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Surgical First Assistant Jobs in Nevada (NOW HIRING)

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$16

$38

$77

How much do surgical first assistant jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for surgical first assistant in Nevada is $38.34, according to ZipRecruiter salary data. Most workers in this role earn between $30.58 and $42.60 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.
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Cities in Nevada with the most Surgical First Assistant job openings:

Surgical First Assistant jobs near you
Infographic showing various Surgical First Assistant job openings in Nevada as of August 2026, with employment types broken down into 77% Full Time, 14% Part Time, and 9% Contract. Highlights an 100% In-person job distribution, with an average salary of $79,749 per year, or $38.3 per hour.

SURGICAL TECHNICIAN - FIRST ASSIST (CERT)

Henderson Hospital

Henderson, NV

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 4 days ago

Henderson Hospital rating

7.8

Company rating: 7.8 out of 10

Based on 11 frontline employees who took The Breakroom Quiz

197th of 1,065 rated hospitals

Job description

Responsibilities

About Henderson Hospital
Henderson Hospital is a member of The Valley Health System, a network of acute care and specialty hospitals that provide care for patients throughout Southern Nevada and nearby communities. Located in Henderson, NV, the acute care hospital offers emergency care, surgical services, including an outpatient surgery center, cardiovascular care, women’s health and maternity services, including a Level III neonatal intensive care unit, outpatient wound care and two freestanding emergency departments – the ER at Green Valley Ranch and the ER at Cadence. It is accredited as an Advanced Primary Heart Attack Center, an Advanced Primary Stroke Center and as a bronze-level Geriatric Emergency Department (GEDA). Henderson Hospital has also been honored by The Leapfrog Group as a Top General Hospital, a Top Teaching Hospital and earned the “A” Patient Safety Grade from the Leapfrog Group during its last 13 award cycles. In spring 2024, Henderson Hospital was also named one of the nation’s 100 Top Hospitals® by Fortune and Premier’s PINC AITM. The hospital opened in 2016.

 

Benefit Highlights:

  • Challenging and rewarding work environment
  • Comprehensive education and training center
  • Competitive Compensation & Generous Paid Time Off
  • Excellent Medical, Dental, Vision and Prescription Drug Plans
  • 401(K) with company match and discounted stock plan
  • Career opportunities within VHS and UHS Subsidies

 Henderson, Nevada:  Incorporated in 1953, Henderson is Nevada’s second largest city with more than 302,000 residents.  Our city is pleased to be recognized as the Second Safest City in America by Forbes magazine and three times named to MONEY magazine’s list of “Best Places to Live in America.”  Our favorable tax structure, award-winning health care locations, accredited parks, police and fire departments all contribute to these accolades setting our community apart.

While our city has grown to host a variety of metropolitan cultural arts and nationally recognized special events, we retain our small-town values and atmosphere.  Annual events and local parades are still held in the Water Street District, our original “main street.”  Our community also celebrates the grand openings of local businesses, accomplishments of our youth and contributions of our centenarians.  With numerous parks, mixed-use shopping areas, master-planned communities and senior living neighborhoods, Henderson is a place where all can live, learn, work and play.  Henderson is not just a place to live, but truly a place to call home.

About Universal Health Services 

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500® corporation, annual revenues  during 2025 were $17.4 billion. In 2026, UHS was again recognized as one of Fortune World’s Most Admired Companies™ and in 2025, was listed in Forbes ranking of America’s Largest Public Companies.  

Headquartered in King of Prussia, PA, UHS has approximately 101,500 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. For additional information visit www.uhs.com

Job Description:

Assists surgeons with exposure, hemostasis, and other technical functions that will help the surgeon carry out a safe operation with optimal results for the patient. Under the direct supervision of a Registered Nurse, attends to the patients’ direct care needs. Accepts responsibility for his/her integrity with respect to maintenance and compliance, to policies. Anticipates the needs of the surgeon, and other team members, with respect to the requirements of a particular surgical procedure. Demonstrates and maintains dexterity sufficient for successful completion of his/her assistant duties on each particular procedure. Maintains a professional attitude with respect to the dignity, privacy, and safety of the patient. Functions within the limits of his/her ability, and within the scope of practice set forth by the medical staff Bylaws, Rules and Regulations, and appropriate state law.

Qualifications

Shift:   FULL TIME VARIED

 

Education:

Technical School/2 Years College/Associate’s Degree: Surgical Technology, or program board eligible for SFA certification require. Bachelor’s Degree preferred.

Experience:

Three to five (3-5) years surgical tech experience required. Five to eight (5-8) years surgical tech experience preferred.

Technical Skills:

Continuing education programs to maintain and enhance clinical competencies related to perioperative or First Assisting practice.

License/Certification:

Current CSFA Certification (through NBSTSA), CSA (through NSAA), or SA-C certification (through ABSA) required. Certification must be maintained for employment. Current American Heart Association (BLS).

Other:

Must be able to demonstrate the knowledge and skills necessary to provide care/service appropriate to the age of the patients served on the assigned unit/department.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

Avoid and Report Recruitment Scams

We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.

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