Lead Surgical First Assistant in San Antonio, Texas, United States
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Methodist Hospital Specialty and Transplant

Lead Surgical First Assistant

San Antonio, TX, United States
Full-time  Days (Rotating Weekends) 
Category: Registered Nurse • Job ID: 1599046

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Description

Introduction

Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a(an) Lead Surgical First Assistant today with Methodist Hospital Specialty and Transplant.

Benefits

Methodist Hospital Specialty and Transplant, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

  • Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
  • Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
  • Free counseling services and resources for emotional, physical and financial wellbeing
  • 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  • Employee Stock Purchase Plan with 10% off HCA Healthcare stock
  • Family support through fertility and family building benefits with Progyny and adoption assistance.
  • Referral services for child, elder and pet care, home and auto repair, event planning and more
  • Consumer discounts through Abenity and Consumer Discounts
  • Retirement readiness, rollover assistance services and preferred banking partnerships
  • Education assistance (tuition, student loan, certification support, dependent scholarships)
  • Colleague recognition program
  • Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
  • Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

Come join our team as a(an) Lead Surgical First Assistant. We care for our community! Just last year, HCA Healthcare and our colleagues donated $13.8 million dollars to charitable organizations. Apply Today!

Job Summary and Qualifications

The Surgical First Assistant lead works as a member of the perioperative team under the direction of the surgeon. He/she performs responsibilities of both the Surgical Technologist and the Surgical First Assistant based on department needs and as directed by the unit director or designee. The Surgical First Assistant lead practices within the scope of the job description and performs clinical and technical skills under surgeon supervision to assist with carrying out a safe operation with optimal patient results. This is done in collaboration with the circulating RN and other perioperative/OB team members. The Surgical First Assistant is educated and skilled in both the use of surgical instruments on tissues and the handling of instruments; however, the surgical first assistant does not concurrently function as the scrub nurse. Provides a leadership role to support and guide other first assistants and scrub technicians in promoting optimum patient care and team work within the surgical team; includes mentoring and assisting surgical technicians and surgical first assistants on a daily basis.  

What you will do in this role:

  •  Consistently functions at the direction of and under direct supervision (physical presence of the attending surgeon in the procedure/treatment room) of the attending surgeon. The surgical assistant scope includes: 
  •  Providing visualization of the operative site through appropriate placement and securing of retractors with or without padding, packing or sponges; digital manipulation of tissue; suctioning, irrigation or sponging; manipulation of suture materials; proper use of body mechanics to prevent obstruction of the surgeon’s view. 
  • Utilizing appropriate permanent and temporary techniques to assist with hemostasis. Permanent hemostasis techniques include clamping and/or cauterizing vessels and tissue, tying and/or ligating clamped vessels or tissue, applying hemostatic clips, or placing hemostatic agents. Temporary hemostasis techniques include applying tourniquets and demonstrating awareness of the indications/contraindications for use with knowledge of side effects of extended use; applying vessel loops, non-crushing clamps, or direct digital pressure. 
  • Administering post-operative subcutaneous local anesthetic injection iv. Utilizing running or interrupted sutures with absorbable or non-absorbable material of wound layers, including muscle and fascia. v. Assisting with placement of implants vi. Robotic procedures only: Insertion of subsequent (not initial) trocars. Must have documented training and competency validated (initially within by MHS Medical staff member privileged to perform robotic surgery. The documentation must include directly supervised trocar insertions on a minimum of 5 patients with good patient outcomes. 
  • Saphenous Vein Harvesting only: May harvest saphenous vein through endoscopic or open technique. Must have documented training and competency validated by a MHS Medical staff member privileged to perform Cardiothoracic surgery. The documentation must include directly supervised saphenous vein harvests on a minimum of 10 patients with good patient outcomes.  
  • Under direct or general perioperative supervision (surgeon/proceduralist presence in the perioperative area (pre-op department, perioperative suite, PACU, OR/procedure waiting room) and is immediately available), the surgical assistant scope includes closure of body planes and applies wound dressings per the method indicated by the attending physician:  i. Utilizing sub-cuticular closure technique with or without adhesive skin closure strips ii. Skin closure with suture, staples and/or spray occlusive material/skin adhesive strips iii. Securing drainage systems to tissue iv. Application of immobilizing dressing
  •  Consistently assists with maintaining the patient’s expected physiologic responses to surgery including infection prevention (SCIP measures and practices, maintaining effective disinfection practices, instrument processing, and sterilization).Applies a working knowledge of patient preoperative deficits, risk for intraoperative injuries, and possible post-operative outcomes to assist in optimal patient outcomes. Demonstrates principles of safe patient positioning for best exposure in collaboration with the surgical team using appropriate positioning equipment to ensure padded pressure points, protection from nerve damage and unimpaired circulation  
  •  Demonstrates effective communication and works collaboratively with all members of the perioperative team to include active consistent participation in Universal Protocol and timely and accurate sponge and sharp counts to include initiating corrective action as appropriate. 
  •  Acts as a mentor and preceptor for surgical first assistants and surgical technicians; conducts and/or coordinates inservices for staff as directed; participates in unit special projects as requested.
  •  Functions in the role of a Surgical Technician as needed by the department; however, does not concurrently perform as the surgical first assistant and surgical technologist. Wears proper surgical attire, opens sterile packs, instruments, and supplies for each procedure, scrubs, gowns, gloves, and drapes according to established aseptic technique and protocols. Monitors sterile field during procedure and takes appropriate measures to insure integrity of sterile field and maintenance of sterile techniques. Initiates corrective action for any break in technique.  

What qualifications you will need:

  • Education: Must have completed ALL of the following: 
  • 1. High School Diploma or GED2. Successful completion of an accredited surgical first assistant training program. 
  • 3. Meets ONE of the following: 
  • A. Graduate/completion of CAAHEP Surgical First Assistant, Surgical Assistant Program, Medical School Graduate OR an allied health professional with 2250 hours of surgical rotation. 
  • B. Practiced as a surgical technologist prior to 9/1/2009
  • Experience: New hires as of 3/29/2011- 2 years experience in the perioperative setting within the last 4 years in either a surgical technologist or surgical first assistant role.
  •  Must have and maintain ONE of the following: 
  • A. Surgical Technologist Certification 
  • i. CST – Certified Surgical Technologist through the National Board for Surgical Technology and Surgical Assisting (NBSTSA) (formally the Liaison Council on Certification for the Surgical Technologist) OR 
  •  ii. TS-C- Tech in Surgery, Certified through the National Center for Competency Testing (NCCT) 
  • B. Surgical First Assistant certification 
  • i. SA-C – Surgical Assistant, Certified through the American Board of Surgical Assistants (ABSA) 
  • ii. CSA – Certified Surgical Assistant through the National Surgical Assistant Association (NSAA) 
  • iii. CSFA (formally CFA) – Certified Surgical First Assistant through the National Board of Surgical Technology and Surgical Assisting (NBSTSA) 
  • C. LSA- Licensed Surgical Assistant through the Texas Medical Board

Methodist Hospital Specialty and Transplant has been nationally recognized for its record setting kidney, liver and pancreas transplant programs. It is home to the Texas Transplant Institute and is the largest living donor kidney transplant program in the US. According to the United Network of Organ Sharing database, the center reached a major milestone in 2019 by performing 231 living donor kidney transplants in a single year setting a new national record - that’s 65 more transplants than the second center on the list.

In addition to transplant care, Methodist Hospital Specialty and Transplant is a full service hospital with over 260 beds that provides specialized services for liver cancer care, emergency care, weight loss surgery, urology surgery, vascular surgery, inpatient rehabilitation, colorectal surgery and behavioral health care. It is a designated Center of Metabolic and Bariatric Surgery Excellence by the American Society for Bariatric Surgery. Our Sexual Assault Response Team provides a compassionate environment for sexual assault survivors ages 13+, serving as a model for hospitals and agencies all over the world. Methodist Hospital Specialty and Transplant prides itself on providing the highest quality of patient care possible as proven by their consecutive Grade A scores from the Leapfrog’s Hospital Safety Grade survey and ranking in the nation’s top quartile for patient experience. For more information, please visit our website at www.sahealth.com and select Methodist Hospital Specialty and Transplant under Locations.


"The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Lead Surgical First Assistant opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

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