Certified Surgical Tech- First Assist - Operating Room - Full Time

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JOB SUMMARY:

Under the guidance and supervision of the surgeon, participates as a member of the OR team in planning, preparing, and producing a safe and effective OR experience for patients undergoing surgery. Under the direction and supervision of qualified professional registered nurses and in accordance with established procedures and aseptic principles, the Surgical Technologist – First Assistant is responsible for the set-up and maintenance of the surgical field and assists the surgeon during operative procedures.  Possesses the ability to scrub all cases in all services and demonstrates knowledge of instrumentation, their uses, and accurate methods of sterilization and maintains an aseptic controlled environment.  Assists in processes to streamline care, reduce inefficiency, improve quality, and reduce costs. Supports the philosophy and goals of OSS Health. 

QUALIFICATIONS AND EDUCATION:

Education:

·         High School diploma or GED required.

Qualifications:

·         Certification as a Surgical First Assistant required.

·         Requires a minimum of two years of experience as a Surgical Technologist, with one year of experience as First Assist preferred.

·         BLS certification required.

·         Must have the ability to effectively and efficiently make use of time and resources and be able to plan and organize work.

·         Must have proficient computer skills.

·         Must have professional and effective communication skills and be able to promote effective communication at all levels.

·         Must be able to adapt to changes in the workload and work as part of the team to finish the schedule as observed.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

·         Prepares and checks assigned cases for appropriate instruments, sutures, supplies and equipment necessary for each procedure.  Checks assigned OR equipment before case to ensure proper functioning; immediately reports any inoperative or malfunctioning equipment.

·         Follows aseptic technique when opening sterile supplies, setting up cases, scrubbing, gowning, and draping as observed.  Reports any break in aseptic technique.

·         Maintains an orderly back table and mayo stand during procedure following established routine set-up as observed.

·         Assists circulating nurse in performing sponge, needle, and instrument counts; immediately reports discrepancies and/or corrections as documented and observed.

·         Consistently demonstrates proper handling of instruments and equipment to avoid damage and loss as observed.

·         Keeps surgeons’ preference cards up-to-date as documented and observed.

·         Demonstrates an ability to perform scrub duties as outlined in procedure manual, as observed.

·         Assists with application of dressings and transfers patient.  Applies any other specific dressing material such as splints or cast, assesses skin integrity, assists in transfer of the patient and follows the patient to recovery if needed or directed by surgeon.

·         Assists with general cleaning of room and sets up next case as observed.

·         Assists other staff members with completion of routine duties of the department as observed.

·         Facilities the safe positioning of the patient according to the surgeons preferences, patients anatomical and physiological limits and surgical procedure to be performed.

·         Assists circulator and anesthesia provider in preparation of the patient to include but not limited to 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, and applying appropriate dressing material specific to procedure.

·         May also perform other procedures under surgeon supervision, such as casting, allograft and implant preparation.  Performs additional duties as delegated by the surgeon in cooperation with state and local policy.

·         Maintains confidentiality of all patient, Center, and physician information; respects the patient’s privacy.

·         Demonstrates an awareness of patient safety and proper body mechanics when moving patients or equipment.

·         Demonstrates a thorough knowledge of departmental safety policies and procedures; participates in identification and evaluation of potential department safety problems and precautions as observed and documented.

·         Adheres to department specific OSHA and infection control guidelines regarding health maintenance and infection prevention 100% of the time as observed and documented.

·         May function as backup in the instrument room – must be able to wash, sterilize and wrap instruments.

·         Assists with the orientation of new personnel as assigned.  May train newly hired staff as assigned.

·         Other duties as assigned.

SUPERVISORY RESPONSIBILITIES:

No direct reports to this position

LANGUAGE SKILLS:

Ability to communicate effectively with staff, peers, physicians and the public. Ability to speak and understand English fluently.

PHYSICAL DEMANDS:

Moderate physical effort working in an indoor environment.  Moderate sitting and keyboarding. Efforts consisting of standing, walking, pushing, pulling, bending, reaching, and stooping.  Frequently lifting and/or moving up to 25 pounds with occasional lifting and moving of a maximum of 50 pounds. Must be able to respond quickly and effectively to an emergency.

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

WORK ENVIRONMENT:

Exposed to bloodborne pathogens, anesthetic gases, sterilizers, electrical and mechanical hazards, confused or combative patients bio-contaminated waste and unpleasant elements.  Subject to stressful situations; occasional long or irregular hours.

The above statements reflect the general duties considered necessary to describe the principle functions of the job as identified, and shall not be considered as a detailed description of all work requirements that may be inherent in the position.