Surgical Assistant –
The Surgical Assistant possesses and demonstrates competencies related to the preoperative and intraoperative aspects of care. The Assistant is a team member who participates with an interdisciplinary team of clerical, ancillary technical staff, nurses, technicians, anesthesiologists and Physicians / Surgeons to provide safe and effective care on any type of surgical procedure, as directed. Works a scheduled shift, but also takes call after regularly scheduled hours with a 30 response time. Demonstrates a commitment to the mission of Swedish Covenant Hospital and demonstrates a service orientation and adheres to all responsibilities and standards of the Hospital.
Overview of Job Duties and Knowledge
Serves as first or second assistant in designated surgical procedures under the direct supervision of the operating surgeon / physician; handles all variety of tissue appropriately to reduce potential for injury or compromised blood supply; uses surgical instruments appropriately, employs principles of safe tissue handling; provides exposure to operative site; provides and maintains hemostasis and performs wound closure; demonstrates advanced knowledge of normal and pathological anatomy and physiology.
Detail Of Job Duties – Under the direction of the Surgeon, Anesthesiologist and Circulating Nurse, duties will include, but not be limited to the following:
Safely positions of patients for the surgical procedure and assists with transport to and from the operative suite
Assists surgeon in identifying patient and staff safety hazards (such as identifying structures that should not be ligated, break in surgical technique, exposed sharps, etc)
Surgical prepping and draping of patients for the surgical procedure
Provides exposure of the operative site by the appropriate use of retractors, by placing and moving the retractors when necessary, with awareness to anatomical structures
Manipulates equipment and instruments to enhance the visual field (e.g. steering and focusing of laparoscopic cameras to aim at the surgical field)
Suctions and sponges to maintain a dry surgical field resulting in an optimal visualization of the surgical field
Provides counter-traction of tissue utilizing various instruments (e.g. retractors and forceps)
Assists with maintaining hemostasis to reduce potential for fluid volume deficits by clamping / ligating vessels, using electrocautery to tissue, applying manual direct pressure, assisting with use of pharmaceutical agents (e.g. topical thrombin) and other means as directed by the surgeon / physician
Ties and cuts sutures
Skillfully sutures all varieties of tissues / tissue planes with appropriate suture materials and suturing techniques. Assists in closure of wound or independently closes wound under the direction of the surgeon.
Assists and independently applies dressing and tape at the end of the surgical procedure using proper aseptic / sterile techniques
As directed by nurse manager or circulating nurse during the perioperative period.
Behavioral Responsibilities and Other Attributes of Performance
Maintains current knowledge of procedures performed
Assumes on-call responsibilities as assigned
Maintains patient safety at all times
Assists in the orientation of new personnel
Attends in-services and staff meetings to maintain skills and seek to increase knowledge base
Ability to observe attentively
Ability to communicate effectively with all members of the operative team
Ability to function as a team member
Ability to prioritize and be flexible in a department with frequent changes in scheduling and work-flow
PATIENT CARE / AGE-SPECIFIC RESPONSIBILITIES AND QUALIFICATIONS
Patients vary in age from pediatric to geriatric; responsible for the needs of patients of all ages
EDUCATION One of the Below
Graduate of Accredited Medical School
Foreign Medical Graduate eligible to take the ECFMG examination
Graduate of an Accredited Surgical Assistant Program
Bachelor from Accredited Nursing Program
Graduate from Surgical Tech Program
QUALIFICATIONS/BASIC JOB REQUIREMENTS
(One or more of the following)
Certification as a CSA, SA-C, CST/CFA or RNFA through their respective certifying bodies
Must be licensed to practice as a Surgical Assistant in Illinois
Must have a least 1 year of OR experience as a Surgical Assistant or RNFA
Registered Nurse First Assistant
CPR Certification required
First Assistant Certification preferred in ones own discipline (i.e. RNFA, CST/CFA, SA)
INTERNAL AND EXTERNAL CONTACTS
Department staff of various disciplines
Physicians / surgeons
Patients and visitors
Ancillary department staff
ACCESS TO PROTECTED HEALTH INFORMATION
Computer system access for the Nursing Division is assigned based on criteria as specified in Policy # 08-113-0, and on the minimum necessary as described in this job description. Approval for level of access is given by the system administrator (for Nursing Division this is Nursing Informatics) or the department that has ownership of system/module. See computer system Access Control policy. The Surgical Assistant has Access Level F which includes Name, Demographic & Service Specific Clinical (i.e. clinical information specific to the Surgery Department. Meditech access for this job description is the same as NUR.SURSEC. See Policy 08-113-0, Attachment A.
Primarily on feet the major portion of the day
Erratic work schedule, with frequent changes in length and start time of procedure and irregular schedule for breaks and meals
Lifting and positioning of patients
Retracting/holding instrumentation for long periods of time
Pushing/pulling of carts, equipment
Exposure to cleaning chemicals, blood/body fluids or air-borne diseases
The above statements are intended to describe the general nature and level of work performed by employees assigned to this classification. They are not intended to be as an exhaustive list of all responsibilities, duties and skills required of personnel so classified.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information.
Associates or better in Nursing.
Bachelors or better in Nursing.
Technical/other training or better.
1 year: Must have one (1) year of Surgical Assistant or RNFA experience.
Licenses & Certifications
Surgical Assistant, Cert
Surgical Assisistant, Reg