Surgical Tech First Asst

Lake Granbury Medical Center; Granbury (TX); On-site; USD 65,000 - 90,000; Full time

Job summary

Lake Granbury Medical Center is seeking a Surgical Technician First Assist to support surgeons during procedures, maintain the sterile field, and provide instruments and supplies for operative needs.

The role requires CST, CSFA/CSA certifications, and 1-3 years of acute care experience. You will assist with exposure, tissue handling, hemostasis, suturing, and wound closure while upholding safety and teamwork in a fast-paced surgical environment.

Qualifications

• 1-3 years of experience as a Surgical Technician or First Assist in an acute care setting.
• CST - Certified Surgical Technologist is required.
• CSFA - Certified Surgical First Assistant or CSA - Certified Surgical Assistant certification is required or preferred.
• BCLS - Basic Life Support is required; ACLS preferred.

Responsibilities

• Scrub person during procedures, preparing and organizing sterile supplies and instruments and providing necessary instruments to the surgical team.
• Performs first assistant duties including exposure through instrument handling, retractors, suctioning and sponging 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, suturing subcutaneous layers and skin, applying staples, and dressing surgical sites as directed.
• Maintains sterility and safety standards, conducts proper counting with the RN circulator, follows infection control protocols, and takes corrective actions if needed.
• Prepares and transports instruments for decontamination and ensures proper sterilization for future use.
• Assists in post-procedure room turnover and prepares procedural areas for subsequent surgeries.
• Maintains regular and reliable attendance and complies with all policies and standards.

Skills

Surgical techniques

Aseptic principles

Sterile field maintenance

Intraoperative responsiveness

Attention to detail

Teamwork

Infection control

Communication

Job description

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