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First Assistant Jobs in Tyler, TX (NOW HIRING)

CHRISTUS Health

NP - Neurosurgery job in Tyler TX

Tyler, TX · On-site

$102K - $132K/yr

OR First Assist * Clinic * Inpatient Rounding * Physician-Led Organization: Clinicians have a seat at the table through our Physician Board of Directors. * AI-Enabled Documentation Support: We use ...

CHRISTUS Health

PA/NP - Neurosurgery

Tyler, TX · On-site

$102K - $132K/yr

Neurosurgery PA or NP with First Assist - CHRISTUS Health, Tyler, TX CHRISTUS Health is seeking a PA or an NP with first assist certification to join our well-established neurosurgery team in Tyler ...

CHRISTUS Health

PA/NP - Neurosurgery

Tyler, TX · On-site

OR First Assist * Clinic * Inpatient Rounding * Physician-Led Organization: Clinicians have a seat at the table through our Physician Board of Directors. * AI-Enabled Documentation Support: We use ...

CHRISTUS Health

Neurology, PA/NP - Neurosurgery

Tyler, TX · On-site

$102K - $132K/yr

OR First Assist * Clinic * Inpatient Rounding * Physician-Led Organization: Clinicians have a seat at the table through our Physician Board of Directors. * AI-Enabled Documentation Support: We use ...

CHRISTUS Health

NP - Neurosurgery

Tyler, TX · On-site

$102K - $132K/yr

OR First Assist * Clinic * Inpatient Rounding * Physician-Led Organization: Clinicians have a seat at the table through our Physician Board of Directors. * AI-Enabled Documentation Support: We use ...

CHRISTUS Health

NP - Neurosurgery

Tyler, TX

$102K - $132K/yr

OR First Assist * Clinic * Inpatient Rounding * Physician-Led Organization: Clinicians have a seat at the table through our Physician Board of Directors. * AI-Enabled Documentation Support: We use ...

CHRISTUS Health

NP/PA - Vascular

Tyler, TX · On-site

$102K - $132K/yr

Vascular Surgery - PA or NP w/ First Assist Certification - CHRISTUS Health, Tyler, TX Recruiter: Richelle Howell richelle.howell@christushealth.org CHRISTUS Health is seeking a Physician Assistant ...

CHRISTUS Health

NP/PA - Vascular

Tyler, TX

Description Vascular Surgery - PA or NP w/ First Assist Certification - CHRISTUS Health, Tyler, TX Recruiter: Richelle Howell richelle.howell@christushealth.org CHRISTUS Health is seeking a Physician ...

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All JobsFirst JobsFirst Assistant JobsFirst Assistant Jobs in Tyler, TX

First Assistant information

See Tyler, TX salary details

$30.6K

$125.8K

$180.5K

How much do first assistant jobs pay per year?

As of Aug 4, 2026, the average yearly pay for first assistant in Tyler, TX is $125,755.00, according to ZipRecruiter salary data. Most workers in this role earn between $38,200.00 and $170,100.00 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 Tyler, TX are hiring for First Assistant jobs? Cities near Tyler, TX with the most First Assistant job openings:
First Assistant jobs near you
Infographic showing various First Assistant job openings in Tyler, TX as of July 2026, with employment types broken down into 1% As Needed, 65% Full Time, 30% Part Time, 2% Temporary, and 2% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $125,755 per year, or $60.5 per hour.

Registered Nurse First Assistant / RNFA CVOR

UT Health East Texas

Tyler, TX • On-site

Full-time

Medical, PTO

Re-posted 24 days ago

UT Health East Texas rating

6.2

Company rating: 6.2 out of 10

Based on 91 frontline employees who took The Breakroom Quiz

700th of 887 rated healthcare providers

Job description

Overview

Join our team as a day shift, full-time, Cardiovascular Operating Room (CVOR) Registered Nurse First Assistant (RNFA) in Tyler, TX. 

Why Join Us? 

Thrive in a People-First Environment and Make Healthcare Better 

  • Thrive: We empower our team with career growth opportunities and resources that support your wellness, education, and financial well-being.
  • People-First: We prioritize your well-being with paid time off, comprehensive health benefits, and a supportive, inclusive culture where you are valued and cared for.
  • Make Healthcare Better: We use advanced technology to support our team and enhance patient care.

Get to Know Your Team: 

  • UT Health Tyler is the flagship hospital of the system, serving hundreds of thousands annually. Specializing in advanced acute care medicine, our Midtown location boasts a Level 1 trauma center and comprehensive stroke center, the region’s only EMCO program, and a Level III NICU. Our medical staff includes more than 500 physicians and a full complement of subspecialty groups.

Responsibilities

The RNFA and/or First Assist practices in collaboration with and at the direction of the surgeon during the intraoperative phase of the perioperative experience.


Qualifications

Job Requirements:

  • Associates Degree in Nursing (A.D.N.) or Bachelor of Science in Nursing (B.S.N.) from an accredited school.
  • Completion of an accredited first assistant educational program.
  • Current licensure as a Registered Nurse in the state of Texas.
  • CNOR certification

  • BLS certification must be obtained within 14 days of hire or transfer into the role and prior to providing direct patient care

  • Minimum 2 years operating room experience

Preferred Job Requirements:

  • Advanced Cardiac Life Support (ACLS) Certified
Qualifications:

Job Requirements:

  • Associates Degree in Nursing (A.D.N.) or Bachelor of Science in Nursing (B.S.N.) from an accredited school.
  • Completion of an accredited first assistant educational program.
  • Current licensure as a Registered Nurse in the state of Texas.
  • CNOR certification

  • BLS certification must be obtained within 14 days of hire or transfer into the role and prior to providing direct patient care

  • Minimum 2 years operating room experience

Preferred Job Requirements:

  • Advanced Cardiac Life Support (ACLS) Certified
Education:UNAVAILABLEEmployment Type: FULL_TIME

What UT Health East Texas employees say

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