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First Assistant Jobs in Spokane, WA (NOW HIRING)

MultiCare

RN First Assistant - Per Diem

Spokane, WA · On-site

Surgical First Assistant The Surgical First Assistant is an integral part of the surgical team under the direct supervision of the surgeon. The team works together in the operating room to ensure the ...

Providence Service

RN First Assistant

Spokane, WA · On-site

Shift Details: Full-time, Day shift, 40 hours a week The Registered Nurse First Assistant (RNFA) is a registered nurse with specialized education. The development of specific technical skills enables ...

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First Assistant information

See Spokane, WA salary details

$32.9K

$134.9K

$193.6K

How much do first assistant jobs pay per year?

As of Sep 1, 2026, the average yearly pay for first assistant in Spokane, WA is $134,935.00, according to ZipRecruiter salary data. Most workers in this role earn between $41,000.00 and $182,500.00 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 are the most commonly searched types of First jobs in Spokane, WA?

The most popular types of First jobs in Spokane, WA are:

What cities near Spokane, WA are hiring for First Assistant jobs?

Cities near Spokane, WA with the most First Assistant job openings:

First Assistant jobs near you
Infographic showing various First Assistant job openings in Spokane, WA as of July 2026, with employment types broken down into 1% As Needed, 72% Full Time, 24% Part Time, 1% Temporary, and 2% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $134,935 per year, or $64.9 per hour.

RN First Assistant - Per Diem

MultiCare

Spokane, WA • On-site

Other

Re-posted 27 days ago

MultiCare Health System rating

7.7

Company rating: 7.7 out of 10

Based on 277 frontline employees who took The Breakroom Quiz

166th of 898 rated healthcare providers

Job description

Surgical First Assistant

The Surgical First Assistant is an integral part of the surgical team under the direct supervision of the surgeon. The team works together in the operating room to ensure the patient receives quality care during a surgical procedure. The Surgical First Assistant works closely with the surgeon to facilitate the procedure and process of surgery.

Requirements:

  • Current Registered Nurse license in Washington State or Multistate License endorsement (MLS)
  • Bachelor's degree in Nursing, or obtained within five (5) years from the initial date of hire; RN with 15+ years of service or internal candidates hired before January 1, 2021 may be considered in satisfaction of this requirement in lieu of an education agreement
  • Advanced Degree in Nursing (MSN, PhD, DNP, ARNP) preferred
  • Five years of experience in surgical assisting
  • Training and experience in assisting in da Vinci robotic surgery
  • Current BLS Certification (required)
  • Certification as CRNFA (preferred)

What MultiCare Health System employees say

Pay

Benefits

Hours and flexibility

Workplace

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About MultiCare

Sourced by ZipRecruiter

MultiCare’s roots in the Pacific Northwest go back to 1882, with the founding of Tacoma’s first hospital. Over the years, we’ve grown from a Tacoma-centric, hospital-based organization into the largest, community-based, locally governed health system in the state of Washington. Today, our comprehensive system of health includes more than 300 primary, urgent, pediatric and specialty care locations across Washington, Idaho and Oregon, as well as 12 hospitals. We welcome patients from the entire Pacific Northwest region and our 20,000-plus team members — including employees, providers and volunteers — proudly care for the communities we serve. Without a doubt, our organization has changed over the years. But what has never changed, throughout our long history, has been our dedication to the health and wellness of the people of the Pacific Northwest. Guided by our mission, vision and values, we are on a continuous journey to deliver the services that our communities need, and to ensure access to those services, now and in the future.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Tacoma, WA, US

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