First Assist Surgical Technologist

West Des Moines OBGYN Associates, PC•West Des Moines, IA

About The Position

The First Assist Surgical Technologist functions as an integral member of the surgical team, providing advanced technical assistance to the surgeon during obstetrical and gynecological procedures. Responsibilities include maintaining a sterile field, assisting with surgical exposure, tissue handling, hemostasis, suturing, and patient safety throughout operative procedures. The role collaborates closely with physicians, nurses, anesthesia providers, and other healthcare professionals to support optimal patient outcomes. The position also includes office duties such as setting up and tearing down for office hysteroscopy, scheduling surgeries, and obtaining prior authorizations when needed. Work takes place in hospital operating rooms, labor and delivery suites, outpatient surgical centers, and office procedure settings, with exposure to bloodborne pathogens, body fluids, and surgical equipment.

Requirements

  • Graduate of an accredited Surgical Technology program.
  • Certified Surgical Technologist (CST) certification required.
  • Current Basic Life Support (BLS) certification required.
  • Extensive knowledge of OB/GYN anatomy and surgical procedures.
  • Proficiency in surgical instrumentation and aseptic technique.
  • Ability to anticipate surgeon needs during procedures.
  • Strong communication and teamwork skills.
  • Ability to work effectively in high-stress and emergency situations.
  • Strong attention to detail and organizational skills.
  • Ability to stand for extended periods and perform the physical demands of the position.
  • Ability to lift, push, and pull equipment and supplies up to 50 pounds.
  • Manual dexterity for handling surgical instruments.
  • Visual acuity and fine motor skills required for job duties.

Nice To Haves

  • Certified Surgical First Assistant (CSFA) certification preferred.
  • At least 2 years of operating room experience preferred.
  • Previous experience in OB/GYN and women's services preferred.
  • Experience assisting with cesarean sections and gynecologic procedures highly desirable.

Responsibilities

  • Set up and tear down for office hysteroscopy.
  • Schedule surgeries and obtain prior authorizations for surgeries when needed.
  • Serve as first assistant during OB/GYN procedures, including cesarean sections, hysterectomies, dilation and curettage, laparoscopic gynecologic procedures, operative hysteroscopies, and other obstetrical and gynecological surgeries.
  • Provide visualization and exposure of the operative site using appropriate retractors and positioning.
  • Assist with tissue manipulation, suctioning, sponging, clamping, cutting, and suturing as directed by the surgeon.
  • Maintain hemostasis using approved techniques and equipment.
  • Prepare and handle specimens according to established protocols.
  • Prepare operating rooms with required instruments, equipment, and supplies; verify equipment and instrument functionality.
  • Review procedure schedules, anticipate surgical needs, and assist with patient positioning and surgical site preparation.
  • Ensure compliance with infection prevention and sterile technique standards.
  • Maintain the sterile field, anticipate surgeon needs, provide instrumentation, perform surgical counts with the circulating nurse, and promptly address breaks in sterility.
  • Assist with emergency procedures as necessary.
  • Assist with wound closure and dressing application, final instrument, sponge, and needle counts, and turnover preparation for subsequent cases as needed.
  • Promote patient safety and quality care, maintain confidentiality in accordance with HIPAA, and adhere to hospital, department, and regulatory standards.
  • Participate in quality improvement and performance initiatives.
  • Respond appropriately during obstetrical and surgical emergencies.
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