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First Assistant Jobs in Spokane, WA (NOW HIRING)

Quilted Health

Certified Nurse Midwife

Spokane, WA · On-site

Capability to be first assist for c-sections or willingness to train as such * Nexplanon and IUD insertion/removal * Experience and familiarity with perinatal mental health in the CNM scope of ...

Quilted Health

Certified Nurse Midwife

Spokane, WA

Capability to be first assist for c-sections or willingness to train as such * Nexplanon and IUD insertion/removal * Experience and familiarity with perinatal mental health in the CNM scope of ...

Quilted Health

Certified Nurse Midwife

Spokane, WA

$125K - $140K/yr

Capability to be first assist for c-sections or willingness to train as such * Nexplanon and IUD insertion/removal * Experience and familiarity with perinatal mental health in the CNM scope of ...

Bi-Mart Corporation

Store Manager

Rathdrum, ID · On-site

Previous experience as an assistant manager, 1st assistant manager, and other similar positions are valued. Qualifications Schedule: As an employee-owned company, Bi-Mart stores are open 8:00 am - 8 ...

First Student

School Bus Driver

Chattaroy, WA

$23.50 - $27/hr

Previous experience as a teacher, CDL driver, social worker, classroom assistant, hospitality worker, or customer service or retail associate. Take the wheel and drive your career forward with First ...

First Student

School Bus Driver

Newport, WA

$21 - $25.50/hr

Previous experience as a teacher, CDL driver, social worker, classroom assistant, hospitality worker, or customer service or retail associate. Take the wheel and drive your career forward with First ...

First Student

School Bus Driver

Nine Mile Falls, WA

$23 - $29.20/hr

Previous experience as a teacher, CDL driver, social worker, classroom assistant, hospitality worker, or customer service or retail associate. Take the wheel and drive your career forward with First ...

FIRST ONSITE

Skilled Tradesman

Liberty Lake, WA · On-site

$16.50 - $21.75/hr

... First Onsite clients. You assist with administrative tasks such as daily field reports, crew sheets, and tracking expenses for projects, but you also provide the physical labor to get things done ...

First Student

School Bus Driver

Chattaroy, WA · On-site

$23.50 - $27/hr

Previous experience as a teacher, CDL driver, social worker, classroom assistant, hospitality worker, or customer service or retail associate. Take the wheel and drive your career forward with First ...

First Student

School Bus Driver

Nine Mile Falls, WA · On-site

$23 - $29.20/hr

Previous experience as a teacher, CDL driver, social worker, classroom assistant, hospitality worker, or customer service or retail associate. Take the wheel and drive your career forward with First ...

First Student

School Bus Driver

Newport, WA · On-site

$21 - $25.50/hr

Previous experience as a teacher, CDL driver, social worker, classroom assistant, hospitality worker, or customer service or retail associate. Take the wheel and drive your career forward with First ...

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All JobsFirst JobsFirst Assistant JobsFirst Assistant Jobs in Spokane, WA

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 Jul 24, 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 are First Assistants?

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's the easiest hospital job to get?

The easiest hospital job to get is often a patient transporter or hospital aide, which typically requires minimal formal education and on-the-job training. These roles usually have high turnover and may not require certifications, making them accessible entry-level positions in healthcare settings.

How much do first assistants make per hour?

First assistants typically earn between $15 and $25 per hour, depending on experience, location, and the industry they work in. They often work in fast-paced environments and may require skills in organization and communication.

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.

Where do surgical first assistants make the most money?

Surgical first assistants tend to earn the highest salaries in regions with a high cost of living and advanced healthcare facilities, such as metropolitan areas or states with strong medical industries. Factors like experience, certifications, and the complexity of surgeries also influence earning potential, with those working in specialized or high-demand surgical fields typically earning more.

What does a first assistant do?

A first assistant is a key member of a production team, often in film or theater, responsible for supporting the director or producer by managing schedules, coordinating communication, and assisting with logistical tasks. They may also handle administrative duties, oversee daily operations, and ensure the smooth flow of the project. Strong organizational skills and knowledge of production processes are essential for this role.
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

RN First Assistant - Per Diem

MultiCare Health System

Spokane, WA

$47.28 - $84.05/hr

Part-time

Medical, Dental, Life, Retirement, PTO

Posted 23 days ago

MultiCare Health System rating

7.7

Company rating: 7.7 out of 10

Based on 274 frontline employees who took The Breakroom Quiz

161st of 890 rated healthcare providers

Job description

Join a team that shares your calling

At MultiCare, you're more than just a job title - you're part of a team built on trust that cares for each other, our patients and our communities. Belonging here means living our mission and values every day. If your purpose and passions align with ours, you'll find a place to grow, do meaningful work and build a career you love in a community that feels like home.

FTE: 0.01, Shift: Variable, Schedule: Variable

Position Summary

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)

About Deaconess Hospital

Founded in 1896, MultiCare Deaconess Hospital is a 388-bed acute-care hospital serving the greater Spokane region. Deaconess is home to a Level III Trauma Center, Certified Chest Pain Center, Primary Stroke Center, Maternal Fetal Medicine program and a Level III Neonatal Intensive Care Unit. It is the only hospital in the area with national accreditation in bariatric surgery. Deaconess provides high-quality inpatient, outpatient, surgical, diagnostic and emergency services.

About the Spokane Community

Spokane, in eastern Washington along the Spokane River and near the Selkirk Mountains, offers a vibrant city experience with endless access to outdoor adventure. Residents enjoy lakes, rivers, ski resorts, golf courses, wineries, and nearby national parks, combined with a thriving arts and culture scene. Spokane delivers the perfect balance of city living and Pacific Northwest recreation year-round.

Why MultiCare?

Rooted in the local community

Partnering with patients, families and neighbors across the Pacific Northwest for more than 140 years.

Growth and education

Competitive tuition assistance, award-winning residencies, fellowships and career development to invest in you.

Well-being and support

Generous PTO, Code Lavender and Employee Assistance Programs to help you maintain balance and feel cared in your work and life.

Living our values

Respect, integrity, kindness and collaboration guide how we care for patients, communities and each other.

Belonging for all

Resource Groups and outreach programs help ensure every team member feels safe, seen, heard and valued.

Pacific Northwest lifestyle

Work and live where natural beauty, adventure and strong community connections are part of everyday life.

Pay and Benefit Expectations

We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. The pay scale is $47.28 - $84.05 USD. However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant's years of experience align.

Associated benefit information can be viewed here.

What MultiCare Health System employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

MultiCare logo

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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