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Certified Surgical Assistant

Traverse City, MI


Posted on June 9, 2019

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About Certified Surgical Assistant


Graduate of an accredited Surgical Assisting Program

Certification as a Certified Surgical First Assistant (CSFA) as conferred by the National Board of Surgical Technology and Surgical Assisting (NBSTSA)

BCLS required.


Reports to the Operating Room Manager.

Works under the supervision of the surgeon in delivering safe and effective care to the patient during the intraoperative period.

Works collaboratively and effectively with all members of the Patient Care Team.


Cares for patients in the age category(s) checked below:

Neonatal (birth-1 mo) Young adult (18 yrs-25 yrs)

Infant (1 mo-1 yr) Adult (26 yrs-54 yrs)

Early childhood (1 yr-5 yrs) Sr. Adult (55 yrs-64 yrs)

Late childhood (6 yrs-12 yrs) Geriatric (65 yrs & above)

Adolescence (13 yrs-17 yrs) X All ages (birth & above)

No clinical contact with patients


  1. Supports the Mission, Vision and Values of Munson Healthcare

  2. Embraces and supports the Performance Improvement philosophy of Munson Healthcare.

  3. Promotes personal and patient safety.

  4. Has basic understanding of Relationship-Based Care (RBC) principles, meets expectations outlined in Commitment To My Co-workers, and supports RBC unit action plans.

  5. 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:

  1. Positioning the patient

A. The surgeon shall convey the exact position that will give the best

exposure for the surgical procedure.

B. Points of pressure shall be padded: elbows, heels, knees, eyes, face, and

axillary region.

C. Circulation shall not be impaired. (A tourniquet may be required for some procedures.)

D. Nerve damage shall be guarded against.

E. The temperature of the patient should be discussed with the anesthesia personnel and methods employed to maintain the desired temperature range.

F. 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:

(1) Fracture tables

(2) Head stabilizers

(3) Body stabilizers

(4) C-arm extensions

(5) Any other equipment needed

G. Upon completion of the procedure, the patient shall be evaluated for any

possible 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.

  1. Providing visualization of the operative site by the following:

(1) Appropriate placement and securing of retractors with or without padding

(2) Packing with sponges

(3) Digital manipulation of tissue

(4) Suctioning, irrigating, or sponging

(5) Manipulation of suture materials (e.g., loops, tags, running sutures)

(6) Proper use of body mechanics to prevent obstruction of the surgeon’s view

  1. Utilizing appropriate techniques to assist with hemostasis

A. Permanent

(1) Clamping and/or cauterizing vessels or tissue

(2) Tying and/or ligating clamped vessels or tissue

(3) Applying hemostatic clips

(4) Placing local hemostatic agents

B. Temporary

(1) Applying tourniquets and demonstrating awareness of the indications/contraindications for use with knowledge of side effects of extended use

(2) Applying vessel loops

(3) Applying noncrushing clamps

(4) Applying direct digital pressure

  1. Participating in volume replacement or autotransfusion techniques as appropriate

  2. Utilizing appropriate techniques to assist with closure of body planes

A. Utilizing running or interrupted sutures with absorbable or nonabsorbable

material of wound layers, including muscle and fascia.

B. Utilizing subcuticular closure technique with or without adhesive skin closure strips

C. Closing skin with method per surgeon’s directive (suture, staples, etc

D. Postoperative subcutaneous injection of local anesthetic per surgeon’s directive

  1. Selecting and applying appropriate wound dressings, including the following:

A. Liquid or spray occlusive materials

B. Absorbent material affixed with tape or circumferential wrapping.

C. Immobilizing dressing (soft or rigid)

  1. Providing assistance in securing drainage systems to tissue

Job at a Glance

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