Certified First Assist II AdventHealth Zephyrhills
Location Address: 7050 Gall Boulevard Zephyrhills, Florida 33541
Top Reasons to Work at AdventHealth Zephyrhills
FH Zeph/Dade City Named One of Americaâ™s Best Hospitals for Heart Care, Orthopedics, Stroke Centers and Patient Safety three years in a row âœ2017-2019â by the Womenâ™s Choice Award
Leapfrog Hospital Safety Grade A Spring/Fall 2018
One of only 35 Hospitals Nationally Named as a Top General Hospital by The Leapfrog Group
Four Star Recipient for Coronary Interventional Procedures in 2019 by Health grades
First in Florida to earn Advanced Certification for Total Hip and Total Knee by The Joint Commission
Full Time, Day shift plus call. Four 10-hour shifts (6:45 a - 5:15 p)
You Will Be Responsible For:
1. Positioning the patient
A. The surgeon shall convey the exact position that will give the best exposure for the surgical procedure. The surgical assistant will carry out this order. Consideration will be given to the patientâ™s comfort and safety.
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 maintainthe 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.
2. Providing visualization of the operative site by the following:
A. Appropriate placement and securing of retractors with or without padding
B. Packing with sponges
C. Digital manipulation of tissue
D. Suctioning, irrigating, or sponging
E. Manipulation of suture materials (e.g., loops, tags, running sutures)
F. Proper use of body mechanics to prevent obstruction of the surgeonâ™s view
3. Utilizing appropriate techniques to assist with hemostasis
(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
(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 non-crushing clamps
(4) Applying direct digital pressure
4. Participating in volume replacement or auto-transfusion techniques as appropriate
5. Utilizing appropriate techniques to assist with closure of body planes
A. Utilizing running or interrupted subcutaneous sutures with absorbable or non-absorbable material
B. Utilizing subcuticular closure technique with or without adhesive skin closure strips
C. Closing skin with method indicated by surgeon (suture, staples, etc.
D. Postoperative subcutaneous injection of local anesthetic agent as directed by the surgeon
6. 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)
7. Providing assistance in securing drainage systems to tissue
8. Performs operative shave prep, scrub, urinary catheterization, or other patient care tasks as assigned by the RN
9. Anticipates the moves of the surgeon
10. Prepares and maintains surgical area
Proficient in scrubbing for all operative procedures within the scope of service
Setup of procedure/operating room with correct instrumentation and supplies for the scheduled case
Identifies unsafe or defective instrument/equipment and implements appropriate corrective action
Verifies completeness of instruments/sponge/needle count
Cleans instruments, equipment and room as appropriate when procedure is completed
11. Ensures proper disposal of instruments, linen, trash, needles, sponges and other bio hazardous waste
12. Completes all annual mandatory educational requirements
13. Attends 75% of unit staff meetings
14. Primary preceptor for orientation and instruction of surgical personnel
EDUCATION AND EXPERIENCE REQUIRED:
Minimum 5 years experience as CST upon hire.
High School diploma or equivalent upon hire
Successful completion of an accredited First Assist Surgical Technology Course
Current Surgical Tech First Assist certification upon hire
Current American Heart Association BLS upon hire
8 hours Hip and Knee Replacement education within 6 months of hire date, then annually
The Surgical Tech First Assist II prepares and maintains the surgical area, scrubs and is first assistant to the physician during procedures, assists the RN in technical functions related to patient care in the OR and assists in the training of others and functions as a resource within the department.
AdventHealth Greater Orlando (formerly Florida Hospital) is one of the largest faith-based health care providers in the United States. For 150 years, we have carried on a tradition of providing whole-person care that not only addresses patients' physical ailments, but also supports their emotional and spiritual well-being. We demonstrate the same level of compassion and care for our employees as well, doing all that we can to help them realize their full potential – both personally and professionally.