Certified Surgical First Assistant

Duke University•Durham, NC

45d•Onsite

About The Position

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. About Duke University Hospital Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States. The largest of Duke Health's four hospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more. General Description of the Job Class The Certified Surgical First Assistant (CSFA) will support the continuity of care for Perioperative patients. The scope of practice includes preoperative patient care management, intraoperative surgical first assisting, and postoperative patient care management. The role will help expedite surgical productivity, support the education of surgical residents, 2nd assist where needed, and first assist the Surgeons when surgical Residents are not available. The CSFA will provide patient care for all ages and provide leadership and direction to the perioperative team where needed. The CSFA in surgery collaborates with the surgeon and the health care team in performing a safe operation with optimal outcomes for the patient. The CSFA practices in collaboration with and at the surgeon's direction during the intra- operative experience.

Requirements

Graduates from a CSA/CFA program from:
Commission on Accreditation of allied health Education Programs (CAAHEP).
American Board of Surgical Assistants (ABSA)/SA-C,
National Assistant at Surgery Certification (NASC) or CCI Institute/ CRNFA
Associate of Science in Surgical Technology preferred.
3 years of experience as a Surgical Technologist.
Certified Surgical Technologist (CST)
Certified Surgical First Assist (CSFA)
BLS certification from American Heart Association required
CSFA must have sound clinical knowledge of technology and treatment applications; must also possess skills to educate/train staff and complies with AORN education standards for the CSFA; and a demonstrated knowledge of the surgeries in which the CSFA participates. Must have sound clinical OR skills (scrubbing) and have excellent interpersonal skills and organizational capability.

Responsibilities

The Certified Surgical First Assistant (CSFA) possesses and demonstrates competencies related to all aspects of perioperative care, including preoperative review of patient history and physical, preoperative tests results, and postoperative transfer of care and monitoring for complications.
The CSFA serves as the first assistant in designated surgical procedures under the direct supervision of the operating surgeon/physician; handles all variety of tissue appropriately to reduce the potential for injury or compromised blood supply; uses surgical instruments properly, employs principles of safe tissue handling.
Provides exposure to the operative site
Provides and maintains hemostasis
Performs wound closure
Demonstrates advanced knowledge of normal and pathological anatomy and physiology
Safely positions patients for the surgical procedure and assists with transport to and from the operative suite
Assists surgeon in identifying patient and staff safety hazards
Surgical prepping and draping of patients for the surgical procedure
Provides exposure of the operative site by the appropriate use of retractors
Manipulates equipment and instruments to enhance the visual 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
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
Maintains current knowledge of procedures performed
The Certified Surgical First Assistant may take a scrub role when not needed as a first assistant.