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First Assistant Jobs in Austin, TX (NOW HIRING)

Ascension

Certified Surgical First Asst

Austin, TX · On-site

Certified Assistant Surgical Assistant specializing in Surgery credentialed from the National Boardof Surgical Technology and Surgical Assisting (NBSTSA) required. Education: * High School diploma ...

Ascension

Registered Nurse First Assist

Austin, TX · On-site

Certified Registered Nurse specializing in First Assistant credentialed from the National Assistant at Surgery Certification preferred. Education: * Diploma from an accredited school/college of ...

Ascension

Registered Nurse First Assist

Austin, TX

$46.05/hr

Certified Registered Nurse specializing in First Assistant credentialed from the National Assistant at Surgery Certification preferred. Education: * Diploma from an accredited school/college of ...

Ascension

Certified Surgical First Asst

Austin, TX

$33.06/hr

Certified Assistant Surgical Assistant specializing in Surgery credentialed from the National Board of Surgical Technology and Surgical Assisting (NBSTSA) required. Education: * High School diploma ...

St. David's HealthCare

PA - Neurosurgery

Austin, TX · On-site

$99K - $134K/yr

Surgical first assist in the OR preferred * Schedule: Monday - Friday, 7am - 4pm (time varies) * Practice call: 4 - 5 days a month of phone call * Start date: ASAP * Join a group of four ...

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First Assistant information

See Austin, TX salary details

$31.7K

$130.1K

$186.7K

How much do first assistant jobs pay per year?

As of Aug 27, 2026, the average yearly pay for first assistant in Austin, TX is $130,132.00, according to ZipRecruiter salary data. Most workers in this role earn between $39,500.00 and $176,000.00 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 Austin, TX?

The most popular types of First jobs in Austin, TX are:

What cities near Austin, TX are hiring for First Assistant jobs?

Cities near Austin, TX with the most First Assistant job openings:

First Assistant jobs near you
Infographic showing various First Assistant job openings in Austin, TX as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 18% Part Time, and 5% Contract. Highlights an 87% Physical, 1% Hybrid, and 12% Remote job distribution, with an average salary of $132,278 per year, or $63.6 per hour.

Orthopedic Surgical First Assist PA

Austin, TX

Bone DRs Orthopedic Care
See more jobs at Bone DRs Orthopedic Careexternal

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 11 days ago

Job description

Job description:

Surgical & First Assist Physician Assistant (Ortho)

Location: [Austin and San Marcos, Texas] | Practice: BONE DRs Orthopedic Care- A premier private orthopedic group.

Join a high-performance surgical team dedicated to orthopedic excellence.

BONE DRs Orthopedic Care is seeking a highly skilled and motivated Physician Assistant (PA-C) with a strong focus on Surgical First Assisting. This role is designed for a PA who thrives in the operating room and seeks a collaborative, fast-paced environment working alongside fellowship-trained orthopedic surgeons.

I. The Role: Surgery, Clinic, and Continuum of Care Primary Responsibilities:

  • Surgical First Assist: Serve as the primary first assist in a high-volume surgical environment, focusing on total joint arthroplasty (hips, knees, shoulders) and advanced sports medicine procedures.
  • Clinical Excellence: Conduct comprehensive patient evaluations, order and interpret diagnostic tests (X-ray, MRI, Labs), and formulate evidence-based treatment plans in the outpatient clinic.
  • Perioperative Management: Manage the continuum of care, including pre-operative medical optimizations and post-operative follow-up care.
  • Procedures: Perform joint aspirations, injections (ultrasound-guided preferred), and minor office-based procedures.
  • Collaborative Practice: Work in a "team-lead" capacity with our surgeons, physical therapists, and care coordinators to ensure optimal patient outcomes.

II. Qualifications & RequirementsRequired:

  • Graduate of an ARC-PA accredited Physician Assistant program.
  • Current NCCPA Certification (PA-C).
  • Active, unrestricted Texas Physician Assistant license (or eligibility to obtain).
  • Surgical Experience: Minimum of 1-2 years of surgical first-assist experience, specifically in orthopedics.
  • Current BLS/ACLS certification.

III. Why Join BONE DRs Orthopedic Care?

  • Surgical Volume: Exposure to a diverse and high-volume caseload with state-of-the-art technology.
  • Autonomy & Support: Enjoy clinical autonomy within a supportive, physician-led private practice model.
  • Professional Growth: Opportunity to assist in complex revisions and innovative sports medicine techniques.
  • Competitive Compensation: High-tier base salary plus performance-based incentives.
  • Premier Benefits: Comprehensive medical/dental/vision, 401(k) with match, generous PTO, and a dedicated CME allowance + paid days for conferences.

Job Type: Full-time

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Flexible spending account
  • Health insurance
  • Health savings account
  • Life insurance
  • Paid time off
  • Vision insurance

Work Location: In person

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