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First Assistant Jobs in Lexington, KY (NOW HIRING)

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First Assistant information

See Lexington, KY salary details

$32.3K

$132.6K

$190.3K

How much do first assistant jobs pay per year?

As of Aug 1, 2026, the average yearly pay for first assistant in Lexington, KY is $132,639.00, according to ZipRecruiter salary data. Most workers in this role earn between $40,300.00 and $179,400.00 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 Lexington, KY? The most popular types of First jobs in Lexington, KY are:
What cities near Lexington, KY are hiring for First Assistant jobs? Cities near Lexington, KY with the most First Assistant job openings:
First Assistant jobs near you
Infographic showing various First Assistant job openings in Lexington, KY as of July 2026, with employment types broken down into 1% As Needed, 69% Full Time, 26% Part Time, 2% Temporary, and 2% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $116,596 per year, or $56.1 per hour.

SURGICAL FIRST ASSIST

Ephraim McDowell Health

Danville, KY • On-site

Full-time

Re-posted 23 days ago

Job description

Job Summary:
As a member of the perioperative healthcare team, the surgical first assistant maintains a working relationship with all members of the peri-operative healthcare team. The surgical first assistant provides assistance to the surgeons in the surgical arena. The surgical first assistant supports the surgeon during the surgical procedure by assisting in patient positioning and providing visualization/retraction during surgical procedures. The surgical first assistant also assists with hemostasis and closure of the operative site. The surgical first assistant effectively interacts with other disciplines to coordinate the patient's care while in the surgical environment. The surgical first assistant demonstrates the ability to implement a plan for specific surgical cases and is responsible with the RN for accurate and complete patient records to ensure expeditious retrieval of information. The surgical first assistant is responsible with the RN for creating/maintaining sterile fields as appropriate. The surgical first assistant must demonstrate self-direction and professionalism by identifying areas of needed skill development and participating in educational activities; using the expertise of the unit nursing staff and the supervisory staff in dealing with patient problems; participating in unit meetings; being reliable and accountable on scheduled work days. The surgical first assistant will be accountable for promoting the corporate philosophy of F.I.R.S.T. values by effectively relating with patients, their families, visitors, nursing staff members and members of other disciplines and departments. The surgical first assistant demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served on his/her assigned unit.The surgical first assistant demonstrates the knowledge of the principles of growth and development over the lifespan and in collaboration with the RN display the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's needs relative to his/her age-specific needs. Exhibits the F.I.R.S.T. values (Friendliness, Innovation, Respect, Service, and Trust).
Working Conditions, Hazards and Physical Effort:
Works in a well-lighted, ventilated and air conditioned area. Often exposed to unpleasant odors, sights and sounds. Long periods in a stationary position and moving around the unit are required. May experience exposure to disease, infection, blood and body fluids, physical strain and/or hazardous materials. Must be able to move or position 50 lbs. independently. Will work dayshift during the weekdays with call every five to six (5-6) weeks.
Contacts with Others:
Patients, family members and significant others, physicians and Associates, other healthcare providers, administrative staff and hospital support services.
EQUIPMENT USED/SPECIAL SKILLS REQUIRED:
(See competency check list.)
Demonstrated competence in the clinical setting. Three (3) years scrub tech experience required.

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