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First Assistant Jobs in Tyler, TX (NOW HIRING)

TNAA

Operating Room (OR) Registered Nurse RN

Tyler, TX

$53.45/hr

Additional duties for RN First Assistant may include: * Assist physicians by delivering direct surgical care. * Help control bleeding. * Suture patients following surgery. OR Travel Nurses should be ...

Protean Med

PERM - Otolaryngologist - Texas

Tyler, TX · On-site

$297K - $329K/yr

Monday-Friday • 4 hours of administrative time/week • 3 days in clinic/2 days in surgery • Surgical First Assist • Shared Clinic Call • Epic EMR VISA SPONSORED Recruitment Package may ...

Palm Careers

Cardiovascular Surgeon

Tyler, TX · On-site

... support staff 1st Assist for vein harvesting available Level 1 Trauma Center serving the East Texas region On-Site Heart Valve Center (MitraClip, TAVR,valve replacement) with 9 cardiologists ...

CHRISTUS Health

PA - Orthopedics

Tyler, TX · On-site

$94K - $127K/yr

This position includes first assist, inpatient rounding, clinic duties * Physician-Led Organization : Clinicians have a seat at the table through our Physician Board of Directors. * AI-Enabled ...

CHRISTUS Health

PA - Orthopedics

Tyler, TX · On-site

$94K - $127K/yr

This position includes first assist, inpatient rounding, clinic duties * Physician-Led Organization : Clinicians have a seat at the table through our Physician Board of Directors. * AI-Enabled ...

CHRISTUS Health

PA - Orthopedics

Tyler, TX

This position includes first assist, inpatient rounding, clinic duties * Physician-Led Organization : Clinicians have a seat at the table through our Physician Board of Directors. * AI-Enabled ...

Christus Health

PA - Orthopedics

Tyler, TX

$82K - $111K/yr

This position includes first assist, inpatient rounding, clinic duties * Physician-Led Organization : Clinicians have a seat at the table through our Physician Board of Directors. * AI-Enabled ...

CHRISTUS Health

PA - Orthopedics

Tyler, TX

$94K - $127K/yr

This position includes first assist, inpatient rounding, clinic duties * Physician-Led Organization : Clinicians have a seat at the table through our Physician Board of Directors. * AI-Enabled ...

CT Assist

CVICU ACNP, perm

Tyler, TX · On-site

Join the first and only heart hospital in East Texas and one of the nation's top performing ... CVICU Acute Care Nurse Practitioner or Physician Assistant * No call!!! * Inpatient * Schedule:

CT Assist

CVICU PA, perm

Tyler, TX · On-site

Join the first and only heart hospital in East Texas and one of the nation's top performing ... CVICU Acute Care Nurse Practitioner or Physician Assistant * No call!!! * Inpatient * Schedule:

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Showing results 41-60

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 9, 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 August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 19% Part Time, and 4% Contract. Highlights an 87% Physical, 1% Hybrid, and 12% Remote job distribution, with an average salary of $125,755 per year, or $60.5 per hour.

Operating Room (OR) Registered Nurse RN

TNAA

Tyler, TX

$53.45/hr

Contractor

Re-posted yesterday

Job description

We are looking for a Travel OR RN for a great Travel nursing job in Tyler, TX.

This OR Travel nursing job pays for 40 hours a week for 13 weeks. With Wanderly you can compare Travel nurse salary from leading Travel nurse agencies in the United States.

With Wanderly you can chat and apply to any agency with Wanderly’s Universal Application, below are the details of this Travel Nursing Job including the Travel nurse salary:

  • Specialty: OR RN
  • Travel Operating Room (OR) Registered Nurse : Tyler, TX
  • Travel Nurse Salary: $2138/Week
  • Start Date: August 19, 2026
  • Travel Nursing Job Assignment Length: 13 weeks
  • Travel Nurse Hours: 40 hours per week
  • Shift: 10 hours, Rotating

We're looking for Operating Room RNs for an immediate travel nurse opening in Tyler, TX. The right RN should have 1-2 years recent acute care experience as a circulating nurse, and/or scrub nurse, and potentially RN first assistant. Read below for more requirements.
As an OR Travel Nurse, you will assist physicians and medical staff in caring for surgical patients, as well as providing pre- and post-surgery care and education to the patient. Circulating OR Nurses work within the operating suite but outside of the sterile field; Scrub OR Nurses handle and prepare operating instruments and equipment within the sterile field. Surgery responsibilities may include preparing instruments for specific surgical procedures, monitoring and observing the patient during surgery, and responding to potential complications alongside the physician.
As an OR Travel Nurse, you should be prepared to perform the following tasks:

  • Provide basic bedside care.
  • Prepare, administer and record prescribed medication, reporting any adverse reactions to treatment.
  • Serve as the communication liaison between patients' family members and members of the operating team.
  • Ensure that the correct procedure(s) is being performed on the correct patient.
  • Initiate patient education plan as prescribed by physician; teach patients and families how to manage medication and home care needs.
Additional duties for Circulating OR Nurses may include:
  • Responding to comfort and safety needs of patient.
  • Accurate care and handling of specimens.
  • Monitoring equipment used during surgery.
  • Inventory of surgical items pre- and post-procedure.
Additional duties for Scrub OR Nurses may include:
  • Selection and handling of surgical instruments and supplies during procedures.
  • Inventory of surgical items pre- and post-procedure.
Additional duties for RN First Assistant may include:
  • Assist physicians by delivering direct surgical care.
  • Help control bleeding.
  • Suture patients following surgery.
OR Travel Nurses should be able to stand and walk for long periods of time, as well as bend, lean and stoop without difficulty. RNs should be able to easily lift 20 pounds. Moving or lifting of patients may require lifting of up to 50 pounds at times. RNs may face hazards from exposure to certain chemicals or infectious diseases in the operating room environment.
Requirements*: BLS, 2 Years
* Additional certifications may be required before beginning an assignment.

PK-1458488

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