Certified First Assistant

Nashville, Tennessee
Competitive Salary
Nov 10, 2017
Feb 07, 2018
Med / Surg
Contract Type

HCA has been recognized as a Worlds Most Admired Company
in the Health Care Medical Facilities Industry by Fortune Magazine. The Ambulatory Surgery Division of HCA operates and jointly owns with physicians 130 surgery centers across the United States. Our cases are performed Monday-Friday which means NO nights, NO weekends, or On-call
will be required. The size of our surgery centers naturally creates a culture where everyone knows one another with a shared focus on providing the best possible experience for those that we serve. We are currently in search of additional members to join our team! 

We value you and your future. We provide multiple health insurance plan options, tuition reimbursement, and many more programs to cover a wide variety of todays life and family needs.  In addition to your salary and health insurance benefits, HCA provides a matching 401k as well as an Employee Stock Purchase Plan (ESPP). Members of HCA receive consumer discounts on cell phones, hotels, rental cars, and many others. Interviews are being set immediately, you are encouraged to apply today!

Under the direction of the operating surgeon, the Certified First Assistant contributes to the companys mission and vision by assisting with the provision of safe and effective nursing care in accordance with a defined scope of practice and the standards and policies of the center that may include: function as first/second assistant to surgeon during the operative procedure, providing aid in exposure, hemostasis, and other technical functions to ensure safe and efficient outcomes, as well as restocking and changing over rooms between cases, and other designated patient care duties as assigned.   SUPERVISOR - Nurse Manager, Surgeon/Supervising Physician, or designee.


- None CLASSIFICATION - Non-Exempt


  • Demonstrates necessary practical, technical or specialized knowledge and skills required for the role of the surgical assistant in accordance with ASA (Association of Surgical Assistants) and
other regulatory standards of practice.
  • Communicates with the surgeon prior to the case to ascertain specific needs. Shares information with the remainder of the surgical team in a timely manner.
  • Assists with patient positioning, skin preparation, and surgical draping according to surgeons protocol.
  • Anticipating the needs of the surgeon in order to expedite the procedure, while minimizing the patients exposure to surgical and anesthetic stress.
  • Temperature of patient is discussed anesthesia personnel to and methods used to maintain the desired temperature range.
  • Assists the surgeon by providing retraction and aiding exposure of the operative site. 
  • Facilitates hemostasis of the surgical site by performing suction, irrigation and sponging the operative site during a surgical procedure.
  • Assists with skin or external suturing and stapling as per surgeons directive.
  • Assist with clamping and/or cauterizing vessels or tissue, as directed.
  • Applying hemostatic clips, as needed.
  • Applying tourniquets and demonstrating awareness of the indications/contraindications for use with knowledge of side effects of extended use.
  • Participate in volume replacement or autotransfusion techniques as appropriate.
  • Assists with securing drainage systems and dressings.
  • Provides hemostasis by clamping blood vessels, coagulation bleeding points, ligation of vessels and by other means as directed by the surgeon.
  • Assists with application of dressing splints, and casts.
  • Assists in preparing the operative suite for surgery by checking and gathering supplies, equipment, and instruments.
  • Ensures availability of adequate supplies, equipment and instruments for scheduled cases and assists in opening cases in a sterile manner.
  • Utilizes physician preference cards to set up each case; updates cards when indicated, and routing updated cards in the approved manner.
  • Ensures that instruments are working properly before and after each case.
  • Conscientiously observes and reports any breaks in sterile technique to attending surgeon and RN circulator.
  • Ensures that surgical asepsis is maintained in the handling of instruments, sponges, sutures, drains, needles, and dressings.
  • Ensures accurate sponge, needle, and instrument counts are completed when indicated and prior to patient leaving the OR, as appropriate.
  • Remove drapes at the completion of procedure and assist with preparing patient for transfer to the PACU staff to ensure continuity of care.
  • Facilitates effective and efficient transition between surgical procedures.
  • Assists in the turnover of the O.R. suites between cases, disposing of trash and linens, and cleaning of equipment and environmental surfaces, as required.
  • Utilizes appropriate body mechanics in moving patients, stretchers, and OR tables and other equipment to prevent injury to patient and self.
  • Participates in detailed time out process and ensures it is done according to policy. 
  • Assists in the maintenance and care of specimens. Identifies specimen with surgeon and passes specimen to the circulating RN.  Verifies correcting labeling, as per policy.
  • Recognizes emergency situations and responds effectively in a calm and controlled manner.
  • Assists circulating nurse during local procedures as assigned.
  • Adheres to Standard Precautions.
  • Utilizes Personal Protective Equipment, as per policy.
  • Remains aware of safety precautions required to minimize the possibility of patient injuries e.g. Prevention of Surgical Fires.
  • Handles instruments and supplies during and after procedure to minimize injury to self and others.
  • Demonstrates knowledge related to maintenance, cleanliness, and sterilization of instruments and equipment. Maintains a sanitary environment for the provision of patient care.
  • Appropriately handles the disposal of biohazardous materials/wastes.
  • Restocks area daily, using appropriate par levels and daily stock sheets, as per facility practice.
  • Prepares procedure room for use the following day by bringing in equipment, setting up, "pulling cases" accurately, and reporting to supervisor items that are needed and not available, as per facility practice. 
  • Spends appropriate time and energy on tasks and assignments based on the policies that are supportive of the Centers goals and objectives.
  • Functions independently according to job responsibilities and within scope of practice utilizing current standards of care.
  • Takes personal initiative to maintain current BCLS, and other required certification (if indicated) current as defined by job role.
  • Uses facility resources appropriately and avoids wasteful practices.
  • Attends all mandatory in-services, staff meetings, and participates in emergency drills.
  • Participates in the orientation of new employees.
  • Completes annual competency and other required education as assigned.
  • Maintains confidentiality of records and patient information at all times.
  • Practices and adheres to the “Code of Conduct” philosophy and “Mission and Value Statement”.
  • While this is intended to be an accurate reflection of the current Position, it is not necessarily an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Management reserves the right to revise the Position or require that other or different tasks be performed when circumstances warrant (i.e. emergencies, changes in personnel or staffing, workload, rush jobs, or technical developments).

Age Specific Care:

  • The patient care requirements may include those of pediatric, child and adolescent when such patient populations are served, as well as adult and geriatric.



·         Supports and adheres to all company and Center policies and procedures. ·         Supports and adheres to HCA Code of Conduct, related Ethics and Compliance policies, and HIPAA requirements. ·         Supports and adheres to personnel policies and programs which specify privileges and responsibilities of employment, including compliance with an adverse incident reporting system, quality improvement program, patient safety initiatives, and risk management program. ·         Participates in Best Practices, Quality/Risk Initiatives, RCAs and other teams to improve patient care. ·         Interacts with patients, fellow employees, physicians, and other stakeholders in a manner which encourages quality patient care, harmonious working relationships, positive customer relations, and which enhances the image and reputation of the center.  ·         Demonstrates dependability and accountability. ·         Demonstrates a willingness to help others. ·         Supports the centers mission by providing flexibility in assignment changes, dependability in attendance, punctuality, timely completion of assignments. ·         Maintains a professional image through proper attire, language, and conduct. ·         Keeps management informed of any malfunctions in instruments, equipment, and supplies. ·         Displays willingness to speak up about safety issues or change practices to enhance safety; asks for help when needed; enhances teamwork; follows the safety standards/practices/policies.


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