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First Assistant Jobs in Lexington, KY (NOW HIRING)

CommonSpirit Health

Laborist

Lexington, KY · On-site

$175 - $185/hr

First assist C-sections * Courtesy labor management tasks such as strip review, AROM, Cook catheter placement, etc. for community providers in clinic or taking call from home * Management of ...

CHI Health at Home

Laborist

Lexington, KY · On-site

$84K - $114K/yr

Every day you will evaluate and manage OB ED patients, stabilize and manage emergencies, cover vaginal deliveries, and provide first assist for C-sections. You will not have clinic responsibilities ...

CommonSpirit Health

Laborist, Laborist

Lexington, KY · Hybrid

$175 - $185/hr

First assist C-sections * Courtesy labor management tasks such as strip review, AROM, Cook catheter placement, etc. for community providers in clinic or taking call from home * Management of ...

Saint Joseph Medical Group

Laborist

Lexington, KY

$175 - $185/hr

First assist C-sections * Courtesy labor management tasks such as strip review, AROM, Cook catheter placement, etc. for community providers in clinic or taking call from home * Management of ...

CHI Health at Home

Laborist

Lexington, KY · On-site

$84K - $114K/yr

Every day you will evaluate and manage OB ED patients, stabilize and manage emergencies, cover vaginal deliveries, and provide first assist for C-sections. You will not have clinic responsibilities ...

CommonSpirit Health

Laborist, Laborist

Lexington, KY · Hybrid

$175 - $185/hr

First assist C-sections * Courtesy labor management tasks such as strip review, AROM, Cook catheter placement, etc. for community providers in clinic or taking call from home * Management of ...

Saint Joseph Medical Group

Laborist

Lexington, KY

$175 - $185/hr

First assist C-sections * Courtesy labor management tasks such as strip review, AROM, Cook catheter placement, etc. for community providers in clinic or taking call from home * Management of ...

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First Assistant information

See Lexington, KY salary details

$28.6K

$117.3K

$168.3K

How much do first assistant jobs pay per year?

As of Aug 22, 2026, the average yearly pay for first assistant in Lexington, KY is $117,279.00, according to ZipRecruiter salary data. Most workers in this role earn between $35,600.00 and $158,600.00 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 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 August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 20% Part Time, and 5% Contract. Highlights an 87% Physical, 1% Hybrid, and 12% Remote job distribution, with an average salary of $117,279 per year, or $56.4 per hour.

Surgery, Cardiothoracic Surgery Physician Assistant

CommonSpirit Health

Lexington, KY • On-site

$120K - $170K/yr

Full-time

Retirement

Re-posted 13 days ago

CommonSpirit Health rating

6.9

Company rating: 6.9 out of 10

Based on 537 frontline employees who took The Breakroom Quiz

456th of 891 rated healthcare providers

Job description

Job Summary and Responsibilities

As ourCardiothoracic Surgery Physician Assistant (PA), you will help 3Cardiac Surgeonsprovideinpatient careandoffer comprehensive cardiothoracic surgical services to patients at Saint Joseph Hospital in Lexington, KY.

Every day you willperform surgical/first assist duties in the Operating Room, including harvesting veins for CABG procedures, placing arterial lines, and placing chest tubes. You will be expected toparticipate in an inpatient-only practice, respond to call for surgeries, and round on patients on weekends in a call rotation.

In your practice, you will also have the opportunity to participate in a wide range of procedures including but not limited to: Adult Cardiac Surgery, Aortic Aneurysm Surgery, Aortic Valve Surgery, Coronary Bypass Surgery, Minimally invasive Heart Surgery, Mitral Valve Repair and Replacement surgery, Open heart surgery, Valve repair and replacement surgery, Major aortic surgery, Beating heart cardiac operations, Arrhythmia surgery (the MAZE operation), Cardiac assist devices, and Ventricular restorative procedures.

In this role, you will workMonday - Friday, with one weekend of rounding per month. You will also takecall on a 1:4 rotation, with a post-call day if called in for surgery. Weekend call is paid in addition to base pay (session pay).

To be successful in this role, you musthave physician assistant training and be willing to learn, as we are open to new graduates. Previous surgical experience is a plus.

Compensation and Benefits for this role include: Competitive Salary, Additional pay for weekend call, Yearly bonus opportunities, Sign-On Bonus/Relocation Assistance, 401K Contribution Match, Competitive Time Off Policy, and Designated CME days and CME Stipend each year

Highlights of our program include:

  • Inpatient-only position
  • Surgical/First Assist on OR cases
  • Harvesting veins for CABG procedures
  • Placing arterial lines
  • Placing chest tubes

Schedule:

  • Monday - Friday, with one weekend of rounding per month
    • On the weekends, you can expect to just round on patients
    • Weekend call is paid in addition to base pay (session pay)
  • Call required for this position (1:4)
    • Expectation of call is for surgeries only, with a post-call day if called in for surgery

Job Requirements

Required:

  • Active or eligible Advanced Practice Registern Nurse or Physician Assistant license in the state of Kentucky

Where You'll Work

Lexington, The Horse Capital of the World is a picturesque city surrounded by horse farms known for our bourbon, street art, nightlife, food, shopping, architecture, history, craft beer, schools, music and the friendly people. Located conveniently on the interstate 75 and interstate 64 corridor, Cincinnati, OH and Louisville, KY are only a short hour away for a more Urban atmosphere. Lexington has been ranked #15 in the US News and World Report's Best Places to Live.

CHI Saint Joseph Medical Group now part of CommonSpirit Health formed between Catholic Health Initiatives (CHI) and Dignity Health includes 275 providers delivering quality care to patients across 88 locations in central and eastern Kentucky. Our full service network delivers a variety of Primary Care Services including Family Internal Geriatric and Pediatric Medicine in addition to several specialties to deliver custom care based on the unique needs of our patients.

Saint Joseph Hospital, a cornerstone of healthcare in Lexington, Kentucky, boasts a rich history spanning over a century. Its journey reflects the evolution of medicine, the changing needs of the community, and the enduring spirit of service. SJH became a pioneer in the region, introducing new technologies and treatments, including the first open-heart surgery in Kentucky in 1963. Today, Saint Joseph Hospital remains a leading healthcare provider in Lexington, offering a wide range of services, including advanced surgical procedures, cancer care, and heart and vascular care

Catholic Health Initiatives is a part of CommonSpirit, one of the nation's largest health systems dedicated to advancing health for all people.

#HEC


Pay Range
$120,000 - $170,000 /year

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