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First Assistant Jobs in Freeport, IL (NOW HIRING)

The right RN should have 1-2 years recent acute care experience as a circulating nurse, and/or scrub nurse, and potentially RN first assistant. Read below for more requirements. As an OR Travel Nurse ...

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First Assistant information

See Freeport, IL salary details

$30.6K

$125.5K

$180K

How much do first assistant jobs pay per year?

As of Sep 2, 2026, the average yearly pay for first assistant in Freeport, IL is $125,451.00, according to ZipRecruiter salary data. Most workers in this role earn between $38,100.00 and $169,700.00 per year, depending on experience, location, and employer.

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 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 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.

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 environment. Some roles may require specific certifications or training, depending on the industry standards. Gaining practical experience through internships or entry-level positions can also be beneficial.

How much do first assistants make?

First assistants in Florida typically earn between $30,000 and $60,000 annually, depending on experience, location, and the industry they work in. They often require strong organizational skills and proficiency with office tools to perform their duties effectively.

What cities near Freeport, IL are hiring for First Assistant jobs?

Cities near Freeport, IL with the most First Assistant job openings:

Infographic showing various First Assistant job openings in Freeport, IL as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 19% Part Time, and 4% Contract. Highlights an 82% Physical, 1% Hybrid, and 17% Remote job distribution, with an average salary of $125,451 per year, or $60.3 per hour.

Registered Nurse RN First Assistant

OSF HealthCare

Rockford, IL โ€ข On-site

$62.46 - $87.11/hr

Other

Re-posted 18 days ago


Job description

Total Rewards

OSF HealthCare is dedicated to provide Mission Partners with a comprehensive and market-competitive total rewards package that includes benefits, compensation, recognition and well-being offerings that focus on the whole person and engage with their current stage of life and career. Click here to learn more about benefits and the total rewards at OSF.

Pay range for this position is $45.34 - $63.23/hour. Actual pay is based on years of licensure. This is an Hourly position.

Overview

POSITION SUMMARY: The Registered Nurse First Assistant (RNFA) is a first assistant for surgical procedures. They are responsible for the care of the patient under the direction of the surgeon. They collaborate with the surgeon and surgical team to create effective patient care plans for our surgical patients. While in the role of RNFA, the RNFA does not function concurrently as the scrub nurse. The RNFA provides leadership by working cooperatively with all of the medical center staff and works to maintain standards of professional nursing practice. This position reports to the OR clinical manager. The RN First Assistant (RNFA) practices in accordance with applicable regulatory standards, organizational policy, and performs all duties within the scope of RN licensure and education.

Qualifications

REQUIRED QUALIFICATIONS:

  • Education: Associate degree in nursing
  • Experience: 2 years' experience in the operating room.
  • Licensure/ Certification: Registered Nursing License in the State of Illinois Certification in perioperative nursing (CNOR) Successful completion of approved RNFA program that meets the "AORN (Association of Operating Room Nurses) recommend education, meets requirements of statues, regulations and institutional policies relevant to RN first assistantsโ€™ standards for RN first assistant programs" and is accepted by the Certification Board Perioperative Nursing. Current American Heart Association HealthCare Provider BLS (Basic Life Support) CPR or approved equivalent (must include infant through adult, one and two-man rescuer, use of AED, and choking with hands-on CPR skills return demonstration, and must be pre-approved by Org Dev/Human Resources) completed prior to employment.
  • Other Skills/ Knowledge: Excellent interpersonal and communication skills. Solid computer skills, including proficiency with Microsoft software. Strong analytical and problem-solving skills, with the ability to be detail oriented.

PREFERRED QUALIFICATIONS:

  • Education: Bachelor of Science Degree in Nursing (BSN)
  • Experience: Expertise in multiple specialty areas.
  • Licensure/ Certification: ACLS (Advanced Cardiac Life Support) RNAS-C or CRNFA certification

OSF HealthCare is an Equal Opportunity Employer.

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