SURGICAL FIRST ASSISTANT

INSIGHT Surgical HospitalChicago, IL
Onsite

About The Position

The Surgical First Assist (SFA) is a highly skilled, clinically proficient professional who works directly under the supervision of the attending surgeon to provide advanced intraoperative support. This role extends beyond traditional assisting — it requires a forward-thinking mindset focused on innovation, efficiency, and collaboration across the surgical continuum. The SFA serves as a key resource in developing and implementing process improvements, integrating new technologies, and advancing surgical outcomes. Clinical skills performed under direct supervision of the surgeon include but are not limited to: incision, dissection, clamping, cutting, tying, providing hemostasis, insertion of laparoscopic ports, and closure of body planes & skin. The SFA collaborates closely with all surgical team members to facilitate through-put and optimize safe patient care. They may function in the scrub role for a variety of surgical procedures as needed.

Requirements

  • Certified Surgical First Assist (CSFA), Certified First Assistant (CFA), or Physician Assistant (PA-C) / RNFA credential required.
  • Minimum 3–5 years of surgical experience; advanced proficiency in multiple specialties preferred (e.g., Orthopedic, Neurosurgery, General, or Robotics).
  • Strong understanding of sterile technique, surgical instrumentation, and anatomy.
  • Demonstrated ability to integrate technology and process improvement into practice.
  • Excellent problem-solving, critical thinking, and interpersonal communication skills.

Nice To Haves

  • Passionate about surgical innovation, data-driven improvement, and interdisciplinary collaboration.
  • Actively participates in surgical committees, vendor evaluations, or technology trials.
  • Forward-thinking, self-directed, and capable of balancing clinical precision with creativity.
  • Experienced in EMR documentation, efficiency dashboards, or digital workflow initiatives.

Responsibilities

  • Performs all functions of a Surgical First Assist including exposure, hemostasis, suturing, tissue handling, and wound closure under the surgeon’s direction.
  • Anticipates surgeon needs throughout each procedure, ensuring instruments, supplies, and devices are ready for immediate use.
  • Maintains sterile technique and ensures patient safety and positioning integrity at all times.
  • Proactively identifies opportunities to improve case efficiency and instrument utilization.
  • Collaborates with surgical leadership and vendors to trial new technologies, instruments, and minimally invasive techniques.
  • Participates in multidisciplinary performance improvement initiatives, including reduction of turnover times, standardization of instrument trays, and cost-efficiency efforts.
  • Contributes to digital documentation workflows, assisting in implementing systems that optimize case tracking, inventory, and data analytics.
  • Provides feedback on new devices or methods that enhance precision and patient outcomes.
  • Serves as a clinical mentor to surgical technologists, residents, and nursing staff.
  • Participates in orientation and education of new team members and cross-trained staff.
  • Engages in continuing education to stay current on advancements in surgical techniques and perioperative best practices.
  • Promotes a culture of collaboration, continuous learning, and patient-centered innovation.
  • Partners with surgeons, anesthesia providers, and perioperative staff to coordinate and execute high-quality surgical care.
  • Assists in the preparation for surgical cases, assuring that supplies, equipment and instruments are available and in working order prior to the start of each case.
  • Assists the surgical team in the transport, transfer and positioning of patients in the operating room.
  • Participates in pre-op briefings and post-op debriefings to evaluate case flow and identify improvement opportunities.
  • Assists in maintaining supply and equipment inventory.
  • Communicates proactively and professionally across the care team to ensure seamless patient experiences.
  • On-call duties as scheduled.
  • Other duties as assigned.

Benefits

  • Paid Sick Time - effective 90 days after employment
  • Paid Vacation Time - effective 90 days after employment
  • Health, vision & dental benefits - eligible at 30 days, following the 1st of the following month
  • Short and long-term disability and basic life insurance - after 30 days of employment
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