Certified First Assistant - Operating Room


Responsible for practicing in collaboration with and at the direction of the surgeon during the intraoperative phase of the perioperative experience. Collaborates during surgery with the surgeon and the healthcare team in performing a safe operation with optimal outcomes for the patient. Performs as a surgical technologist as needed.


  • Accumulates the appropriate surgical armamentarium.
  • Positions the patient on the operating room table.
  • Preps patient for surgical procedures (shave, catheterize, drape, etc.).
  • Provides exposure for the surgical procedure.
  • Provides hemostasis by suction, cauterization, clamping, suturing or ligation.
  • Performs soft tissue layered wound closure.
  • Administers local anesthesia as directed by the surgeon.
  • Places dressing.
  • Maintains accurate, legible and confidential records. Completes documentation pertinent to patient medical record.
  • Performs as a Certified Surgical Technologist (CST) as needed, including technical duties of passing of instruments for operative procedures, preparation and maintenance of the surgical sterile field and surgical instrumentation.
  • Assists with the application of casts or immobilizing devices.
  • Performs other duties as assigned.


    • Successful completion of an accredited Surgical Technologist program required.
    • Successful completion of a CFA program that meets the recommended education standards for Certified First Assistants required.
    • Completion of a mentored internship with a minimum of 120 hours of clinical experience demonstrating the ability to function as a CFA required.


    • Demonstrated training and minimum of one year of experience and current competence in performing CFA tasks required.
    • Proficiency in orthopedics, general surgery, and OB/GYN including C-Sections preferred.


    • National Certified Surgical Technologist certification required.
    • Certification as First Assistant required.
    • Basic Life Support (BLS) certification required at date of hire.


    • Well organized, detail oriented and self-motivated.
    • Ability to coordinate activities and work collaboratively with others.
    • Ability to execute detailed procedures with accuracy and precision.
    • Basic computer/keyboarding skills including MS Office applications.
    • Understanding of operating room protocols.


    • Work requires moderate physical exertion at least 66% of the time.
    • Ability to lift objects weighing 50 lbs. or less.
    • Work requires frequent exposure to skin or lung irritants; extreme cold or heat; sharp instruments such as kitchen knives, scalpels, etc.; or dangerous equipment; reasonably anticipated exposure to blood and body fluids once per month or more.
    • Job duties frequently require intense concentration and attention to detail (34-65% of work time).

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