The Surgical First Assistant is responsible for assisting the surgeon under direct and indirect supervision throughout preoperative, intraoperative, and postoperative duties and procedures always. The surgical assistant provides aid in exposure, hemostasis, closure, and other intraoperative technical functions that help the surgeon carry out a safe operation with optimal results for the patient. This position has no supervisory responsibilities and reports directly to the staff Operating Room nurse(s) in the Operating Room or Procedure Room in which it is assigned and to the Clinical Director. High school diploma or GED certificate. CPR certification. Previous First Assist Experience or one year Scrub Tech Experience. Certified Surgical First Assistant (CSFA), Certified Surgical Assistant (CSA), and Surgical Assistant-Certified (SA-C). ASC experience. Ability to collaborate cooperatively with co-workers, managers, patients, visitors, vendors, families, and physicians. Ability to make decisions and solve problems. Ability to promote a positive facility image with physicians, patients, visitors, vendors, and the public. Effectively organized time, equipment, supplies and ensures needed items are readily available in the assigned OR and Procedure Room. Assess the patients surgical site in Pre Op Holding area to better aid in positioning. Facilitates the safe positioning of the patient according to the surgeons preference, the patient’s anatomical and physiological limits, and surgical procedure to be performed. Assists circulator and anesthesia provider in preparation of the patient: Foley catheter placement, tourniquet application, placement of intravenous catheters, cricoid pressure application and other procedures as needed. Performs specific tasks according to individual surgeon preference utilizing appropriate techniques including but not limited to: Incision and layered closure of surgical sites, providing exposure, achieving hemostasis by means of injection, manual, and topical methods, and application of appropriate energy sources. Manipulation and dissection/removal of tissues. Aides in implanting, securing, and/or removal of devices and drains. Applying dressing material specific to procedure. Applies any other specific dressing material – splints or casts. Assesses skin integrity. Assists in transfer of the patient and follows the patient to recovery if needed or directed by surgeon. For the Surgical Assistant who has appropriate training also performs under surgeon supervision other procedures including but not limited to: graft and implant preparation. Performs additional duties as delegated by the surgeon in cooperation with state and local policy. Provides comfort and reassurance to the patient and promotes privacy and dignity. Confirms that proper aseptic and sterile techniques and procedures are used according to accepted standards of practice. Assists in managing inventory of supplies, drugs, and equipment to maintain availability and stock levels in the areas assigned. Assists in keeping physician preference cards updated. Maintains current knowledge of clinical procedures. Assists in the cleaning and turnover of OR and Procedure Room between cases. Performs other duties as requested.
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