in Lumberton, North Carolina for a 3x12 Days, 07:00:00-19:00:00, 12.00-3 shift.

The ideal candidate will possess a current Certification in North Carolina. This is a Surgical First Assistant position in the Surgical Services - OR.

Requirements

• Current Resume

• Certification as required by state

• 2 current clinical references

• Competitive pay rates

• Health/Dental Benefit package

• Refer a friend and earn extra cash!

ADN Healthcare Job ID #37722171. Pay package is based on 12 hour shifts and 36.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Surgical First Assistant:Surgical First Assistant OR,07:00:00-19:00:00

About ADN Healthcare

ADN Healthcare has thousands of contract and direct hire positions available. We offer medical, dental, and vision coverage.

Benefits
  • Guaranteed Hours
  • Continuing Education
  • Company provided housing options
  • Mileage reimbursement
  • Referral bonus
  • Medical benefits
  • Dental benefits
  • Vision benefits
  • License and certification reimbursement
  • Weekly pay
  • Life insurance
  • Health Care FSA

ADN Healthcare logo

About ADN Healthcare

Sourced by ZipRecruiter

ADN Healthcare is a nurse-centric staffing company backed by a leadership team with over 40 years of combined healthcare staffing experience. Our team’s expertise and industry insights have allowed us to develop and implement organizational metrics that exceed client facility expectations, positioning us as a Tier 1 candidate provider. When you partner with ADN Healthcare, you can trust that you are working with professionals who understand your unique needs and can deliver exceptional results. We are committed to connecting talented candidates with rewarding travel assignments that allow them to build their careers while exploring new locations. With ADN Healthcare, healthcare professionals can embark on a journey of professional growth and fulfill their passion for helping others.

Industry

Recruiting and staffing services

Company size

1 - 10 Employees

Headquarters location

Boynton Beach, FL, US

Year founded

2014

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