Surgical First Assistant / Certified First Assistant | Operating Room | Full-time | Days with call

Singing River Health System

Job Description

The primary function of the Surgical First Assistant (SFA)/Certified First Assistant (CFA) is as a first assistant in the surgical suite and other clinical areas. The SFA/CFA functions under the guidance of the physician and in collaboration with the registered nurse.

The SFA/CFA is responsible for implementation of AST Standards, which provide for safe and effective techniques and the processes for quality patient care. The SFA/CFA must possess strong interpersonal skills and a surgical conscience. The SFA/CFA is an expanded role of the certified surgical technologist (CST) because certification as a surgical technologist is required to obtain certification as a first assistant.

The Association of Surgical Technologists recommends the role be titled Surgical First Assistant (SFA) but, is often referred to as Certified First Assistant (CFA).

Graduate of an accredited Surgical Technology program or equivalent with current certification as a Surgical Technologist. In addition, graduation from a Surgical First Assistant program.


Must maintain current certification as a Surgical Technologist. BCLS certification upon completion of position orientation.

Possesses a thorough knowledge of AST process standards, and practice within the AST Scope of Practice for Surgical First Assistant.

Physical Demands:
Stands, turns, bends, stoops, lifts, climbs, and uses many physical motions in performing daytoday activities. Auditory acuity, to hear patient verbal communication, and gather data using auscultory skills. Manual dexterity of hands and feet to ambulate 67 hours per 8 hour shift and adroitly manage multiple pieces of equipment/tubes/invasive lines. Must be able to stand for extended periods of time and do a great deal of walking without experiencing undue fatigue. Must have high energy level and be capable of handling high pressure situations. May be exposed to communicable disease or radiation.

Mental Demands:
Keen mental faculties/assessment and decision making skills in the management of acute and chronically ill patients. Communication/speaking/enunciation skills to receive and give information in person and by telephone. Emotional stability conducive to dealing with high stress level for 68 hours/8 hour shift associated with care of acute patient/SO, rapidly changing patient conditions, emotional demands of patients and families, and demands of maintaining effective working relationships with peers, managers, physicians, and other health care workers.

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