Florida Hospital Tampa
Positioning the patient
The surgeon shall convey the exact position that will give the best exposure for the surgical procedure. The surgical assistant will carry out this order. Consideration will be given to the patients comfort and safety.
Points of pressure shall be padded: elbows, heels, knees, eyes, face, and axillary region.
Circulation shall not be impaired. (A tourniquet may be required for some procedures.)
Nerve damage shall be guarded against.
The temperature of the patient should be discussed with the anesthesia personnel and methods employed to maintain the desired temperature range.
The surgical assistant shall be familiar with common positions related to the surgical procedure and will be able to use the equipment necessary to provide the position.
Competencies will include the following: Fracture tables, Head stabilizers, Body stabilizers, C-arm extensions, any other equipment needed
Upon completion of the procedure, the patient shall be evaluated for any possible damage from positioning which will include assessment of the skin. The abnormal condition shall be reported to the surgeon and treatment and documentation shall be carried out.
Providing visualization of the operative site by the following:
Appropriate placement and securing of retractors with or without padding.
Packing with sponges
Digital manipulation of tissue
Suctioning, irrigating, or sponging
Manipulation of suture materials (e.g., loops, tags, running sutures).
Proper use of body mechanics to prevent obstruction of the surgeons view.
Utilizing appropriate techniques to assist with hemostasis.
Clamping and/or cauterizing vessels or tissue
Tying and/or ligating clamped vessels or tissue
Applying hemostatic clips
Placing local hemostatic agents
Applying tourniquets and demonstrating awareness of the indications/contraindications for use with knowledge of side effects of extended use.
Applying vessel loops
Applying non-crushing clamps
Applying direct digital pressure
Participating in volume replacement or auto-transfusion techniques as appropriate.
Utilizing appropriate techniques to assist with closure of body planes.
Utilizing running or interrupted subcutaneous sutures with absorbable or non-absorbable material.
Utilizing subcuticular closure technique with or without adhesive skin closure strips.
Closing skin with method indicated by surgeon (suture, staples, etc.
Postoperative subcutaneous injection of local anesthetic agent as directed by the surgeon.
Selecting and applying appropriate wound dressings, including the following:
Liquid or spray occlusive materials
Absorbent material affixed with tape or circumferential wrapping.
Immobilizing dressing (soft or rigid)
Providing assistance in securing drainage systems to tissue
Performs operative shave prep, scrub, urinary catheterization, or other patient care tasks as assigned by the RN.
Anticipates the moves of the surgeon.
Prepares and maintains surgical area:
Proficient in scrubbing for all operative procedures within the scope of service
Setup of procedure/operating room with correct instrumentation and supplies for the scheduled case
Identifies unsafe or defective instrument/equipment and implements appropriate corrective action
Verifies completeness of instruments/sponge/needle count
Cleans instruments, equipment and room as appropriate when procedure is completed
Ensures proper disposal of instruments, linen, trash, needles, sponges and other bio hazardous waste.
Completes all annual mandatory educational requirements.
Attends 75% of unit staff meetings.
Assist in orientation and instruction of surgical personnel
What will you need?
Knowledge of Anatomy
Assist the surgeon in Labor and Delivery Procedures.
Prepares and maintains surgical area
Performs technical responsibilities for optimal patient care
Serves as a resource person
High School education or equivalent.
Successful completion of an accredited Surgical Technology Course.
Four years experience as a Surgical Technologist prior to CFA.
Certification as a First Assistant
Completion of Certified Surgical Assisting Program (Preferred)
Robotic Experience (Preferred)