Surgical First Assistant, Cardiovascular Surgery
1 month ago
Description
Summary:
The First Assistant is responsible for assisting the surgeon in performance of the surgical procedure.
Focus/Purpose: Certified and or Licensed Surgical First Assistants (SEA) are an integral part of the team of medical practitioners providing surgical care to patients in a variety of settings. In order that surgery may proceed smoothly the SFA is a specifically trained individual who provides assisting services for the surgeon in both the preparation for and performance of surgery and anticipates the needs of the surgeons. These services include, but are not limited to, tissue handling, wound retraction/exposure, positioning, providing hemostasis and Suturing of tissue, as directed.
Requirements:
Current Certified Nurse of the Operating Room (CNOR)or Certified Surgical Technologist (CST) preferred.
Documented completion of an approved first assisting course required, certification (CRNFA, or CFA) preferred
BLS completed, ACLS preferred
Educational Requirements: Must hold Current certification as a Surgical First Assistant (CSFA, CSA, SA•C, CSA or RNFA) or a license as a Mid-level provider or Medical provider (PA•C, AR p, MD or DO)
Responsibilities:
Be able to perform all responsibilities of a surgical technologist, if need and trained appropriatelyDetermine specific equipment needed per procedure Review preference card to confirm procedure and special needs.Select and place Ofx-rays or initiate CD for referenceParticipate in Anesthesia time out.Assist with getting patient in room and positioned Untie gown so OT to lay on knotsAssist With moving patient to OR bed from stretcherAssist patient and anesthesia during spinaVepiduralAssist anesthesia When placing tube and IV When appropriateAssist With all forms Of positioning: supine, lateral, beach chair, tuck arms, place footboard when appropriate, etc.Place tourniquets, Foleys, bear hugger, SCDS and bovie pad when necessary and if appropriateConfirm procedure with surgeon and Operating room team per the consentDrape patient within surgeon's guidelinesProvide retraction of tissue and Organs for optimal visualization with regard to tissue type and appropriate retraction instrument and/or techniqueAssist in maintaining hemostasis by direct pressure, use and application of appropriate surgical instrument for the task, placement of ties, placement of suture ligatures, application Of chemical hemostatic agents, Or Other measures as directed by the surgeonUse electrocautery mono and bi-polar per surgeon's directiveClamp, ligate, and cut tissue per surgeon's directivePlacing hemoclips on vessels per surgeon's directiveAssist surgeon in use of the Robot (DaVinci, MAZOR, MAKO, etc.) place trocars during laparoscopic or robot assisted surgery per surgeon's directiveFire stapling devices during surgical procedure per surgeon's directiveHarvest saphenous vein, including skin incision per surgeon's directiveDissect common femoral artery and bifurcate per surgeon's directiveMaintain integrity of sterile fieldClose all wound layers (facia, subcutaneous and skin) as per surgeon's directiveInsert drainage tubes per surgeon's directivePlace a screw or manipulate a tool when manipulation and positioning of the hardware must be held in such a specific position that that particular maneuver can only be accomplished by the orthopedic surgeonPrepare a tendon for grafting per surgeon's directiveInfiltrate local medication per the surgeon's directiveApply wound dressings and if necessary application of cast, splints, and other devicesAssist with resuscitation of patient during cardiac alTest or other life-threatening events in the operating roomPerform any other duties or procedures incident to the surgical procedure deemed necessary and as directed by the surgeonHelp with transferring patient from OR table to stretcherPrepare room for the next case
Work Type:
Full Time
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