SHIFT: Evenings (rotating weekends)
Methodist Hospital opened in 1963 as the first hospital in the now internationally acclaimed South Texas Medical Center. From the beginning, we've recognized the unique needs of each of our patients. It's a process that we continue to improve on, creating ways to better serve the community when they need us the most. With 981 beds, Methodist Hospital offers a broad range of specialties including cardiology, cancer care, bone marrow transplants, emergency medicine, neurosciences, maternity care, gynecology and orthopedics.
As the flagship hospital of the Medical Center and of the Methodist Healthcare system of hospitals, we appreciate the support and recognition we receive from the community having been ranked No. 1 in the Express-News Reader's Choice Awards. We also enjoy being the most preferred hospital in San Antonio, as consistently reported by the Consumer Research Corporation. Methodist Hospital has been nationally recognized by Leapfrog’s Hospital Safety Grade A, accredited by the Joint Commission in stroke care, and designated as an accredited Chest Pain Center. For more information, please visit our website at www.sahealth.com
and select Methodist Hospital under Locations.
In this role you will have the opportunity to support our OR (or CVOR). Key features include:
Largest robotic program nationwide with six da Vinci Xi HD Surgical Robots
Intraoperative Magnetic Resonance Imaging Suite (IMRIS)
Largest Deep Brain Stimulation (DBS) program in the country in a non-academic setting
Largest neurosurgery and gynecology programs in South Texas
Extensive breast reconstructive surgery program to include DIEP flaps and vascularized lymph node transfer
Growing head and neck oncology surgical services
Level III Trauma Center
22 state of the art OR suites
4 state of the art CVOR suites, including a hybrid suite
Servicing all of South Texas heart transplants
ECMO program for adults and pediatrics
Busy TAVR program
Congenital heart program
General Statement of Duties:
Performs responsibilities of OR Tech II in addition to the added responsibilities of Surgical First Assistant as described below. The Surgical First Assistant performs clinical skills under the direct supervision of the surgeon and practices in collaboration with the circulating RN and other health care team members. The Surgical First Assistant provides aid in exposure, hemostasis, and other technical functions that will help the surgeon carry out a safe operation with optimal results for the patient. The Surgical First Assistant is educated in the use of surgical instruments on tissues verses the handling of instruments; the First Assist does not concurrently function as the scrub nurse.
Essential Job Functions:
1. Functions as an assistant in the OR at the direction of the attending surgeon and practices within limitations of preparation and experience while maintaining a safe environment. Possesses an advanced working knowledge of operating room fundamentals, to include aseptic principles and techniques in hemostasis, closure of body planes, and visualization of the operative site.
2. Applies working knowledge of anatomy and physiology to provide visualization of the operative site using standard protocol to include appropriate packing with sponges, digital manipulation of tissue, suctioning, irrigating, or sponging, manipulation of suture materials (e.g. loops, rags, suturing), and uses proper body mechanics to prevent obstruction of the surgeon's view.
3. Assists with permanent or temporary hemostasis and/or during vein harvesting utilizing appropriate techniques as indicated by the surgeon and applying surgical instruments (e.g., non crushing clams, etc.). Permanent hemostasis techniques include clamping and/or cauterizing vessels and tissue, tying and/or ligating clamped vessels or tissue, applying hemostatic clips, or placing hemostatic agents. Temporary hemostasis techniques include applying vessel loops, applying non-crushing clamps, or applying direct digital pressure.
4. Assists with closure of body plane by utilizing appropriate techniques with the method indicated by the surgeon (e.g. sutures, staples, and/or spray occlusive material) utilizing running or interrupted subcutaneous sutures with absorbable or non-absorbable material, or subcuticular closure technique with or without skin closure strips.
5. Assists in consistently maintaining the patient's expected physiologic responses to surgery including infection prevention (SCIP measures and practices, wound management, maintaining effective disinfection practices, instrument processing, and sterilization).
6. Applies a working knowledge of patient pre-operative deficits, risk for intraoperative injuries, and possible post-operative outcomes to assist in optimal patient outcomes.
Minimum Education and Experience:
Education: Must have completed ALL of the following:
1. High School Diploma or GED
2. Successful completion of a CAAHEP accredited surgical first assistant training program
3. Meets ONE of the following:
A. Graduate/completion of a surgical technologist program OR
B. Practiced as a surgical technologist prior to 9/1/2009
1. New hires as of 3/29/2011- 2 years experience in the perioperative setting within the last 4 years in either a surgical technologist or surgical first assistant role.
2. Employee completes initial and ongoing training and competencies as defined by service line, facility and department/unit which are specific to the needs of the patient population served (if applicable).
Minimum License, Certificates, or Registrations Required:
Must have and maintain ONE of the following:
A. Surgical Technologist Certification
i. CST – Certified Surgical Technologist through the National Board for Surgical Technology and Surgical Assisting (NBSTSA) (formally the Liaison Council on Certification for the Surgical Technologist) OR
ii. TS-C- Tech in Surgery, Certified through the National Center for Competency Testing (NCCT)
B. Surgical First Assistant certification
i. SA-C – Surgical Assistant, Certified through the American Board of Surgical Assistants (ABSA)
ii. CSA – Certified Surgical Assistant through the National Surgical Assistant Association (NSAA)
iii. CSFA (formally CFA) – Certified Surgical First Assistant through the National Board of Surgical Technology and Surgical Assisting (NBSTSA)
C. LSA- Licensed Surgical Assistant through the Texas Medical Board