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Surgical Tech First Assistant Jobs in Delaware (NOW HIRING)

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Surgical Tech First Assistant information

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$13

$27

$62

How much do surgical tech first assistant jobs pay per hour?

As of Aug 19, 2026, the average hourly pay for surgical tech first assistant in Delaware is $27.49, according to ZipRecruiter salary data. Most workers in this role earn between $18.51 and $30.10 per hour, depending on experience, location, and employer.

What is a surgical tech first assistant?

A Surgical Tech First Assistant, also known as a Surgical First Assistant or Surgical Assistant, is a highly skilled professional who works closely with surgeons during surgical procedures. Their main responsibilities include helping to control bleeding, closing incisions, handling tissues, and providing other critical support to ensure the operation goes smoothly. They may also be involved in preoperative and postoperative care. Surgical Tech First Assistants must have advanced training beyond that of a standard surgical technologist, often including certification and hands-on clinical experience.

What are the key skills and qualifications needed to thrive as a surgical tech first assistant?

To thrive as a Surgical Tech First Assistant, you need a solid background in surgical procedures, anatomy, and sterile technique, typically supported by completion of an accredited surgical assisting program and certification (such as CSFA or CFA). Familiarity with surgical instruments, operating room protocols, and electronic documentation systems is essential. Strong attention to detail, teamwork, and effective communication are crucial soft skills in this role. These competencies are vital to ensure patient safety, support surgeons efficiently, and maintain smooth surgical workflows.

What are some of the most common challenges faced by surgical tech first assistants in the operating room?

Surgical Tech First Assistants often encounter challenges such as adapting quickly to unexpected changes during procedures, maintaining sterile technique under pressure, and effectively anticipating the needs of the surgical team. They must also manage the demands of long surgeries and periods of standing, while ensuring clear communication with surgeons, nurses, and anesthesiologists. Successfully navigating these challenges requires strong organizational skills, adaptability, and a collaborative mindset to ensure patient safety and optimal surgical outcomes.

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

AspectSurgical Tech First AssistantSurgical Technologist
CredentialsCertified Surgical First Assistant (CSFA), additional trainingCertified Surgical Technologist (CST)
Work EnvironmentAssist surgeons directly during procedures, operating roomsPrepare operating rooms, sterilize equipment, assist in setup
Employer & IndustryHospitals, surgical centers, outpatient clinicsHospitals, outpatient surgical facilities, clinics

The Surgical Tech First Assistant works closely with surgeons during procedures, providing direct assistance, while Surgical Technologists prepare the operating room and support the surgical team. Both roles require certification, but the First Assistant has additional training to perform more advanced tasks during surgery.

Surgical Tech First Assistant jobs near you
Infographic showing various Surgical Tech First Assistant job openings in Delaware as of August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 19% Part Time, and 5% Contract. Highlights an 87% Physical, 1% Hybrid, and 12% Remote job distribution, with an average salary of $57,171 per year, or $27.5 per hour.

Surgical Tech Certified - Limestone Surgery Center

SCA Health

Wilmington, DE • On-site

$25 - $35/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 13 days ago

SCA Health rating

7.4

Company rating: 7.4 out of 10

Based on 59 frontline employees who took The Breakroom Quiz

268th of 888 rated healthcare providers

Job description

Overview

At SCA Health, we believe health care is about people – the patients we serve, the physicians we support and the teammates who push us forward. Behind every successful facility, procedure or innovation is a team of 15,000+ professionals working together, learning from each other and living out the mission, vision and values that define our organization. 

As part of Optum, SCA Health is redefining specialty care by developing more accessible, patient-centered practice solutions for a network of more than 370 ambulatory surgical centers, over 400 specialty physician practice clinics and numerous labs and surgical hospitals. Our work spans a broad spectrum of services, all designed to support physicians, health systems and employers in delivering efficient, value-based care to patients without compromising quality or autonomy.  

What sets SCA Health apart isn’t just what we do, it’s how we do it. Each decision we make is rooted in seven core values: 

  • Clinical quality 
  • Integrity 
  • Service excellence 
  • Teamwork 
  • Accountability 
  • Continuous improvement 
  • Inclusion 

Our values aren’t empty words – they inform our attitudes, actions and culture. At SCA Health, your work directly impacts patients, physicians and communities. Here, you’ll find opportunities to build your career alongside a team that values your expertise, invests in your success, and shares a common mission to care for patients, serve physicians and improve health care in America.    

At SCA Health, we offer a comprehensive benefits package to support your health, well-being, and financial future. Our offerings include medical, dental, and vision coverage, 401k plan with company match, paid time off, life and disability insurance, and more. Please visit, https://careers.sca.health/why-sca, to learn more about our benefits.

Your ideas should inspire change. If you join our team, they will. 


Responsibilities

We are actively hiring for a Certified Surgical Technologist (CST). 

Certified Surgical Technologist (CST) Responsibilities: 

  • Function as a scrub person during operative and other invasive procedures.
  • Clean and prepare surgical instruments for processing and transport them to the decontamination areas.  
  • Assist with post procedure cleaning of the operative or other invasive procedure room and preparation of room for subsequent patients. 
  • Perform all other duties as assigned.  

Qualifications

Certified Surgical Technologist (CST) Requirements:

  • High School Graduate or equivalent. 
  • Graduate of a recognized and accredited Surgical Technologist Program.   
  • Prior Experience as a Surgical Technologist preferred.   
  • Current Surgical Technologist certification preferred.   
  • Successful completion of BLS Course within 90 days of employment or documentation of current BLS certification. 
USD $25.00/Hr. USD $35.00/Hr.Qualifications:

Certified Surgical Technologist (CST) Requirements:

  • High School Graduate or equivalent. 
  • Graduate of a recognized and accredited Surgical Technologist Program.   
  • Prior Experience as a Surgical Technologist preferred.   
  • Current Surgical Technologist certification preferred.   
  • Successful completion of BLS Course within 90 days of employment or documentation of current BLS certification. 
Education:UNAVAILABLEEmployment Type: UNAVAILABLE

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