Surgical First Assist

HCA Healthcare•San Antonio, TX

About The Position

The Surgical First Assistant works as a member of the perioperative team under the direction of the surgeon. The role 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. Within the scope of the job description, the Surgical First Assistant performs clinical and technical skills under surgeon supervision to help carry out safe operations and achieve optimal patient results, collaborating with the circulating RN and other perioperative and OB team members. The role requires skill in using surgical instruments on tissues and handling instruments; the Surgical First Assistant does not concurrently function as the scrub nurse. The position requires a high school diploma or GED, successful completion of an accredited surgical first assistant training program, and one of the specified education or experience pathways. New hires as of March 29, 2011 must also have two years of perioperative experience within the preceding four years in either a surgical technologist or surgical first assistant role. The employee completes initial and ongoing training and competencies as defined by the service line, facility, and department or unit, based on the needs of the patient population served where applicable. The employee must maintain one of the listed surgical technologist or surgical first assistant certifications or licenses.

Requirements

  • High school diploma or GED.
  • Successful completion of an accredited surgical first assistant training program.
  • Meet one of the following pathways: graduate or completion of a CAAHEP Surgical First Assistant or Surgical Assistant program; medical school graduate; allied health professional with 2,250 hours of surgical rotation; or practiced as a surgical technologist before September 1, 2009.
  • For new hires as of March 29, 2011: two years of perioperative experience within the last four years in either a surgical technologist or surgical first assistant role.
  • Must have and maintain one of the following credentials: CST through NBSTSA; TS-C through NCCT; SA-C through ABSA; CSA through NSAA; CSFA through NBSTSA; or LSA through the Texas Medical Board.

Responsibilities

  • Work as a member of the perioperative team under the direction of the surgeon.
  • Perform Surgical Technologist and Surgical First Assistant responsibilities according to department needs and as directed by the unit director or designee.
  • Perform clinical and technical skills within the role's scope under surgeon supervision to assist with safe operations and optimal patient results.
  • Collaborate with the circulating RN and other perioperative and OB team members.
  • Use surgical instruments on tissues and handle surgical instruments; do not concurrently function as the scrub nurse.
  • Complete initial and ongoing training and competencies defined by the service line, facility, and department or unit, as applicable to the patient population served.

Benefits

  • Comprehensive medical, prescription drug, dental, vision, behavioral health, and telemedicine benefits.
  • Wellbeing support, including free counseling and referral services.
  • Paid time off, paid family leave, long- and short-term disability coverage, and leaves of absence.
  • 401(k) plan with a 100% match on 3% to 9% of pay, based on years of service.
  • Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support, and financial wellbeing counseling.
  • Tuition assistance, student loan assistance, certification support, dependent scholarships, and a partnership with Galen College of Nursing.
  • Fertility and family-building benefits and adoption assistance.
  • Life insurance and supplemental health protection plans.
  • Auto and home insurance, legal counseling, identity theft protection, and consumer discounts.
© 2026 Teal Labs, Inc
Privacy PolicyTerms of Service