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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 13, 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

Surgical First Assist - Spine, Robotics (GYN, General), Orthopedics - RNFA/PA-C/NP/LSA/CSFA - Dallas

MPOWERHealth

Dallas, TX • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 20 days ago

Job description

Overview
MPOWERHealth is seeking a highly skilled Surgical First Assist to join our team in Dallas-Fort Worth, TX. We are looking for a dedicated professional with OR experience and one of the following credentials: RNFA/PA/NP/LSA/CSFA (with ability to get LSA)As a Surgical First Assist, you will play a critical role in the success of our surgical procedures. This position is exclusively OR-based, with no clinic or rounding responsibilities.
Benefits:
  • Multiple medical plan options
  • Health Savings Account with company contributions
  • Dental and vision coverage for you and your dependents
  • 401k with company match
  • Paid time off (PTO) including vacation, sick time, and holidays
  • Company wellness program with health insurance incentives

MPOWERHealth offers flexible employment options including 1099, FTE, and PTE.
Responsibilities
  • Surgical First Assist: Primary function is to provide first assist support during surgical procedures.
  • Pre-operative Coordination: Confirm cases, meet patients, explain procedures, obtain necessary documentation, and coordinate with OR staff.
  • Intraoperative Support: Assist with patient positioning, maintain sterile field, anticipate surgeon needs, and collaborate with the OR team.
  • Post-operative Care: Assist with patient transfer, provide PACU handover, and complete necessary documentation.
  • Continuous Improvement: Participate in clinical and operational projects, such as education, training, and process improvement.
  • Skill Expansion: Demonstrate willingness to learn new surgical specialties and expand skill set.

Qualifications
Requirements:
  • Must have at least 2 years of surgical assisting experience.
  • Must have experience assisting in spine and robotics GYN and urology.
  • Orthopedics experience is a plus.

Education/Training:
  • Must have excellent computer skills, specifically MS Office, and EMR.
  • Must be a graduate of an Accredited Master's Degree program for Physician Assistant Studies for PAs, or a Master/Doctoral Degree Program in Nurse Practitioner Studies for NPs. Nurse Practitioners must have their CNOR or RNFA.
  • Must possess current state license where practicing and PAs must hold National Commissioned Certification of Physician Assistants (NCCPA)

Physical Requirements:
Able to perform all essential duties with or without accommodations, including but not limited to:
  • Ability to lift, sit, stand, or squat
  • Constantly seeing, hearing, and speaking
  • Frequent lifting to 20+ lbs. in addition to bending, reaching, standing, walking, and kneeling.

Preferred Skills:
  • Strong interpersonal skills with ability to adapt to different personalities and needs.
  • Customer service-oriented mindset.
  • Able to function independently, autonomously, and confidently.

It is the policy of MPOWERHealth not to discriminate against any applicant for employment, or any employee because of age, color, sex, disability, national origin, race, religion, or veteran status.
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