POSITION SUMMARY
Under the direction and supervision of the surgeon, the Surgical First Assist (SFA) is fully engaged in
Quality/No Harm, Customer Experience and Stewardship by providing aid in exposure, hemostasis,
closure, and other intraoperative technical functions to help the surgeon carry out a safe operation with
optimal patient results. The SFA also performs preoperative and postoperative duties to optimize
patient safety and experience. When the SFA is not functioning under the direct supervision of the
surgeon, they will perform technical and support activities in the operating room as a Surgical
Technologist under the direction of a registered nurse.
PRIMARY ACCOUNTABILITIES
1. Properly positions the patient in accordance with surgeon directions to give the best exposure
for procedure and consideration for comfort and safety including padding points of pressure,
guarding against nerve damage, and ensuring circulation is not impaired.
2. Provides visualization of the operative site by appropriately placing and securing retractors,
packing with sponges, digital manipulation of tissue, suctioning, irrigating or sponging, and
manipulating suture materials, while using proper body mechanics to prevent obstruction of
surgeon’s view.
3. Utilizes appropriate techniques to assist with permanent hemostasis (clamping, cauterizing,
direct digital pressure).
4. Participates in volume replacement or autotransfusion techniques as appropriate
5. Utilizes appropriate techniques to assist with closure of body planes utilizing running or
interrupted sutures, subcuticular closures with or without adhesive closure strips, staples, and
postop subcutaneous injection of local anesthetic per surgeon’s directive.
6. Selects and applies appropriate wound dressings including liquid or spray occlusive materials,
absorbent materials affixed with tape or circumferential wrapping, and immobilizing dressings
(soft or rigid).
7. Assists in securing drainage systems to tissue.
8. Demonstrates an ability to perform all duties required of a Surgical Technologist in
accordance with established procedures and completion of skills check list. Certified First
Assists will precept, train and educate staff and team members as appropriate
9. Observes proper technique to prepare operating rooms with appropriate instruments,
sutures, supplies, and equipment; open sterile supplies and arrange sterile setups.
10. Creates, maintains, and terminates sterile field for surgical procedures.
11. Anticipates needs of surgeon and surgical assistants in the operating room, passing
instruments, sutures, sponges, and supplies needed.
12. Properly handles and cares for all instruments and equipment. Checks materials and
equipment for proper functioning and adequacy; reports faulty equipment and instruments
per policy.
MINIMUM QUALIFICATIONS
• Education: Graduate of a Surgical Assisting Program.
• Work Experience: None
• Licensure: None
• Certification: American Heart Association Basic Life Support (AHA BLS) Healthcare Provider
Completion Card prior to start date and maintained.
• Certification in Lieu of Education: Certified Surgical Technologist (CST) from the National
Board of Surgical Technology and Surgical Assisting (NBSTSA) or American Board of Surgical
Assistants (ABSA).
• Skills/Knowledge/Abilities:
o Ability to read, write, speak, and understand English
o Ability to perform basic math
o Extensive knowledge of anatomy and physiology
o Reliable transportation with ability to respond from location within 30 minutes of
assigned facility when on call
o Ability to be flexible and adaptable with daily schedule and assigned tasks
o Ability to respond appropriately to stressful or life-threatening situations.
o Detail-oriented with ability for continuous concentration on an activity.
o Excellent customer service skills with ability to interact effectively with medical staff and
patient care teams.
o Motivated to complete milestones and competencies with ability to receive constructive
o Ability to work autonomously, while consulting chain of command as appropriate.
PREFERRED QUALIFICATIONS
• Work Experience: Previous experience as a surgical assistant or surgical technologist.
• Certification: Certified First Assistant (CSFA) by National Board of Surgical Technology and
Surgical Assisting (NBSTSA).
PHYSICAL REQUIREMENTS
• Physically agile; may require walking, standing, running, bending, stooping, kneeling, climbing,
or crouching frequently
• May occasionally include lifting or moving objects up to 50 pounds, with or without assistance.
• May require moving in different positions to accomplish tasks in various environments including
tight and confined spaces, including reaching out and above shoulders, or overhead.
• May lift, turn, pull, push, or ambulate people and/or equipment with or without assistance up to
90% of the assigned shift.
• May be exposed to inside and outside environments with varied temperatures, air quality,
lighting, and/or low to loud noise.
• May require working with biohazards such as blood/body fluids and airborne particles following
OSHA and CDC guidelines.
• Communicating with others to exchange information.
• Visual acuity and hand-eye coordination to perform tasks.
• May require travel to various facilities within and beyond county perimeter; may require use of
personal vehicle
ABOUT HEALTH FIRST
At Health First, diversity and inclusion are essential for our continued growth and evolution. Working together, we strive to build and nurture a culture that recognizes, encourages, and respects the diverse voices of our associates. We know through experience that different ideas, perspectives, and backgrounds create a stronger and more collaborative work environment that delivers better results. As an organization, it fuels our innovation and connects us closer to our associates, customers, and the communities we serve.
Surgical First Assist Surgical Svs Support Personnel • Melbourne, FL, USA