Job Description - First Assist (PA/NP)
Introduction
We are seeking an experienced First Assist (PA or NP) to join our surgical team, specializing in spine and
orthopedic procedures. This position requires proven experience in both areas, with no training provided. The
ideal candidate will step immediately into a high-volume, fast-paced surgical environment, delivering
exceptional patient care and support to surgeons in the operating room.
Overview
The First Assist will play an integral role in providing seamless surgical support, anticipating the needs of the
surgeon, maintaining sterile technique, and ensuring optimal outcomes for patients throughout the
perioperative process.
Key Responsibilities
- Serve as first assist in spine and orthopedic surgeries, including positioning, prepping, and draping patients.
- Maintain a sterile field and adhere to OR safety and infection control protocols.
- Provide intraoperative assistance including suturing, hemostasis, retraction, tissue handling, and other
technical tasks.
- Communicate effectively with the surgical team to promote efficiency and safety.
- Assist in postoperative wound care, dressing changes, and patient education.
- Complete operative notes and documentation in a timely manner.
- Prepare cases by ensuring instruments, implants, and supplies are ready.
- Collaborate with surgeons, anesthesia providers, nurses, and OR staff.
Qualifications
- Current, unrestricted license as a Physician Assistant (PA) or Nurse Practitioner (NP).
- NCCPA certification (for PA) or board certification for NP.
- Current BLS and ACLS certifications.
- First Assist certification or equivalent experience.
- Minimum 2 years of surgical first assist experience in both spine and orthopedic surgery - required.
- Strong knowledge of OR protocols, sterile technique, and surgical instrumentation.
- Excellent interpersonal and communication skills.
Compensation & Structure
- Competitive salary or per-case rate based on experience.
- Comprehensive benefits package (if applicable).
- Continuing education support and professional development opportunities.
Work Environment
- OR-based across partner hospitals and ambulatory surgery centers.
- Schedule may vary based on surgical volume.
Job Description - First Assist (PA/NP)
- May require travel between assigned sites.
Job Type: Full-time
Pay: $110,000.00 - $150,000.00 per year
Benefits:
Work Location: Remote
Physician Assistant / Anesthesiology / Texas / Locum Tenens / First Assist PA/NP • Dallas, TX, US
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