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First Assistant Jobs in Rochester, MN (NOW HIRING)

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First Assistant information

See Rochester, MN salary details

$29.8K

$122.4K

$175.6K

How much do first assistant jobs pay per year?

As of Aug 24, 2026, the average yearly pay for first assistant in Rochester, MN is $122,387.00, according to ZipRecruiter salary data. Most workers in this role earn between $37,100.00 and $165,500.00 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 Rochester, MN are hiring for First Assistant jobs?

Cities near Rochester, MN with the most First Assistant job openings:

First Assistant jobs near you
Infographic showing various First Assistant job openings in Rochester, MN as of August 2026, with employment types broken down into 1% As Needed, 71% Full Time, 24% Part Time, and 4% Contract. Highlights an 84% Physical, 1% Hybrid, and 15% Remote job distribution, with an average salary of $122,387 per year, or $58.8 per hour.

Certified Surgical First Assistant (CSFA) - Operating Room

Olmsted Medical

Rochester, MN

Part-time

Re-posted 11 days ago

Job description

0.8 FTE - Day Shifts $5,000.00 Sign on Bonus with work commitment

Starting wage - $37.14 - $55.71 (based on experience)

Offers for external candidates are generally made between the minimum and midpoint of the range, based on experience.

Qualifications:

  • Graduate of a Commission on Accreditation of Allied Health Education Program (CAAHEP) Surgical First Assistant program
  • Current certification as a Certified Surgical Assistant (CSA) or Certified Surgical First Assistant (CSFA)
  • Operating Room experience or training within the last three years preferred
  • Knowledge of the principles of aseptic technique and perioperative policies and procedural guidelines
  • BLS certified within 90 days of hire

Job Responsibilities:

  • Provides visualization of the operative site.
  • Utilizes appropriate techniques to assist with hemostasis.
  • Utilizes appropriate techniques in closure of body planes.
  • Selects and applies appropriate wound dressings.
  • Provides assistance in securing drainage system to tissue.
  • Participates in volume replacement or auto transfusion techniques as appropriate.
  • Assists with positioning the patient.
  • Prepares the skin for procedure.
  • Anticipates the needs of the surgeon.
  • Maintains confidentiality.
  • Maintains ongoing self-development.
  • Other duties as assigned.

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