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First Assistant Jobs in Irving, TX (NOW HIRING)

1st Assistant Golf Professional at Gleneagles Country Club | Premier Golf & Amenities in Plano, TX Ready to join a dynamic company in the hospitality and service industry where people help drive the ...

1st Assistant Golf Professional at Walnut Creek Country Club | Premier Club Life in Mansfield TX Ready to join a dynamic company in the hospitality and service industry where people help drive the ...

1st Assistant Golf Professional at Private Golf & Country Club in Corinth, TX | Oakmont Ready to join a dynamic company in the hospitality and service industry where people help drive the success of ...

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First Assistant information

See Irving, TX salary details

$30K

$123K

$176.6K

How much do first assistant jobs pay per year?

As of Sep 12, 2026, the average yearly pay for first assistant in Irving, TX is $123,037.00, according to ZipRecruiter salary data. Most workers in this role earn between $37,300.00 and $166,400.00 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 Irving, TX are hiring for First Assistant jobs?

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

Infographic showing various First Assistant job openings in Irving, 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 $128,146 per year, or $61.6 per hour.

Surgical First Assist

Lewisville, TX • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 12 days ago


Job description

Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Submit your application for the opportunity below: Surgical First Assist 

Job Summary and Qualifications What qualifications you will need:
  • Basic Cardiac Life Support must be obtained within 30 days of employment start date
  • (CST) Certified Surgical Technologist, or (TS-C) Tech in Surgery - Certified
  • (CSFA) Certified Surgical First Assistant, or (CSA) Certified Surgical Assistant

No Travel Required

2 years experience Required Years of Experience

Benefits

Medical City Lewisville, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

  • Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
  • Wellbeing support, including free counseling and referral services
  • Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
  • Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
  • Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
  • Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

Medical City Lewisville is a full-service 190+ bed medical and surgical facility. We offer a broad spectrum of care to the communities of southern Denton County. Our patient tower has two floors dedicated to women’s services.  We have a Level III Neonatal Intensive Care Unit. Medical City Lewisville is a Level III Trauma Center and a Primary Stroke Center. Excellent customer service and patient safety are our top priorities. We have over 360 physicians and 800 healthcare associates. We offer a supportive environment, advanced technologies, and innovative medicines. This allows us to treat our patients with the highest quality health care in a comfortable setting. We are a part of the Medical City network of hospitals and specialists. Our patients are ensured access to leading medical experts and advanced healthcare innovations across the network.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.


"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

If you find this opportunity compelling, we encourage you to apply for our Surgical First Assist opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team. We are interviewing - apply today!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.