SURGICAL FIRST ASSISTANT

Covenant Health; Lenoir City (TN); On-site; USD 70,000 - 95,000; Full time

Job summary

Fort Loudoun Medical Center, part of Covenant Health, is seeking a Surgical First Assistant to support the surgeon throughout procedures in Lenoir City, TN.

The role emphasizes maintaining a sterile field, assisting with instrument handling, patient positioning, and postoperative care under direct supervision. A CST or equivalent certification is required, with NBSTSA/NSAA/ABSA credentials accepted. This full-time position offers stability and team-driven care.

Qualifications

• Experience as a surgical technologist or surgical assistant.
• Ability to work under surgeon supervision and maintain asepsis.
• Licensure/certification requirements include CSFA, CSA, or SA-C.

Responsibilities

• Provide surgical first assistant duties before, during, and after procedures.
• Maintain sterile field and assist with draping and instrument handling.
• Assist with patient positioning and monitoring; ensure safety and sterile technique.
• Prepare, set up, and clean the operating room; ensure supplies and implants are ready.
• Follow policies, participate in quality improvement, and complete required education.
• May cross-train to support multiple surgical specialties.

Skills

Surgical assistance

Sterile technique

Team collaboration

Communication

Job description

Overview

Surgical First Assistant

Full Time, 80 Hours Per Pay Period, Day Shift

Fort Loudoun Overview:

Fort Loudoun Medical Center, part of Covenant Health, is an 87,000-square-foot hospital serving Loudon County and surrounding communities. Based in Lenoir City, TN, with more than 200 physicians across 29 specialties, the facility offers advanced technology including MRI, CT, ultrasound, diagnostic X-rays, women’s imaging, and nuclear medicine unique to the region. Featuring private patient rooms and comprehensive services such as emergency care, surgery, and specialized treatments, our dedicated team of physicians, staff, and volunteers is committed to providing excellent care to every patient, every time.

Position Summary:

With directed delegation, assists the surgeon throughout the entire surgical procedure. The surgeon may allow the surgical first assistant to tie or cauterize vessels, muscle, or fat under their immediate direction or observation; the surgical first assistant may close the skin with suture or staples and place dressings. It is the surgeon’s responsibility to verify the acceptability and appropriateness of the closure.

Responsibilities

• Under supervision of MD/surgeon, facilitates patient care by providing surgical first assistant duties for the surgeon before, during and after surgical procedures; follows unit standards and processes to deliver age-appropriate care for all patients; demonstrates accountability as an individual and team member in meeting patient/family needs; participates in identifying cost-effective measures for clinical care.
• Demonstrates expanded knowledge of surgical anatomy/ physiology and operative technique to work collaboratively with the surgeon and the other team members.
• May apply dressings as appropriate in an aseptic manner as delegated by the surgeon.
• Assists the operating room team in safely transferring the patient to and from the Operating Room; demonstrates proper positioning techniques; reports to the circulator and surgeon bilateral pedal pulses and posterior tibial pulses when appropriate; knows the proper position for cases and understands the use of proper positioning aids to protect nerves, bony prominences and to maintain circulation.
• Recognizes safety hazards and initiates appropriate preventative and/or corrective actions to ensure a safe environment for the patient and the surgical team throughout the perioperative experience.
• Plans, sets up, performs, and cleans up the assigned surgical procedure as a surgical first assistant and/or as a scrub tech; demonstrates knowledge of equipment and instrumentation pertaining to case; safely operates special equipment which may be used in surgical cases (e.g. lasers, microscopes, tourniquets, endoscopes, drills, saws, etc.); maintains instrument and equipment integrity; performs room turn-over and terminal cleaning; utilizes supplies appropriately and in a cost effective manner. When called upon can assist in daily assignments; makes sure all needed supplies/implants are available for assigned case(s); brings to the coordinator the changes that need to be made to the preference maps.
• Demonstrates knowledge of and the ability to apply the principles of asepsis in creating and maintaining the sterile field; uses proper technique when scrubbing, gowning, gloving, and setting up of sterile fields; recognizes what is sterile and what is unsterile; recognizes contamination and takes proper action to correct situation; continually monitors the sterile field and surgical team to assure that sterility is maintained.
• Performs sharp, sponge, and instrument counts according to policy; demonstrates proper counting technique for all countables and applies proper procedures with incorrect counts; demonstrates understanding of exceptions to counts when in the functioning role of a surgical assistant.
• May be cross trained to provide surgical services in multiple specialty areas.
• Makes an effort to do pre/post op rounding when appropriate.
• Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives and participates in quality improvement initiatives as requested.
• Performs other duties as assigned.

Qualifications

Minimum Education:

None specified; however, must be sufficient to meet the standards for achievement of the below indicated license and/or certification as required by the issuing authority.

Minimum Experience:

Must have previously worked as a Surgical Technologist (CST or Non-Certified CST). Experience performing certified surgical technologist duties in an operating suite sufficient to meet the experience requirements mandated by one of the certifying bodies indicated below.

License/Certification:

Must have and maintain one of the following certifications:

• Certified First Assistant (CSFA) by the National Board of Surgical Technology and Surgical Assisting (NBSTSA);
• Certified Surgical Assistant (CSA) by the National Surgical Assistants Association (NSAA).
• Surgical Assistant-Certified (SA-C) by the American Board of Surgical Assistants (ABSA)