Munson Medical Center Certified Surgical Assistant (First Assist) in Cadillac, Michigan
Certified Surgical Assistant or Certified First Assistant required.
Under the supervision of the Manager of the Operating Room of Munson Medical Center.
Under the direct supervision of the operating surgeon.
AGE OF PATIENTS SERVED
Cares for patients in the age category(s) checked below:
X All ages (birth & above)
Supports the Mission, Vision and Values of Munson Healthcare
Embraces and supports the Performance Improvement philosophy of Munson Healthcare.
Promotes personal and patient safety.
Has basic understanding of Relationship-Based Care (RBC) principles, meets expectations outlined in Commitment To My Co-workers,and supports RBC unit action plans.
Uses effective customer service/interpersonal skills at all times.
In addition to performing all duties and responsibilities described in the Surgical Technologist job description, the Certified Surgical Assistant performs the following:
- Positioning the patient
Points of pressure shall be padded: elbows, heels, knees, eyes, face, and axillary region.
Circulation shall not be impaired. (A tourniquet may be required for some procedures.)
Nerve damage shall be guarded against.
The temperature of the patient should be discussed with the anesthesia personnel and methods employed to maintain the desired temperature range.
The surgical assistant shall be familiar with common positions related to the surgical procedure and will be able to use the equipment necessary to provide the position. Competencies will include the following: Fracture tables, Head stabilizers,Body stabilizers, C-arm extensions, Any other equipment needed.
Upon completion of the procedure, the patient shall be evaluated for anypossible damage from positioning which will include assessment of the skin. The abnormal condition shall be reported to the surgeon and treatment and documentation shall be carried out.
- Providing visualization of the operative site by the following:
Appropriate placement and securing of retractors with or without padding
Packing with sponges
Digital manipulation of tissue
Suctioning, irrigating, or sponging
Manipulation of suture materials (e.g., loops, tags, running sutures)
Proper use of body mechanics to prevent obstruction of the surgeon's view
- Utilizing appropriate techniques to assist with hemostasis A. Permanent
Clamping and/or cauterizing vessels or tissue
Tying and/or ligating clamped vessels or tissue
Applying hemostatic clips
Placing local hemostatic agents
Applying tourniquets and demonstrating awareness of the indications/contraindications foruse with knowledge of sideeffects of extended use
Applying vessel loops
Applying noncrushing clamps
Applying direct digital pressure
Participating in volume replacement or autotransfusion techniques as appropriate
Utilizing appropriate techniques to assist with closure of body planes
- Utilizing running or interrupted sutures with absorbable or nonabsorbable
material of wound layers, including muscle and fascia.
Utilizing subcuticular closure technique with or without adhesive skin closure strips
Closing skin with method per surgeon's directive (suture, staples, etc
Postoperative subcutaneous injection of local anesthetic per surgeon's directive
- Selecting and applying appropriate wound dressings, including the following:
Liquid or spray occlusive materials
Absorbent material affixed with tape or circumferential wrapping.
Immobilizing dressing (soft or rigid)
- Providing assistance in securing drainage systems to tissue