Description Essential Functions The Surgical First Assistant should not simultaneously function in the scrub role when serving as a First Assistant. Aseptic technique

• Follows the appropriate technique as defined by AORN guidelines for the hand scrub
• Initiates corrective action when a break in technique occurs
• Inspects/maintains sterility of supplies/trays
• Protects integrity of the sterile field Maintenance of surgical site
• Provides correct sponging, direct pressure and clamping
• Operates suction equipment
• Provides cautery as directed, demonstrating correct use to avoid destruction of tissue
• Responds to the needs and anticipates the needs of the surgeon
• Adheres to the standards of care as outlined by the American Operation Nurses Association Preparation of surgical field
• Assists in gathering all supplies needed for the procedure
• Assists in transferring the patient to the OR table and verifies identity of the patient
• Positions patient safely on the table
• Performs the proper surgical scrub on the correct operative site
• Drapes for maximum exposure to the operative site Retracting
• Retracts as directed by the physician
• Consistently retracts the tissues to maintain adequate exposure while maintaining the safety of the patient Closure of incision
• Identifies the correct suturing method for the area involved
• Demonstrates competency in the correct method of suturing/knot tying for the various types of tissue
• Coordinates suturing move with the surgeon and cuts sutures appropriately
• Utilizes stapling devices appropriately Secures drainage devices Other surgical duties may include:
• assist with intraoperative positions
• injection of local anesthesia
• insertion of trocars
• preparation of grafts
• securing drains
• application of casts
• facilitating patient rounds
• changing of dressings
• and other duties as assigned by the supervising physician

Medical Office Duties:

• Summons and prepares patient for office visit.
• Assists the physician with medical office procedure.
• Administers medication, including injections; documents medication given or prescribed by ordering physicians as required by specialty.
• Adheres to nursing policy and procedure when documenting information in patient's medical record.
• Maintains the integrity of the office
• Performs additional duties specific to the specialty, and/or acquires additional license or credentials.
• Accepts responsibility for reading and referencing new policies and procedures and Nursing Update newsletters and assumes responsibility for maintaining current certification in CPR.

Supervisory Responsibility None Work Environment & Physical Demands Ability to walk or stand for up to 80% of work time, and to push /pull equipment weighing up to approximately 40 pounds for up to 20% of work tune. Exposures to blood and body fluids, and all areas of patient care. Also exposed to cool temperatures, hazardous equipment, fumes /odors and noise. Physical/Mental - Standing in one place for prolonged periods of time. Manual Dexterity - Handling of surgical instruments Travel No travel is expected for this position except to satellite offices.