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Surgical First Assistant Jobs in Hawaii (NOW HIRING)

3B Healthcare, Inc.

Surgical Tech - OR

Kailua, HI · On-site

Required Certified Nursing Assistant (CNA) certification: Preferred Certified Surgical Technologist (CST) credential: Required in HI within one year of hire Facility Specific License/Certifications:

MTK Healthcare

Surgical Technician / Scrub Tech

Hilo, HI · On-site

$50 - $55/hr

Independently scrub and assist with surgical procedures across multiple specialties * Prepare and maintain sterile surgical fields and instrumentation * Assist surgeons, nurses, and anesthesia staff ...

Learnbeyond Healthcare

Travel Med Surg RN

Hilo, HI · On-site

$2.0K - $2.7K/wk

Included in the first week of orientation. Position Urgency: Normal Shifts: Day Shift -15 -week ... Assistants (CNAs), and allied healthcare professionals for travel, contract, per diem, and ...

GetMed Staffing, Inc.

Travel Med Surg RN

Honolulu, HI · On-site

$1.9K - $2.6K/wk

Travel GetMed Staffing is searching for a strong MedSurg RN to assist our traveler-friendly client ... Our healthcare facilities and clients benefit from us putting our healthcare travelers first.

GetMed Staffing, Inc.

Travel Med Surg RN

Hilo, HI · On-site

$2.0K - $2.7K/wk

Travel GetMed Staffing is searching for a strong MedSurg RN to assist our traveler-friendly client ... Our healthcare facilities and clients benefit from us putting our healthcare travelers first.

GetMed Staffing, Inc.

Travel Med Surg RN

Hilo, HI · On-site

$2.0K - $2.7K/wk

Travel GetMed Staffing is searching for a strong MedSurg RN to assist our traveler-friendly client ... Our healthcare facilities and clients benefit from us putting our healthcare travelers first.

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All JobsSurgical First JobsSurgical First Assistant JobsSurgical First Assistant Jobs in Hawaii

Surgical First Assistant information

See Hawaii salary details

$17

$39

$78

How much do surgical first assistant jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for surgical first assistant in Hawaii is $39.12, according to ZipRecruiter salary data. Most workers in this role earn between $31.20 and $43.46 per hour, depending on experience, location, and employer.

What is a surgical first assistant?

A Surgical First Assistant is a trained healthcare professional who assists surgeons during surgical procedures. Their responsibilities include providing exposure, controlling bleeding, suturing incisions, and ensuring the surgical field is maintained. They work closely with surgeons, nurses, and other operating room staff to help ensure surgeries are conducted safely and efficiently. Surgical First Assistants may be registered nurses, physician assistants, or other certified professionals who have completed additional specialized training.

How do you become a surgical first assistant?

You can become a Surgical First Assistant by first getting certified as a Surgical Technologist. You can then pursue the Certified Surgical First Assistant (CSFA) credential to enhance your learning process as well as your professional profile. The minimum education requirement for this job is an associate degree, but some employers will prefer a bachelor’s degree prior to your certification. At your earliest opportunity, you should begin working in a medical environment, such as a hospital or clinic.

What are the key skills and qualifications needed to thrive as a surgical first assistant, and why are they important?

To thrive as a Surgical First Assistant, you need in-depth knowledge of surgical procedures, anatomy, sterile techniques, and typically a certification such as the Certified Surgical First Assistant (CSFA) or equivalent. Familiarity with surgical instruments, advanced suturing techniques, and operating room technology is essential. Excellent communication, attention to detail, and the ability to anticipate surgeons’ needs are vital soft skills in this role. These skills and qualities ensure patient safety, efficient surgical workflows, and optimal support for surgeons during procedures.

How does a surgical first assistant typically collaborate with surgeons and other members of the surgical team during procedures?

A Surgical First Assistant works closely with the lead surgeon and the entire operating room team to ensure procedures run smoothly and safely. Their responsibilities include anticipating the surgeon’s needs, providing technical support such as tissue retraction, suction, and suturing, and maintaining clear communication throughout the surgery. Collaboration requires adaptability, quick decision-making, and a thorough understanding of surgical protocols. Effective teamwork is vital, as the assistant helps maintain sterile fields, manages instruments, and supports patient safety at every stage of the operation.

What is the difference between Surgical First Assistant vs Surgical Technologist?

AspectSurgical First AssistantSurgical Technologist
CredentialsCertified Surgical First Assistant (CSFA), surgical assisting certificationsCertified Surgical Technologist (CST), surgical tech certifications
Work EnvironmentAssist surgeons during procedures, work closely in the operating roomPrepare operating rooms, sterilize instruments, assist in setup
Employer & IndustryHospitals, surgical centers, clinicsHospitals, surgical centers, outpatient facilities
Common Search/ComparisonYesNo

The Surgical First Assistant and Surgical Technologist roles both operate in the operating room environment but differ significantly. Surgical First Assistants actively assist surgeons during procedures, requiring advanced certifications like CSFA. Surgical Technologists prepare the OR and support the surgical team but do not directly assist during surgery. Understanding these differences helps in choosing the right career path or job search focus.

Is a surgical first assistant a good career?

A surgical first assistant is a skilled healthcare professional who supports surgeons during procedures, requiring certification and knowledge of surgical techniques. It offers a stable job outlook with opportunities for specialization and advancement, often involving working in operating rooms with a team. The role provides meaningful work in patient care and typically involves a demanding schedule with high responsibility.

What qualifications do you need to be a surgical first assistant?

To become a surgical first assistant, candidates typically need to have a healthcare background such as a registered nurse, surgical technologist, or physician assistant, along with specialized training in surgical assisting. Certification through organizations like the National Surgical Assistant Association (NSAA) or the American Association of Surgical Assistants (AASA) is often required or preferred. Additionally, strong knowledge of surgical procedures, anatomy, and sterile techniques is essential.

Where do surgical first assistants make the most money?

Surgical first assistants tend to earn higher salaries in regions with a higher cost of living and greater demand for specialized healthcare services. Typically, urban areas and regions with large hospitals or medical centers offer the highest compensation, especially for those with advanced certifications and experience. Salary can also vary based on the healthcare facility and geographic demand for surgical services.
More about Surgical First Assistant jobs

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For Surgical First Assistant jobs in Hawaii, the most frequently searched job titles are:

What job categories do people searching Surgical First Assistant jobs in Hawaii look for?

The top searched job categories for Surgical First Assistant jobs in Hawaii are:

What cities in Hawaii are hiring for Surgical First Assistant jobs?

Cities in Hawaii with the most Surgical First Assistant job openings:

Surgical First Assistant jobs near you
Infographic showing various Surgical First Assistant job openings in Hawaii as of August 2026, with employment types broken down into 4% As Needed, 67% Full Time, and 29% Contract. Highlights an 100% In-person job distribution, with an average salary of $81,367 per year, or $39.1 per hour.

Surgical Tech - OR

3B Healthcare, Inc.

Kailua, HI • On-site

Full-time

This job post has expired 2 days ago. Applications are no longer accepted.

Job description

Surgery TechnicianAssists the surgical team in the preparation of surgical procedures in the operating room. Prepares surgical cases by creating and maintaining a sterile field, retracting and passing instruments, supplies and medications to surgeons during cases. Performs a variety of technical skills, including the maintenance of supplies.

Education and Work Experience: High School Education/GED or equivalent:

Required

Associate's/Technical Degree or equivalent combination of education/related experience:

Preferred

Scrub technician experience:

Preferred

Operating room experience and/or training course: PreferredLicenses/Certifications: Surgery Technician certification:

Preferred

Cardiopulmonary Resuscitation (CPR) certification or Basic Life Support (BLS) certification from approved vendor per AH policy:

Required

Certified Nursing Assistant (CNA) certification:

Preferred

Certified Surgical Technologist (CST) credential: Required in HI within one year of hire Facility Specific License/Certifications: Basic Life Support (BLS) certification from approved vendor per AH policy: RequiredEssential Functions: Prepares for each surgical case by accurately checking required supplies and equipment prior to case. Assembles appropriate supplies/equipment prior to operative procedures. Reviews equipment inventory for specialty as assigned. Sets up operative instrumentation/sterile field for expedient retrieval/utilization.

Collects data on assigned surgical cases by the unit based Performance Standards of Care. Cleans equipment and facilities as necessary. Performs housekeeping duties as requested. Transports patients according to unit schedules and priorities. Provides clerical duties. Completes instrument, sponge, needle and blade counts with the Registered Nurse (RN) according to established standards. Sets up/maintains neat and orderly sterile field demonstrating careful attention to aseptic technique. Labels solutions according to established standards. Performs other job-related duties as assigned.

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