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First Assistant Jobs in Pinehurst, NC (NOW HIRING)

PA - Neurosurgery

Pinehurst, NC · On-site

$81K - $110K/yr

Responsibilities include surgical first assist, inpatient rounding, and clinic consults. * Balanced work schedule. * Excellent compensation and benefits: * Competitive base salary * Annual retention ...

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First Assistant information

See Pinehurst, NC salary details

$26.4K

$108.6K

$155.8K

How much do first assistant jobs pay per year?

As of Aug 12, 2026, the average yearly pay for first assistant in Pinehurst, NC is $108,577.00, according to ZipRecruiter salary data. Most workers in this role earn between $33,000.00 and $146,900.00 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 Pinehurst, NC are hiring for First Assistant jobs? Cities near Pinehurst, NC with the most First Assistant job openings:

Certified Surgical Tech- First Assistant

FirstHealth of the Carolinas, Inc.

Pinehurst, NC • On-site

Full-time

Re-posted yesterday


FirstHealth of the Carolinas rating

7.3

Company rating: 7.3 out of 10

Based on 49 frontline employees who took The Breakroom Quiz

305th of 887 rated healthcare providers


Job description

Overview
FirstHealth of the Carolinas is a nationally recognized health care system located in central North Carolina. Comprised of four hospitals with more than 600 beds, the system also offers leading-edge heart care in the Reid Heart Center, the area's only dedicated heart and vascular center. Our growing health system has more than 6,200 employees serving in more than 75 locations throughout a 15-county service area. In addition, FirstHealth has received numerous accolades for its patient care and outcomes, including recognitions from Healthgrades, U.S. News & World Report, and Becker's Healthcare.
Employee Benefits
At FirstHealth of the Carolinas, we believe in supporting our employees' professional growth and personal well-being. That is why we offer a comprehensive benefit package that is designed to help you thrive. Enjoy a free gym-membership to one of our 7 FirstHealth Fitness Centers to stay active and prioritize your health, take advantage of our educational assistance programs through FirstU to pursue academic or professional development goals. You'll also benefit from exclusive employee discounts through PerkSpot, saving you money on quality offerings. Additionally, we're committed to your future with a competitive retirement savings plan, including an employer match to help you build financial security. These are just a few examples of how our leading-edge employee benefits align with our mission to put your career first. Join FirstHealth of the Carolinas and help us in our mission to become the best place to work in healthcare!
The Certified Surgical First Assistant anticipates the needs of the surgical team and during an operation, assists the surgeon with tasks such as selecting equipment, holding open incisions, stopping bleeding, closing the incision, among many other technical tasks.
They are responsible for providing aid in exposure, wound closure, bleeding control, and other intraoperative technical functions that help the surgeon carry out a safe operation with optimal results for the surgical patient.
Must be a Graduate of an approved Surgical Technologist program . Current certification by AST required. At least one to two years OR experience required, with one year of experience in specialty preferred. BCLS required. Graduate of accredited CSFA School required.

What FirstHealth of the Carolinas employees say

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About FirstHealth

Sourced by ZipRecruiter

FirstHealth of the Carolinas is a private, Not for Profit Health care Network Headquartered in Pinehurst, NC. Its 6,100 Employees serve 15 counties in the mid Carolinas. Licensed for four hospitals with 610 beds, FirstHealth demonstrates a commitment to treating the whole patient and providing Quality Health care for the entire Community especially those in need. FirstHealth’s organizational culture is guided by its Core Purpose and Core Values and is committed to Patient Safety, Quality and Performance Excellence.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Pinehurst, NC, US

Year founded

1995