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First Assistant Jobs in Iowa (NOW HIRING)

American Traveler

Travel RN - Cath Lab/EP

Des Moines, IA · On-site

$184K/yr

Travel RN - Operating Room - First Assist American Traveler is seeking a credentialed RNFA for a 13-week OR First Assist travel assignment in California, requiring CNOR, CRNFA, and prior travel ...

New

Stanford Health Care

$89.01 - $117.94/hr

If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first ... The RN First Assistant directly assists the surgeon and practices under the supervision of the ...

New

Culver's

Assistant Restaurant Manager

Davenport, IA · On-site

$17.50/hr

CULVER'S JOB DESCRIPTION 2nd ASSISTANT MANAGER Reports to General Manager and 1st Assistant Manager JOB SUMMARY Maintains excellence in guest service and quality control of operations consistently to ...

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All JobsFirst JobsFirst Assistant JobsFirst Assistant Jobs in Iowa

First Assistant information

See Iowa salary details

$30.5K

$125.3K

$179.9K

How much do first assistant jobs pay per year?

As of Aug 29, 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.

What is a first assistant?

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 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 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.

How do I become a first assistant?

To become a first assistant, typically you 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, depending on the industry standards. Gaining practical experience through internships or entry-level positions can also be beneficial.

How much do first assistants make?

First assistants in Florida typically earn between $30,000 and $60,000 annually, depending on experience, location, and the industry they work in. They often require strong organizational skills and proficiency with office tools to perform their duties effectively.

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 August 2026, with employment types broken down into 2% As Needed, 75% Full Time, 19% Part Time, and 4% Contract. Highlights an 85% Physical, 1% Hybrid, and 14% Remote job distribution, with an average salary of $125,346 per year, or $60.3 per hour.

Registered Nurse - First Assistant

Clarion, IA • On-site

Iowa Specialty Hospital
Health Care and Social Assistance • 501 - 1,000 employees

8.2

Company rating: 8.2 out of 10

Based on 10 frontline employees who took The Breakroom Quiz

101st of 1,064 rated hospitals

People enjoy working here

Good employer

Recommended by parents

Learn more about Iowa Specialty Hospitalexternal

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 17 days ago

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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