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First Assistant Jobs (NOW HIRING)

Inova

Surgical First Assistant

Alexandria, VA · On-site

Inova Alexandria Hospital is looking for a dedicated Surgical First Assist to join the team! Full-time (40 hrs/week) Day Shift: Monday-Friday, either two shifts-7:00am-3:00pm and two shifts-7:00am-7 ...

Covenant Health

SURGICAL FIRST ASSISTANT

Knoxville, TN · On-site

Overview Surgical First Assistant, Operating Room $7,500 Sign-on Bonus for Experienced SFAs Full Time, 80 Hours Per Pay Period, Day Shift Parkwest Overview: Parkwest Medical Center, Covenant Health ...

LifeCenter Northwest

WI · On-site

$91 - $149/hr

Surgical first assist, including sharp dissection * Vascular dissection for cannulation of kidneys placed on perfusion devices * Renal Pulsatile perfusion * How to independently recover research ...

LifeCenter Northwest

Surgical First Assist

Bellevue, WA · On-site

$99K - $148K/yr

The Surgical First Assist (SFA) is accountable for all activities related to the surgical recovery and safe preservation of organs from donors. SFA's wear many different 'Scrub-Hats' in the delicate ...

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First Assistant information

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How much do first assistant jobs pay per year?

As of Sep 7, 2026, the average yearly pay for first assistant in the United States is $133,451.00, according to ZipRecruiter salary data. Most workers in this role earn between $40,500.00 and $180,500.00 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.
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First Assistant jobs near you
Infographic showing various First Assistant job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 19% Part Time, and 5% Contract. Highlights an 84% Physical, 1% Hybrid, and 15% Remote job distribution, with an average salary of $133,451 per year, or $64.2 per hour.

Surgical First Assistant

TriStar Skyline Medical Center

Nashville, TN • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 26 days ago

Job description


Do you want to join an organization that invests in you as a(an) Certified Surgical First Assistant? At TriStar Skyline Medical Center, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years. 


Benefits 


TriStar Skyline Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: 


  • Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. 


  • Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. 


  • Free counseling services and resources for emotional, physical and financial wellbeing 


  • 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) 


  • Employee Stock Purchase Plan with 10% off HCA Healthcare stock 


  • Family support through fertility and family building benefits with Progyny and adoption assistance. 


  • Referral services for child, elder and pet care, home and auto repair, event planning and more 


  • Consumer discounts through Abenity and Consumer Discounts 


  • Retirement readiness, rollover assistance services and preferred banking partnerships 


  • Education assistance (tuition, student loan, certification support, dependent scholarships) 


  • Colleague recognition program 


  • Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) 


  • Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. 


Learn more about Employee Benefits 


Note: Eligibility for benefits may vary by location. 


You contribute to our success. Every role has an impact on our patients’ lives and you have the opportunity to make a difference. We are looking for a dedicated Certified Surgical First Assistant like you to be a part of our team. 


Job Summary and Qualifications 


The Certified First Assistant is an active member of the healthcare team in the operating room. Responsible for assisting the healthcare team in assessing the needs of the patients, infancy through life span, and for organizing and planning care sufficient to meet identified needs during the preoperative and intra-operative phase. Pre-operative patient management is, included but not limited to, communicating with other healthcare providers regarding the patients’ plan of care. Intra-operatively, included but not limited to, using instruments/medical devices, providing exposure, handling and/or cutting tissue, providing hemostasis and suturing. The CFA may be asked to precept/mentor others within his/her realm of expertise. 


What qualifications you will need: 


  • High School Graduate / GED 


  • Minimum of 3 years experience preferred 


  • Certified as a Surgical First Assistant (CSFA by the NBSTSA) 


  • Basic Cardiac Life Support, or CPR must be obtained within 30 days of employment start date 



TriStar Skyline Medical Center is a 250+ bed facility. We are Tennessee's first comprehensive stroke center and a national leader in neuroscience. In addition, we are equipped with 3 helipads, new ICU and Medical/Surgical floors, and burn care services. We offer a CARF accredited Inpatient Rehabilitation program and are an ACS verified Level II Trauma Center. As an Accredited Chest Pain Center with PCI, TriStar Skyline is a leading provider of emergency heart care. 


"Good people beget good people."- Dr. Thomas Frist, Sr. 
HCA Healthcare Co-Founder 


We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Certified Surgical First Assistant opening. Qualified candidates will be contacted for interviews.Submit your resume today to join our community of caring! 


We are an opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. 

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