Surgical Tech First Asst

Lake-Granbury-Medical-Center; Granbury (TX); On-site; USD 65,000 - 85,000; Full time

Job summary

Lake-Granbury-Medical-Center seeks a qualified Surgical Technician First Assist to support surgeons during procedures in a fast-paced environment in Texas. The role emphasizes maintaining a sterile field, instrument handling, and assisting with tissue dissection, suturing, and dressings.

Ideal candidates have 1–3 years of acute care experience, CST/CSFA/CSA certification options, and BCLS; ACLS is preferred. Collaborative teamwork with nurses and anesthesia providers is essential.

Qualifications

• 1-3 years of experience as Surgical Technician or First Assist in an acute care setting.
• Proficiency in aseptic technique and sterile field maintenance.
• Familiar with instrument handling, wound closure, and intraoperative support.

Responsibilities

• Functions as a scrub person during procedures, preparing sterile supplies and instruments.
• Performs first assistant duties, including exposure through instrument handling and suctioning.
• Handles and dissects tissues, clamps vessels, coagulates bleeding, and places drains as directed.

Skills

Surgical techniques

Aseptic principles

Sterile field maintenance

Anatomy knowledge

Instrument handling

Intraoperative decision making

Team collaboration

Infection control

Attention to detail

Education

CST - Certified Surgical Technologist

CSFA - Certified Surgical First Assistant

CSA - Certified Surgical Assistant

BCLS - Basic Life Support

ACLS - Advanced Cardiac Life Support (preferred)

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