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First Assistant Jobs (NOW HIRING)

McDonald's

First Assistant Manager

Hendersonville, NC · On-site

The First Assistant is the right-hand person to the General manager and are trained to manage all aspects of the business when the GM is not available. They are an intricate part of the restaurant ...

LifeCenter Northwest

Surgical First Assist

Bellevue, WA

$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 ...

Mission Hospital

Surgical First Assistant

Dickson, TN · On-site

Surgical First Assist- FT Days Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to ...

Beebe Healthcare

SURGICAL FIRST ASSIST

Lewes, DE · On-site

$30 - $46.50/hr

Pet Insurance Overview The Surgical First Assist provides direct support to the surgeon during surgical procedures. This role involves assisting in surgery, performing specific tasks under the ...

Reno Orthopedic Center

Surgical First Assist

Reno, NV · On-site

Join ROC as a First Assist! We'd love to show you what it's like to work here. If selected for an interview, you'll see the surgery center and our people in action. This position will remain posted ...

Phelps Health

Surgical First Assistant

Phelps, NY

The Surgical First Assistant is a professional caregiver who works with Anesthesia, surgeons, and other surgical personnel in patient care before, during and after surgery. The Surgical First Assist ...

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First Assistant information

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$32.5K

$133.5K

$191.5K

How much do first assistant jobs pay per year?

As of Jul 12, 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 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 are hiring for First Assistant jobs? Cities with the most First Assistant job openings:
What are the most commonly searched types of First jobs? The most popular types of First jobs are:
What states have the most First Assistant jobs? States with the most job openings for First Assistant jobs include:
First Assistant jobs near you
Infographic showing various First Assistant job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 75% Full Time, 21% Part Time, 1% Temporary, and 2% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $133,451 per year, or $64.2 per hour.
Surgical First Assist

Surgical First Assist

Amergis Healthcare Staffing

Rockford, IL • On-site

$65/hr

Part-time

Medical, Dental, Vision, Life, Retirement

Posted 26 days ago

Job description

Amergis Healthcare is actively looking for a Surgical First Assist that would be interested in a 13 Week, Part-Time Contract at a Hospital in Peru, IL. Additional details of the contract are below:

Position:  Surgical First Assist    

Location:  Peru, IL

Pay Rate: $65 per hour  

Schedule:

  • 24 hrs/week (3x8s)
  • Mondays/Thursdays/Fridays
  • 7:00A start time - when surgery is complete

Duration:

  • 13 Weeks (Likely Extension)

Requirements:

  • 2+ Years of experience as a surgical first assist
  • Total joint – general ortho experience required
  • CSFA, BLS
  • ASAP Start 
Benefits
At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits:
  • Competitive pay & weekly paychecks
  • Health, dental, vision, and life insurance
  • 401(k) savings plan
  • Awards and recognition programs 
*Benefit eligibility is dependent on employment status. 

About Amergis
Amergis, formerly known as Maxim Healthcare Staffing, has served our clients and communities by connecting people to the work that matters since 1988. We provide meaningful opportunities to our extensive network of healthcare and school-based professionals, ready to work in any hospital, government facility, or school. Through partnership and innovation, Amergis creates unmatched staffing experiences to deliver the best workforce solutions.  

Amergis is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.

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