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First Assistant Jobs in Iowa (NOW HIRING)

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First Assistant information

See Iowa salary details

$30.5K

$125.3K

$179.9K

How much do first assistant jobs pay per year?

As of Jun 12, 2026, the average yearly pay for first assistant in Iowa is $125,346.00, according to ZipRecruiter salary data. Most workers in this role earn between $38,000.00 and $169,500.00 per year, depending on experience, location, and employer.

How do I become a first assistant?

To become a first assistant, candidates typically 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, and on-the-job experience is highly valued. Developing a good understanding of the job's responsibilities and building professional relationships can also help advance to this position.

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 jobs pay 2000 a day?

First Assistants in film and television production can earn around $2,000 or more per day, especially for high-profile projects or with extensive experience. Such roles often require specialized skills, industry connections, and the ability to work long hours on set. Other high-paying freelance or consulting roles in finance, law, or executive management can also reach this daily rate, but they typically require advanced qualifications and significant expertise.

How much do first assistants make per hour?

First assistants typically earn between $15 and $30 per hour, depending on experience, location, and the industry they work in. They often work in fast-paced environments and may require strong organizational skills and familiarity with office tools.

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 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 lead professionals. They handle tasks such as coordinating schedules, managing equipment, and assisting with technical or logistical needs to ensure smooth operations. Strong organizational skills and knowledge of industry tools are essential for this role.
What are the most commonly searched types of First jobs in Iowa? The most popular types of First jobs in Iowa are:
What cities in Iowa are hiring for First Assistant jobs? Cities in Iowa with the most First Assistant job openings:
First Assistant jobs near you
Infographic showing various First Assistant job openings in Iowa as of June 2026, with employment types broken down into 1% As Needed, 76% Full Time, 18% Part Time, 1% Temporary, and 4% Contract. Highlights an 98% Physical, 1% Hybrid, and 1% Remote job distribution, with an average salary of $125,346 per year, or $60.3 per hour.
Registered Nurse - First Assistant

Registered Nurse - First Assistant

Iowa Specialty Hospital

Clarion, IA • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 29 days ago

Iowa Specialty Hospital rating

7.8

Company rating: 7.8 out of 10

Based on 8 frontline employees who took The Breakroom Quiz

176th of 998 rated hospitals

Job description

Description
Job Description:
Surgery-Registered Nurse First Assistant fulltime position for both Clarion and Belmond campuses.
Seeking a motivated, flexible, dependable individual to join our surgery team.
Primary responsibilities include providing direct patient care, mainly in the OR in the Circulator role.
Will also assist surgeons on cases and independently perform wound closure, including deep tissue, by stapling, suturing, and applying topical skin adhesives.
This position includes call responsibilities.
Requirements:
Valid Iowa Registered Nurse license, certification in perioperative nursing (CNOR);
Successful completion of a RNFA program that meets AORN standards.
ACLS, PALS, and BLS.
Provided Benefits:
IPERS
Short-Term Disability (Employer Paid Coverage)- New York Life
Basic Life and AD&D Insurance (Employer Paid Coverage)-New York Life
Employee Assistance Program-Connections
Access to professional services to help you deal with the following, but not limited to, financial, drug/alcohol or grief.
PTO
Optional Benefits:
Health Insurance (Wellmark BCBS)
Dental Insurance (Delta Dental)
Vision Insurance (Delta Vision)
Supplemental Life Insurance (New York Life)
Supplemental Insurance Plans (Aflac)
Flexible Spending Accounts (TASC)
Health Savings Account (Through local banks)
457 Retirement Savings Plan (First Citizens Trust Company)
Fitness Center Memberships
Iowa Specialty Hospital is an equal opportunity employer. Minorities are encouraged to apply. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, status as a qualified individual with a disability, or status as a protected veteran.

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