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First Assistant Jobs in Irving, TX (NOW HIRING)

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First Assistant information

See Irving, TX salary details

$30.2K

$123.9K

$177.8K

How much do first assistant jobs pay per year?

As of Aug 10, 2026, the average yearly pay for first assistant in Irving, TX is $123,881.00, according to ZipRecruiter salary data. Most workers in this role earn between $37,600.00 and $167,600.00 per year, depending on experience, location, and employer.

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 role. Some positions may require specific certifications or training, and gaining experience through entry-level roles can help advance to a first assistant position.

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 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.

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 cities near Irving, TX are hiring for First Assistant jobs? Cities near Irving, TX with the most First Assistant job openings:
First Assistant jobs near you

Physician Assistant - Vascular/ Cardiology - First Assist

Baylor Scott & White Health

Fort Worth, TX

Full-time

Medical, Retirement, PTO

Re-posted 21 days ago

Baylor Scott & White Health rating

7.5

Company rating: 7.5 out of 10

Based on 758 frontline employees who took The Breakroom Quiz

232nd of 887 rated healthcare providers

Job description


Physician Assistant – First Assist (Cardiology and Vascular Surgery)

Location:
Baylor Scott & White All Saints Medical Center – Fort Worth, TX
(On-site, Monday – Friday Schedule)

About the Role:
Baylor Scott & White Health is seeking a dedicated and experienced Physician Assistant – First Assist to join our Vascular Surgery Specialists team in Fort Worth. This is a full-time position supporting advanced heart and vascular care, with a primary focus on assisting in the OR, including vein harvesting and other surgical procedures.

The ideal candidate must have prior operating room experience, preferably with vein harvesting, and a strong interest in cardiology and vascular surgery. You will play a vital role in delivering minimally invasive treatments and surgical therapies in a high-volume, collaborative, and patient-centered environment.

Key Responsibilities:

  • First assist in vascular and cardiology surgeries
  • Perform vein harvesting procedures
  • Provide pre-operative and post-operative patient care
  • Collaborate with surgeons, physicians, and clinical teams to ensure optimal outcomes
  • Support inpatient and outpatient care, patient education, and follow-up
  • Participate in clinical rounds and documentation

Why Join Us?
Baylor Scott & White Vascular Surgery Specialists is part of a premier health system dedicated to innovation, research, and exceptional patient care. Located in the heart of Fort Worth, our advanced 50,000-square-foot diagnostic and treatment center expands access to cardiac services and groundbreaking clinical trials.

About Baylor Scott & White Health – Fort Worth:
Located near downtown Fort Worth, our All Saints Medical Center is a 538-bed, full-service, not-for-profit hospital. Celebrating over 100 years of healthcare service, we offer excellence in cardiology, transplantation, oncology, women’s and children’s services, and more.

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 in vein harvesting. 
- CERTIFICATION/LICENSE/REGISTRATION - 
       Physician Assistants (PA)
       Basic Life Support (BLS): Basic Life Support (BLS) within 30 days of hire or transfer.
 

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