Cardiac Surgical Assistant
2 weeks ago
EducationAssociate's degree Required or higher level degree Required or equivalent training such as graduation from National Surgical Assistant Association (NSAA), Physician Assistant or Nurse Practitioner program, RN First Assistant program, foreign medical school or directly related discipline Required Experience 5 years experience as a Surgery Assistant or equivalent with a minimum of two years experience in an active cardiac program exhibiting a high degree of understanding regarding hemodynamic principles for the cardiac patient and how they relate to patient management Required and experience demonstrating the ability to assess these parameters and precisely relay the information to the appropriate physician or support personnel Required Licenses and Certifications Certification as a Certified Surgical Assistant (CSA) from the National Surgical Assistants Association Required or equivalent certification, licensure or degree Required and License as a Surgical Assistant by the District of Columbia Required Reviews and interprets, as appropriate, the patient chart, medical history, the coronary arterial cine films, and other cath lab data as it relates to the patient's condition and care with the attending physician and receives an overview of the planned procedure. Brings items of interest/concern to the attending physician.Recognizes abnormalities of electrocardiogram in the OR and ICU settings and takes appropriate action to assist in the correction and stabilization of the arrhythmias and hemodynamic parameters of the patient.Performs the more complex, senior level cardiac surgical assistant duties, including, but not limited to: preparing the patient for arterial and venous cannulation, opening the sternum utilizing mid line sternotomy technique, inserting the intra aortic balloon pump (IABP) catheter, percutaneously,
monitoring the patient during the different medical procedures, e.g., pacemaker insertion, myocardial biopsy, etc. inserting the Foley catheter and rectal temperature probe as directed by the attending physician, assisting in the placement of pacing wires,
harvesting and preparing the Right and Left Internal Mammary Arteries for conduit purposes, and closing the mid line sternotomy utilizing the physician's preferred technique after the physician is confident the hemodynamic parameters and heart function are stable, all graft and cannulation sites are hemostatic, graft positioning and flow through the grafts are as desired. teaching/mentoring less experienced staff and conducting in-services as possible harvesting of the arterial and venous conduits including the radial artery, saphenous vein, lesser saphenous vein and or cephalic vein to be used for bypass grafting utilizing the surgeons preferred harvesting technique, then using standard protocol, preparing these veins/arteries with the assurance that all branches have been ligated and that there are no leaks or injuries present; placing arterial lines via femoral or radial approach for monitoring purposes or to obtain blood samples, establishing intravenous lines both peripherally and/or femorally as the need arises, performing arterial and venous cut down via the femoral, radial or brachial approach as warranted, repairing arteriotomies and veinotomies ensuring adequate homeostasis has been obtained and good distal pulses and blood flows are evident, assisting in cannulation and decannulation techniques for Performs the duties of a Cardiac Surgical Assistant, including, but not limited to:
providing proper patient positioning and ensuring proper body alignment for the patient undergoing open heart and other vascular and thoracic procedures,
ensuring/maintaining a sterile field during surgical procedures by following AORN standards/protocols, e.g., providing proper prepping and draping,
Attends cath. and surgical conferences, in-service training, and continuing medical education programs as appropriate to maintain clinical expertise and/or certification.
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