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First Assistant Jobs in Denton, TX (NOW HIRING)

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First Assistant information

See Denton, TX salary details

$30.5K

$125.1K

$179.6K

How much do first assistant jobs pay per year?

As of Sep 8, 2026, the average yearly pay for first assistant in Denton, TX is $125,125.00, according to ZipRecruiter salary data. Most workers in this role earn between $38,000.00 and $169,200.00 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 cities near Denton, TX are hiring for First Assistant jobs?

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

First Assistant jobs near you
Infographic showing various First Assistant job openings in Denton, TX 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 $125,125 per year, or $60.2 per hour.

Nurse Practitioner- CV/CT Surgery - First Assist

Baylor University Medical Center

Plano, TX • On-site

$106K - $146K/yr

Other

Medical, Retirement, PTO

Re-posted 29 days ago

Job description

CV/CT Surgery First Assist Nurse Practitioner (RNFA Required)

Baylor Scott & White Health is seeking an experienced Nurse Practitioner (NP) to join our Cardiovascular/Cardiothoracic Surgery team as a First Assist at The Heart Hospital Baylor Plano, with occasional floating to our Heart Hospitals in Dallas and Frisco.

Position Overview

The CV/CT Surgery First Assist Nurse Practitioner will work closely with a highly collaborative surgical team, providing perioperative care and first-assist support for cardiovascular and cardiothoracic surgical procedures. This role offers a predictable weekday schedule with structured call coverage in a well-established heart program.

Schedule
  • Monday–Friday, typically 7:00 AM – 3:30 PM
  • Schedule may vary when assigned to call
Call Requirements
  • Rotating weekday call (approximately once per week)
  • Rotating weekend call (Friday–Sunday) every 4th or 5th weekend
Practice Setting
  • Primary location: The Heart Hospital Baylor Plano
  • Occasional floating to Dallas and Frisco Heart Hospitals
Case Volume
  • 1–2 cardiovascular surgery cases per day, depending on call coverage
Team Structure
  • 14 Surgeons
  • 12 Advanced Practice Providers (APPs)
  • Established, collaborative CV surgery service
Key Responsibilities
  • First assist in cardiovascular and cardiothoracic surgical procedures
  • Preoperative and postoperative patient management
  • Participate in on-call coverage for the CV surgery service
  • Collaborate with surgeons, APPs, nursing staff, and multidisciplinary teams
  • Deliver high-quality, patient-centered surgical care
Experience and Qualifications
  • Graduate of an accredited Nurse Practitioner program
  • Active or eligible Texas RN and APRN license
  • Certified Registered Nurse First Assistant (RNFA) required
  • Cardiovascular/Cardiothoracic surgical experience strongly preferred
  • Will consider candidates with 2+ years of general surgery or other surgical specialty experience
  • Demonstrated first-assist and perioperative skill set
  • Ability to work independently in a fast-paced surgical environment while contributing to a team-based culture
Why Baylor Scott & White Health
  • Nationally recognized heart and vascular program
  • Supportive, team-oriented culture
  • Predictable weekday schedule with structured call rotation
  • Opportunity to practice in a premier Heart Hospital setting

Benefits

Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include:

  • Immediate eligibility for health and welfare benefits
  • 401(k) savings plan with dollar-for-dollar match up to 5%
  • Tuition Reimbursement
  • PTO accrual beginning Day 1

Note: Benefits may vary based upon position type and/or level

Belonging Statement

We believe that all people should feel welcomed, valued, and supported.

Qualifications

  • Education - Grad of an Accredited Program
  • Experience - More than 1 Year of Experience
  • Certification/License/Registration -

Nurse Practitioner (NP) Registered Nurse (RN) RN-First Assist (RNFA) Basic Life Support (BLS): BLS or BLS within 30 days of hire or transfer.

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