General Statement of Duties:
Performs responsibilities of OR Tech II in addition to the added responsibilities of Surgical First Assistant as described below. The Surgical First Assistant performs clinical skills under the direct supervision of the surgeon and practices in collaboration with the circulating RN and other health care team members. The Surgical First Assistant provides aid in exposure, hemostasis, and other technical functions that will help the surgeon carry out a safe operation with optimal results for the patient. The Surgical First Assistant is educated in the use of surgical instruments on tissues verses the handling of instruments; the First Assist does not concurrently function as the scrub nurse. Essential Job Functions:
1. Functions as an assistant in the OR at the direction of the attending surgeon and practices within limitations of preparation and experience while maintaining a safe environment. Possesses an advanced working knowledge of operating room fundamentals, to include aseptic principles and techniques in hemostasis, closure of body planes, and visualization of the operative site.
2. Applies working knowledge of anatomy and physiology to provide visualization of the operative site using standard protocol to include appropriate packing with sponges, digital manipulation of tissue, suctioning, irrigating, or sponging, manipulation of suture materials (e.g. loops, rags, suturing), and uses proper body mechanics to prevent obstruction of the surgeon's view.
3. Assists with permanent or temporary hemostasis and/or during vein harvesting utilizing appropriate techniques as indicated by the surgeon and applying surgical instruments (e.g., non crushing clams, etc.). Permanent hemostasis techniques include clamping and/or cauterizing vessels and tissue, tying and/or ligating clamped vessels or tissue, applying hemostatic clips, or placing hemostatic agents. Temporary hemostasis techniques include applying vessel loops, applying non-crushing clamps, or applying direct digital pressure.
4. Assists with closure of body plane by utilizing appropriate techniques with the method indicated by the surgeon (e.g. sutures, staples, and/or spray occlusive material) utilizing running or interrupted subcutaneous sutures with absorbable or non-absorbable material, or subcuticular closure technique with or without skin closure strips.
5. Assists in consistently maintaining the patient's expected physiologic responses to surgery including infection prevention (SCIP measures and practices, wound management, maintaining effective disinfection practices, instrument processing, and sterilization).
6. Applies a working knowledge of patient pre-operative deficits, risk for intraoperative injuries, and possible post-operative outcomes to assist in optimal patient outcomes.
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