Certified Surgical First Assistant

OneOncology, LLC; Nashville (TN); On-site; USD 60,000 - 90,000; Full time

Job summary

The Surgical Clinic (TSC) in Middle Tennessee seeks a Certified Surgical First Assistant (CSFA) to provide expert intraoperative support, including exposure, hemostasis, tissue handling, and wound closure. You will help maintain a sterile, safe environment and promote efficient surgical workflow.

Responsibilities include ensuring sterile technique, preparing patients, managing instruments, monitoring intraoperative status, handling specimens, and mentoring perioperative staff to uphold quality

Qualifications

• High school diploma or equivalent required.
• Must hold a Certified Surgical First Assistant (CSFA) certification or an equivalent credential awarded before 2000.
• A minimum of one year as a surgical technologist with hands-on proficiency in assisting surgical procedures is preferred.
• Demonstrated expertise in sterile technique, surgical instrumentation, tissue handling, hemostasis, wound closure, and operative site exposure.
• Strong communication, teamwork, and patient advocacy skills in fast-paced surgical environments.

Responsibilities

• Uphold sterile technique and infection-control practices throughout all procedure phases.
• Provide skilled first-assist support to surgeons including exposure optimization, hemostasis, tissue handling, suturing, and wound closure.
• Prepare patients for surgery by verifying identity, procedure, site markings, and safe positioning.
• Manage surgical instruments, equipment, and supplies with precision to ensure smooth intraoperative flow.
• Monitor patient status intraoperatively and communicate findings to surgical and anesthesia teams.
• Handle specimens, drains, implants, and biohazard materials according to ASC policies and regulatory standards.
• Protect patient safety, privacy, and confidentiality, adhering to perioperative standards.
• Mentor and support perioperative team members to sustain a high-performing surgical environment.

Skills

Perioperative care

Surgical assisting

Infection control

Patient safety

Team collaboration

Education

High school diploma or equivalent

CSFA certification or equivalent before 2000

1 year as a surgical technologist (preferred)

Job description

The Surgical Clinic (TSC) is Middle Tennessee’s premier multi-specialty surgical practice, dedicated to utilizing the latest medical technology while prioritizing patient care, convenience, and satisfaction. With over 40 surgeons, our patient-focused clinics are conveniently located, providing access to advanced surgical procedures close to home.

Why Join Us? At The Surgical Clinic (TSC), we believe that our people are the heart of our success. As Middle Tennessee’s premier multi-specialty surgical practice, we are committed to fostering a supportive, collaborative, and innovative workplace where every team member can thrive.

Job Description:

A Certified Surgical First Assistant (CSFA) provides skilled intraoperative support to surgeons by assisting with tasks such as operative site exposure, hemostasis, tissue handling, and wound closure. The CSFA helps maintain a sterile and safe environment, advocates for patient safety, and plays a key role in promoting efficient, coordinated surgical workflow.

ESSENTIALFUNCTIONS:

• Ensure safe, patient-centered perioperative care by upholding strict sterile technique, infection-control practices, and adherence to surgical safety protocols throughout every phase of the procedure.
• Provide skilled first-assist support to surgeons, including optimizing exposure of the operative field, maintaining hemostasis, handling, and manipulating tissue, suturing, assisting with wound closure, and anticipating surgical team needs.
• Prepare patients for surgery by verifying identity and procedure, confirming surgical site markings, positioning patients safely, and assisting with skin preparation to promote optimal surgical outcomes.
• Manage surgical instruments, equipment, and supplies with precision, ensuring proper setup, functionality checks, and efficient intraoperative flow to reduce delays and enhance procedural efficiency.
• Monitor and assess patient status intraoperatively, recognizing changes in vital signs or surgical conditions and communicating timely, relevant information to the surgical and anesthesia teams.
• Handle specimens, drains, implants, and biohazard materials in accordance with ASC policies, regulatory standards, and chain-of-custody requirements to maintain safety and compliance.
• Promote and protect patient safety, privacy, and confidentiality, advocating for best practices and ensuring consistent adherence to perioperative standards.
• Mentor, collaborate with, and support perioperative team members, contributing to a professional, high-performing surgical environment focused on quality, safety, and teamwork.

KNOWLEDGE, SKILLS & ABILITIES:

• Advanced knowledge of perioperative practices, sterile technique, and infection control standards to ensure safe, compliant surgical care.
• Strong technical surgical assisting skills, including tissue handling, hemostasis, suturing, and maintaining optimal exposure of the operative field.
• Ability to anticipate surgeon and procedural needs to support efficient workflow and minimize intraoperative delays.
• Strong situational awareness and clinical judgment to monitor patient status and communicate effectively with the surgical team.
• Excellent teamwork, communication, and collaboration skills to support a high-performing, patient-centered surgical environment.

EDUCATION & EXPERIENCE:

High school diploma or equivalent required.

Must hold a Certified Surgical First Assistant (CSFA) certification or an equivalent credential awarded before 2000.

A minimum of one year as a surgical technologist with hands‑on proficiency in assisting surgical procedures is preferred.

Demonstrated expertise in sterile technique, surgical instrumentation, tissue handling, hemostasis, wound closure, and operative site exposure.

Strong communication, teamwork, and patient advocacy skills, with the ability to perform under pressure in fast‑paced surgical environments.

PHYSICIAL REQUIREMENTS:

Ability to stand for extended periods during surgical procedures.

Capacity to lift, move, or assist in transferring patients and heavy surgical equipment.

Manual dexterity for precise tissue handling, suturing, and instrument use.

Visual acuity and fine motor skills required for detailed surgical tasks.

Ability to work in a fast‑paced environment, including bending, stooping, and reaching as needed.