Oct 20, 2021

Surgical Assistant - Operating Room (Part-time)

  • Augusta Health
  • Fishersville, VA, USA

Job Description

Description:

Essential Functions

1. General Surgical Assistant Skills:
2. Demonstrate the ability to communicate the surgeon’s preference and specific patient’s needs to surgical team including but not limited to suture needs, specialty supplies and instrumentation, and equipment.
• Verifies all implants, supplies and special procedure equipment is ability and functional (i.e. microscope, tourniquet, etc)
• Facilitates a cooperative team atmosphere through professional communication
• Listens activity to surgeon, patient, and team to ensure safe patient-centered care.
• Maintains awareness of patient monitoring and responds appropriately to potential complications
3. Demonstrate the ability to apply advanced knowledge of normal and pathological surgical anatomy and physiology.
4. Demonstrates Aseptic Skills:
• Monitors the actions immediately surrounding the sterile field ensuring that the integrity is maintained and/or corrected appropriately.
• Evaluates potential causes of surgical site infections, communicating concerns and possible corrective actions to prevent and/or treat potential contamination.
5. Acquires continuing education annually to maintain current competence and credential regarding specific skills and techniques including aseptic technique. Bases decisions on research-based evidence.
6. Participates in the education of allied health personnel including SA and ST students.
7. Preoperative Role:
• Verifies patient identification, allergies, NPO status, procedure, surgical site, consent, history and physical on chart.
• Inspects skin integrity for signs of infection, compromised perfusion or other signs of potential risk.
• Ensures x-rays and applicable diagnostic exams are available for surgeon.
• Ensures placement of monitoring devices does not interfere with access or prep.
• Ensures position of patient provides the necessary exposure for the procedure, as well as the surgeon preference.
• Demonstrates insertion of Foley catheter; prevents potential complications, as indicated.
• Demonstrates competency in all positioning techniques for the surgeries they are participating in. These competencies include, but are not limited to:
i. Prevention of nerve damage
ii. Proper rotation of extremities
iii. Prevent of circulatory or respiratory compromise
iv. Prevention of patient sliding on bed due to tilting or Trendelenburg
v. Proper handling and placement of lines.
• Demonstrates safe stabilized placement on the appropriate bed/table, with appropriate operation, set up, safety measures, and utilization of all necessary equipment, stabilizers, padding, wrapping and/or attachments.
• Maintains knowledge of new or upgraded positioning equipment supplies and positioning techniques through continuing education.

8. Specifics regarding surgical skin prep:
• Ensures safe placement of tourniquet, extremity padded correctly, safety precautions followed and the accuracy of the settings for tourniquet inflation.
• Ensures skin prep will provide the necessary exposure for the surgical procedure, any possible drain sites and/or possible extension of the operative incision, as well as surgeon preference
9. Specifics regarding draping:
• Streamlines the establishment of the sterile field.
• Coordinates the draping procedure effectively correcting any breaks in aseptic technique
• Secures lines and cords in a manner that prevents loss of integrity
10. Intraoperative Care:
• Demonstrates the ability to provide intraoperative skills such as visualization, trocar insertion (as referenced in the ASA Trocar Guidelines), injection of local anesthetics (as referenced in the ASA Local Anesthesia Guidelines), hemostasis, tissue handling, placement and securing of wound drains, and closure of body plans.
• Utilizes the OR equipment pertinent to the surgical procedure. All actions shall facilitate the progress of the surgery, as well as anticipate the preference of the surgeon. This shall include, but not be limited to:
i. Hemostatic equipment and supplies, including monopolar, bipolar, harmonic scalpel, ultrasonic, medications, sponges, etc. Includes appropriate safety precautions such as the placement of grounding pad, assist scrub and circulator with accuracy of counts when necessary, etc.
ii. Knowledge of and use of any and all laparoscopic and robot equipment necessary for a procedure such as: Camera, light cord, inserting/removing trocars, grasper, scoops, sprayers, suction/irrigation systems, clamps, tenaculums, etc.
iii. Knowledge of and use of any open procedure equipment necessary for procedures, including: tissue forceps, retractors, clamps, scissor, sponges, suction, irrigation, use of hemostatic agents, etc.
iv. Any further applicable instrumentation or actions deemed necessary by the surgeon.
• The surgical assistant should be proficient in all pertinent abilities required during a procedure. The surgical assistant shall follow any necessary and appropriate methods applicable to the procedure, as well as surgeon preference. These shall include, but not be limited to;
i. Clamping, cauterizing, suturing, inserting, injecting, manipulating, retracting, cutting, and ligating tissue as necessary
ii. Any necessary involvement in hemostatic, including but not limited to the utilization of ties, vessel loops, clips appliers, digital pressure, packing, appropriate manipulation of sutures
iii. Participation in volume replacement or auto transfusion techniques as necessary and appropriate.
iv. Any further applicable instrumentation or actions deemed necessary by the surgeon.
• The surgical assistant should be capable of working independently or co-dependently with the surgeon, these actions shall include but are not limited to;
i. Participates in quality improvement process that include standardized approaches, checklist interventions such as the Michigan Keystone Surgery Project regarding surgical site infection to improve patient care and Time Out procedures to improve patient safety.
ii. Initiates appropriate actions or instrumentation in collaboration with the surgeon.
iii. Utilizes appropriate suturing techniques, according to surgeon preference, with closure of body planes and utilizing proper manipulation of suture.
iv. Using running, or interrupted suture techniques
v. Including absorbable and non-absorbable sutures, staples, adhesives, strips, etc.
vi. Demonstrates ability to administer local anesthetic, according to surgeon preference.
vii. Demonstrates ability to secure drainage systems
viii. Demonstrates ability to apply dressings, splints, casts and immobilizers/stabilizers, according to surgeon preference.
ix. Evaluates the patient for any possible damage from positioning. This shall include a skin assessment. Any abnormal condition should be reported to the surgeon, and appropriate treatment be carried out according to surgeon instruction.
11. Postoperative Care
• Demonstrates the ability to provide postoperative skills in patient care such as dressing application, patient transfer and transport, transfer of care, and monitoring for immediate complications.
• Collaborates with others to provide continuity of care.

Experience: One year of experience as a Certified Surgical First Assistant

Education Requirements: CSFA through the National Board of Surgical Technology and Surgical Assisting (NBSTSA)

And/or

CSA through the National Surgical Assistant Association

License Desired: Current Licensed Surgical Assistant

Some benefits of working at Augusta Health include:

• Insurance package including health, dental, and vision • Retirement savings helping you to plan for your future • Generous paid time off to promote work life balance • Free onsite parking • 24/7 armed security to ensure your safety • Shift and weekend differentials • Flexible scheduling • Clinical ladder career path program • Shared governance • Tuition reimbursement • Onsite child care • Augusta Health Fitness Reimbursement Program • Individualized orientation with dedicated preceptor • Onsite credit union • Employee discounts including the cafeteria, gift shop, pharmacy, and movie tickets

Equal Opportunity


Augusta Health recruits, hires and promotes qualified candidates for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, race, religion, sex (including pregnancy), sexual orientation, veteran or military discharge status, and family medical or genetic information.