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Under the direction and supervision of the surgeon, the certified first assist will collaborate with the surgeon in performing a safe surgical procedure to maximize patient outcomes. First Assistant is a member of the surgical team and provides knowledge of surgical anatomy, operative techniques related to the operative procedure. Provides aid in exposure, hemostastis, closure, and other intraoperative duties, as well, as preoperative and postoperative duties under the direction and supervision of the surgeon.
Job Responsibility:
Prepares rooms with appropriate instruments, sutures, supplies, and equipment necessary for area of specialty
Monitors and restocks supplies
Completes skin preparation and draping
Opens sterile supplies and sets up for procedures
Provides wound exposure through proper use of retractors so surgeon may clearly view operative site
Through use of suction and sponges, provides a dry field of operation to permit optimum vision of tissue, viscera, vessels, etc
Provides homeostasis by use of clamps, cautery, ligation
May complete partial wound closure subcutaneous tissues and skin only under direct supervision of the surgeon
Applies in application of special dressings such as circumferential elastic bandages and taping
Assists in maintaining correct count of instruments, sutures, and sponges
Decontaminates instruments, supplies and equipment according to established policies and procedures
handles and stores instruments, equipment and supplies appropriately
Communicates and interfaces with team members, patients, and medical staff to ensure high quality patient care
Transports patients to and from Operating room suite
position patients according to type of surgery
Performs biological and chemical monitoring in accordance with quality assurance standards
Adheres to TMC organizational and department-specific safety, confidentiality, values, policies and standards
Reports any unusual incidents to circulating nurse
Assists in identifying, collecting, and caring for specimens
Assists in dismantling tables and instruments after procedure
Assembles special operating tables such as fracture tables, positioning devices
Performs related duties as assigned
Employed Surgical First Assists cannot bill independently at any time
Requirements:
Associate’s Degree or equivalent from a two-year college in specialty area, plus accredited Surgical First Assist training program
or an equivalent combination of relevant education and experience
CSFA or CSA Certification plus a minimum of two years experience as a First Assist required
Basic Life Support (BLS) and Certified Surgical Assistant (CSA) or Certified Surgical First Assist (CSFA) certifications required
Knowledge of surgical assist procedures and best practices
Knowledge of a surgical support required for a specialty such as orthopedics
Skill in the sterilization and set up for different surgical procedures
Skill in providing assistance during surgical procedures
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals
Ability to complete routine reports and correspondence
Ability to listen and accurately interpret others’ communication or instructions to take appropriate action
Ability to speak effectively before groups of customers or employees of organization
Ability to calculate figures and compute rate, ratio, and percent and to draw and interpret bar graphs and apply basic algebraic concepts
Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions
Ability to deal with problems involving a few concrete variables in standardized situations