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First Assistant Jobs in Denton, TX (NOW HIRING)

Ortho Spine/Neurosurgery Physician Assistant

Frisco, TX

$94K - $127K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

We partner with facilities to offer service line coverage with highly trained and knowledgeable Advanced Practice Providers to first assist in surgery. AP Health is seeking highly experienced ...

Orthopedic Surgery Physician Assistant

Southlake, TX · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Functions as a Surgical First Assistant in the Operating Room * Positions and drapes the patient under the direction of the surgeon * Suturing and retracting of all tissue layers * Assists in the ...

Assistant Superintendent

Mckinney, TX

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Our Clubs offer first-class amenities, including championship golf courses, modern workspaces ... As the Assistant Superintendent you will schedule and maintain irrigation systems, apply pesticides ...

Assistant Superintendent

Plano, TX · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Our Clubs offer first-class amenities, including championship golf courses, modern workspaces ... Job Summary The Assistant Superintendent is responsible for supporting the daily operations of the ...

Assistant Superintendent

Irving, TX · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Our Clubs offer first-class amenities, including championship golf courses, modern workspaces ... Job Summary The Assistant Superintendent is responsible for supporting the daily operations of the ...

Assistant Superintendent

Mckinney, TX · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Our Clubs offer first-class amenities, including championship golf courses, modern workspaces ... Job Summary The Assistant Superintendent is responsible for supporting the daily operations of the ...

Assistant Superintendent

Plano, TX

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Our Clubs offer first-class amenities, including championship golf courses, modern workspaces ... As the Assistant Superintendent you will schedule and maintain irrigation systems, apply pesticides ...

Assistant Superintendent

Irving, TX · On-site

$20 - $23/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Our Clubs offer first-class amenities, including championship golf courses, modern workspaces ... Job Summary The Assistant Superintendent is responsible for supporting the daily operations of the ...

Assistant Superintendent

Mckinney, TX · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Our Clubs offer first-class amenities, including championship golf courses, modern workspaces ... Job Summary The Assistant Superintendent is responsible for supporting the daily operations of the ...

Assistant Superintendent

Plano, TX · On-site

$23 - $25/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Our Clubs offer first-class amenities, including championship golf courses, modern workspaces ... Job Summary The Assistant Superintendent is responsible for supporting the daily operations of the ...

Assistant Superintendent

Irving, TX

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Our Clubs offer first-class amenities, including championship golf courses, modern workspaces ... As the Assistant Superintendent you will schedule and maintain irrigation systems, apply pesticides ...

Showing results 21-40

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 Aug 18, 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:

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.

Full-time

Medical, Retirement, PTO

Re-posted 23 days ago


Baylor Scott & White Health rating

7.5

Company rating: 7.5 out of 10

Based on 765 frontline employees who took The Breakroom Quiz

235th of 888 rated healthcare providers


Job description

$10,000 sign on bonus (Based on eligibility)

Location: The Heart Hospital - Plano (Flexibility to float between all THH campuses, including THH Dallas, Plano, Denton, and Frisco)

Shift: Full-time, days, two 12-hr shifts (6:30 AM-7:00 PM) and two 8-hr shifts (6:30 AM-3:00 PM). 40 hours per week.  Must be willing and able to participate in the call rotation and respond within established response times. 30 minute call requirement for all campuses.

Experience Required: Must have a minimum of 2 years of recent clinical experience as a CVOR CSFA with demonstrated proficiency in the following: Willing to learn Endoscopic Vein Harvest (EVH). First assisting on adult cardiac surgery cases, including CABG, valve, aortic, and other complex open-heart procedures. Cardiac and vascular tissue exposure, retraction, hemostasis, cannulation assistance, and closure techniques. Assisting with sternal opening and closure. Ability to independently scrub cardiac, thoracis, vascular and endovascular cases as needed to support operational staffing needs. Experience assisting in minimally invasive and robotic cardiac procedures. Experience with endovascular and vascular surgery cases.

About Us

Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well.

Our Core Values are:

  • We serve faithfully by doing what's right with a joyful heart.
  • We never settle by constantly striving for better.
  • We are in it together by supporting one another and those we serve.
  • We make an impact by taking initiative and delivering exceptional experience.
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.

Job Summary

The Surgical Tech First Assistant works as a Certified Surgical Technologist (CST) and a First Assistant. This position helps surgeons and surgical teams during major and complex procedures. It works under a Registered Nurse's direction as a CST. It works under a Surgeon's direction as a First Assistant.

Essential Functions of the Role
  • Ensures supplies, equipment, and instruments are available and working for each procedure. Updates surgeon preference cards for equipment, radiology, supplies, and notes. Pulls, opens, and sets up cases. Coordinates with surgeons on equipment and supply needs before procedures. Assists in building specialty instrument trays.
  • Prepares the operating room according to surgical procedure schedules. Arranges sterile setups of instrument table supplies and equipment for specific procedures. Wraps instruments for gas or steam sterilization. Performs quality control procedures on equipment and reports any issues. Ensures the OR is clean before and after surgery.
  • Scrubs for cases in major surgical services follow established procedures and standards. This requires advanced knowledge of anatomy and surgical instruments. Scrubs must also know surgeons' preferences and other technical knowledge.
  • Educates and prepares surgical teams according to procedure.
  • Assists with or performs the positioning, prepping and draping of the patient.
  • Assists the surgeon during procedures by passing sterile supplies and equipment. Holds retractor devices and responds to the surgical team's needs. Ties off vessels and tissues, repairs incisions, and cuts and cauterizes tissues. Stabilizes drains and applies wound dressings as needed. Performs complex surgical techniques as directed by the physician and Texas scope of practice. Receives surgical specimens following protocol and notifies the circulating nurse. Delivers specimens to the appropriate location.
  • Contacts the pharmacy for RX with Registered Nurse or circulating nurse partnership.
  • Coordinates and works with system vetting vendors for the surgeon and department. Researches and gets quotes for capital purchases, new equipment, and supplies with specialty coordinators. Orders supplies.
  • Stays updated on surgical equipment, trends, and techniques by attending in-service or internal education programs. Serves as a resource and preceptor for those learning the scrub role. Helps the department through in-services, precepting, and mentoring staff.
Key Success Factors
  • Must have good communication skills.
  • Must have excellent knowledge of operating room protocol.
  • Must be able to work effectively with all hospital departments.
  • Must have excellent knowledge of patient protocols within a clinic setting.
  • Must be able to work well with all members of the office staff.
  • Must be able to assist the physician in all aspects of the practice including assisting in surgery.
Belonging Statement

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

QUALIFICATIONS

  • EDUCATION - Grad of an Accredited Program
  • EXPERIENCE - 2 Years of Experience
  • CERTIFICATION/LICENSE/REGISTRATION -
    Basic Life Support (BLS): BLS or BLS within 30 days of hire or transfer.
  • Certified Surgical Technologist (CST) or Certified Surgical First Assistant (CSFA) required from NBSTA or NCCT.

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