Appalachian Regional Healthcare


    Job Locations US-KY-Hazard
    Posted Date 7 months ago(11/6/2018 10:30 AM)
    Requisition ID
    # of Openings
    Allied Health
    Hazard Regional Medical Center
    Position Type
    Regular Full-Time
    Open Heart Surgery
    Day Shift
  • Overview

    Under the delegate authority of the surgeon, carries out all functions that will assist the surgeon in performing a safe operation with optimal results for the patient. Providing aid in exposure, homeostasis, closure of body planes, securing drainage systems to tissues, selecting and applying appropriate wound dressings.

    Special Instructions

    Position will have on call responsibilites. Employee must have 1st assistant certification.


    Moving and positioning the patient for surgery.


    Positioning: 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 for the patient’s comfort and safety.


    Points of pressure shall be padded.


    Circulation shall not be impaired, and nerve damage shall be guarded against.


    The surgical assistant shall be familiar with common positions as they relate to the surgical procedure and will be able to use the equipment necessary to provide the position.


    Prepping and draping the patient.


    Retraction of tissue and exposure of operative field during procedure.


    Appropriate placement and securing of retractors with and without padding.


    Packing and sponges.



    Digital manipulation of tissue.


    Clamps and ties blood vessels to control bleeding during operative procedure.


    Keeps operative area dry.


    Suctioning, irrigating, or sponging.


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


    Proper body mechanics to prevent obstruction of surgeon’s view.


    Utilizing appropriate techniques to assist with hemostasis.




    1. Clamping and/or cauterizing vessels or tissues.

    Typing and/or ligating clamped vessels or tissues.

    Applying hemostatic clips.

    4. Placing local hemostatic agents.




    1. Applying tourniquets.

    Applying vessel loops.

    Applying noncrushing clamps.

    4. Applying direct digital pressure.


    Affords surgeon the best possible exposure of the anatomy incident to the operation.


    Assists in identifying anatomy.


    Has knowledge of procedure and instruments needed for assigned procedures.

    Assists in closure of the incision including typing of blood vessels

    Utilizing running or interrupted subcutaneous suture with absorbable or nonabsorbable material.

    Utilizing subcuticular closure technique with or without adhesive skin closure strips

    Closing skin with method indicated by surgeon (suture, staples, ect.)

    Certified OR Surgical Technologist First Assistant

    Position Description

    August 31, 2005

    Page Three


    4. Other.


    Selecting and applies appropriate wound dressing.


    Liquid or spray occlusive materials.

    Absorbent material affixed with tape or circumferential wrapping.

    Immobilizing dressing (soft or rigid).


    Credentialed as a certified surgical assistant.


    Certification of a first assistant program.


    Current certification as a surgical technologist.


    2 full years of first assistant experience.


    Current Kentucky Medical License. (May have 6 months to apply)



    Competencies include:


    1. Fracture tables

    2.Head stabilizers

    3. Body stabilizers

    4. C-arm positions

    5. Any other equipment needed





    First Assistants who are also an LPN may also perform the duties as described in the job description of an LPN.



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