Certified Surgical First Assistant

The Surgical Clinic•Nashville, TN

About The Position

The Certified Surgical First Assistant (CSFA) provides skilled intraoperative support to surgeons, including operative site exposure, hemostasis, tissue handling, and wound closure. The role helps maintain a sterile and safe environment, advocates for patient safety, and supports an efficient, coordinated surgical workflow. The Surgical Clinic (TSC) is a multi-specialty surgical practice in Middle Tennessee with more than 40 surgeons. Its patient-focused clinics provide access to advanced surgical procedures and emphasize patient care, convenience, and satisfaction. TSC describes its workplace as supportive, collaborative, and innovative.

Requirements

  • High school diploma or equivalent.
  • Certified Surgical First Assistant (CSFA) certification or an equivalent credential awarded before 2000.
  • Expertise in sterile technique, surgical instrumentation, tissue handling, hemostasis, wound closure, and operative site exposure.
  • Strong communication, teamwork, and patient advocacy skills.
  • Ability to perform under pressure in a fast-paced surgical environment.
  • Ability to stand for extended periods during surgical procedures.
  • Capacity to lift, move, or assist in transferring patients and heavy surgical equipment.
  • Manual dexterity for precise tissue handling, suturing, and instrument use.
  • Visual acuity and fine motor skills for detailed surgical tasks.
  • Ability to bend, stoop, and reach as needed.

Nice To Haves

  • A minimum of one year of experience as a surgical technologist with hands-on proficiency in assisting with surgical procedures.

Responsibilities

  • Uphold sterile technique, infection-control practices, and surgical safety protocols throughout perioperative care.
  • Assist surgeons by optimizing operative-field exposure, maintaining hemostasis, handling and manipulating tissue, suturing, assisting with wound closure, and anticipating the surgical team's needs.
  • Prepare patients for surgery by verifying identity and procedure, confirming surgical site markings, positioning patients safely, and assisting with skin preparation.
  • Set up surgical instruments, equipment, and supplies; check functionality; and support efficient intraoperative workflow.
  • Monitor and assess patient status during surgery, recognize changes in vital signs or surgical conditions, and communicate relevant information to the surgical and anesthesia teams.
  • Handle specimens, drains, implants, and biohazard materials according to ASC policies, regulatory standards, and chain-of-custody requirements.
  • Protect patient safety, privacy, and confidentiality and advocate for adherence to perioperative standards.
  • Mentor, collaborate with, and support perioperative team members.
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