Certified Surgical First Assist PRN

Woodland Heights Medical Center; Lufkin (TX); On-site; USD 55,000 - 85,000; Full time

Job summary

Woodland Heights Medical Center in Texas seeks a Surgical Technician First Assist to directly support surgeons during procedures, keeping the sterile field intact and handing instruments as needed. The role requires 1–3 years in an acute care setting and CST/CSFA/CSA certification options.

The position involves positioning patients, tissue handling, bleeding control, wound closure support, and collaboration with nurses and anesthesia providers to ensure safe, efficient surgeries.

Qualifications

• 1-3 years of experience as a Surgical Technician or First Assist in an acute care setting.
• CST - Certified Surgical Technologist required; CSFA or CSA certification also accepted.

Responsibilities

• Act as scrub person during procedures and maintain organized sterile supplies and instruments.
• Provide exposure and handle instruments, retractors, suction, and sponging as directed by the surgeon.
• Dissect tissues, clamp vessels, control bleeding, and place drains per instruction.
• Assist with wound closure, suturing, staples, and dressing of surgical sites.
• Maintain sterility and safety, perform counts with RN and follow infection control protocols.
• Prepare and transport instruments for decontamination and sterilization for reuse.
• Assist in post-procedure room turnover and prepare areas for next surgeries.
• Perform other duties as assigned; maintain regular attendance and comply with policies.

Skills

Surgical techniques

Aseptic principles

Sterile field maintenance

Teamwork

Job description

Job Summary

The Surgical Technician First Assist provides direct support to surgeons during surgical procedures, ensuring efficient operative and invasive procedures by maintaining the sterile field, providing necessary instruments and supplies, and assisting in critical surgical tasks. This role requires advanced technical skills to support the surgical team, including positioning patients, retracting tissues, controlling bleeding, suturing, and applying dressings. The Surgical Technician First Assist collaborates with surgeons, nurses, and other surgical team members to ensure optimal patient outcomes and post-operative care.

Essential Functions

• Functions as a scrub person during surgical procedures, preparing and organizing sterile supplies and instruments, maintaining an organized sterile field, and providing necessary instruments and supplies to the surgical team.
• Performs first assistant duties, including providing exposure through instrument handling, retractors, suctioning, and sponging techniques as directed by the surgeon.
• Handles and dissects tissues, clamps blood vessels, coagulates bleeding points, and places drains as instructed by the surgeon.
• Assists with wound closure, including suturing subcutaneous layers and skin, applying staples, and dressing surgical sites per surgeon instructions.
• Ensures sterility and safety standards, conducting proper counting procedures with the RN circulator, following infection control protocols, and taking corrective actions if needed.
• Prepares and transports surgical instruments for decontamination, ensuring proper handling and sterilization for future use.
• Assists in post-procedure room turnover, ensuring procedural areas are properly cleaned and prepared for subsequent surgeries.
• Performs other duties as assigned.
• Maintains regular and reliable attendance.
• Complies with all policies and standards.

Qualifications

• 1-3 years of experience as a Surgical Technician or First Assist in an acute care setting required

Knowledge, Skills and Abilities

• Proficiency in surgical techniques, aseptic principles, and sterile field maintenance.
• Strong knowledge of surgical anatomy, instrumentation, and procedural workflows.
• Ability to anticipate surgeon needs and respond quickly to intraoperative changes.
• Strong attention to detail in surgical counting procedures, patient positioning, and procedural safety.
• Effective communication and teamwork skills, ensuring smooth collaboration with surgeons, nurses, and anesthesia providers.
• Knowledge of infection control standards, regulatory compliance, and patient safety guidelines.
• Ability to work in a fast-paced, high-pressure surgical environment, demonstrating composure and professionalism.

Licenses and Certifications

• CST - Certified Surgical Technologist required and
• Certified Surgical First Assistant (CSFA) through NBSTSA required or
• Certified Surgical Assistant (CSA) through NSAA required
• BCLS - Basic Life Support required
• ACLS - Advanced Cardiac Life Support preferred