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First Assistant Jobs in Orlando, FL (NOW HIRING)

AP Health

Cardiac Physician Assistant

Orlando, FL · On-site

Functions as a Surgical First Assistant in the Operating Room * Positions and drapes the patient under the direction of the surgeon * Endoscopic Vein Harvesting (EVH) * Perform comprehensive and ...

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First Assistant information

See Orlando, FL salary details

$30.3K

$124.6K

$178.8K

How much do first assistant jobs pay per year?

As of Aug 16, 2026, the average yearly pay for first assistant in Orlando, FL is $124,579.00, according to ZipRecruiter salary data. Most workers in this role earn between $37,800.00 and $168,500.00 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 are the most commonly searched types of First jobs in Orlando, FL?

The most popular types of First jobs in Orlando, FL are:

What cities near Orlando, FL are hiring for First Assistant jobs?

Cities near Orlando, FL with the most First Assistant job openings:

First Assistant jobs near you
Infographic showing various First Assistant job openings in Orlando, FL as of August 2026, with employment types broken down into 83% Full Time, 4% Part Time, and 13% Contract. Highlights an 100% In-person job distribution, with an average salary of $124,579 per year, or $59.9 per hour.

Surgical First Assist

Surgical Institute of Central Florida LLC

Winter Garden, FL • On-site

Full-time

Re-posted 22 days ago

Job description

Description:

Job Title: Surgical First Assist

Location: The Surgical Institute of Central Florida 12363 W. Colonial Drive STE 100, Winter Garden, FL 34787

Responsibilities:

  • Provide direct intraoperative assistance to the surgeon by maintaining optimal exposure of the surgical site through retraction, positioning, suctioning, and visualization techniques.
  • Assist with hemostasis using appropriate methods and instruments as directed by the surgeon.
  • Perform tissue handling, suturing, ligation, stapling, and wound closure within scope of practice and credentialing.
  • Prepare and maintain sterile fields in the operating room to ensure aseptic technique throughout surgical procedures.
  • Anticipate surgeon needs and facilitate efficient progression of surgical procedures.
  • Handle, organize, and manage surgical instruments, supplies, and equipment before, during, and after procedures.
  • Collaborate closely with surgeons, anesthesia providers, nurses, and surgical technologists to promote safe and efficient operating room workflows.
  • Participate in patient positioning, skin preparation, and draping while ensuring patient safety and preventing injury.
  • Assist in achieving and maintaining infection prevention standards and compliance with all safety and regulatory requirements.
  • Support intraoperative documentation and communication as required by facility policy.
  • Monitor, maintain, and restock operating room supplies as needed to support procedural readiness.
  • Adhere to all facility policies, procedures, credentialing requirements, and quality assurance standards.
Requirements:

Qualifications:

  • Current certification as a Certified Surgical First Assistant (CSFA), Certified Surgical Assistant (CSA), Surgical Assistant–Certified (SA-C), or equivalent nationally recognized Surgical First Assistant credential required or eligible within a specified timeframe.
  • Current certification as a Certified Surgical Technologist (CST) or equivalent surgical background preferred.
  • Completion of an accredited Surgical First Assist program required.
  • Previous operating room experience required, including demonstrated proficiency in surgical procedures and sterile technique.
  • Advanced knowledge of surgical anatomy, physiology, operative procedures, and surgical instrumentation.
  • Demonstrated competency in tissue handling, suturing, wound closure, hemostasis techniques, and intraoperative assisting practices within scope of certification.
  • Current Basic Life Support (BLS) certification required (ACLS preferred if applicable to facility).
  • Strong understanding of infection prevention standards, aseptic technique, and surgical safety regulations.
  • Ability to function effectively in a fast-paced surgical environment while maintaining precision and attention to detail.
  • Excellent communication, collaboration, and critical-thinking skills.
  • Commitment to patient safety, surgical excellence, and high-quality perioperative care.