First Assist Surgical Technologist

Job Description: First Assist Surgical Technologist (OB/GYN)

Position Title

First Assist Surgical Technologist - OB/GYN

Position Summary

The First Assist Surgical Technologist functions as an integral member of the surgical team, providing advanced technical assistance to the surgeon during obstetrical and gynecological procedures. Responsibilities include maintaining a sterile field, assisting with surgical exposure, tissue handling, hemostasis, suturing, and patient safety throughout operative procedures. The First Assist Surgical Technologist collaborates closely with physicians, nurses, anesthesia providers, and other healthcare professionals to ensure optimal patient outcomes.

Essential Duties and Responsibilities

Office Duties

• Assist set up and tear down for office hysteroscopy
• Schedule surgeries
• Obtain Prior Auth for surgeries when needed

Surgical Assistance

• Serve as first assistant during OB/GYN surgical procedures, including:
  • Cesarean sections
  • Hysterectomies-robotic, laparoscopic, vaginal and total abdominal
  • Dilation and curettage (D&C)
  • Laparoscopic gynecologic procedures including oophorectomies and salpingectomies
  • Operative hysteroscopies
  • Other obstetrical and gynecological surgeries
• Provide visualization and exposure of the operative site through appropriate use of retractors and positioning.
• Assist with tissue manipulation, suctioning, sponging, clamping, cutting, and suturing as directed by the surgeon.
• Maintain hemostasis utilizing approved techniques and equipment.
• Prepare and handle specimens according to established protocols.

Preoperative Responsibilities

• Help prepare operating rooms with required instruments, equipment, and supplies.
• Verify functionality of surgical equipment and instruments.
• Review procedure schedules and anticipate surgical needs.
• Assist in patient positioning and surgical site preparation.
• Ensure compliance with infection prevention and sterile technique standards.

Intraoperative Responsibilities

• Maintain the sterile field throughout surgical procedures.
• Anticipate surgeon needs and provide appropriate instrumentation.
• Perform surgical counts with circulating nurse according to policy.
• Monitor sterile technique and address breaks in sterility promptly.
• Assist with emergency procedures as necessary.

Postoperative Responsibilities

• Assist with wound closure and dressing application.
• Ensure proper handling and processing of surgical specimens.
• Participate in final instrument, sponge, and needle counts.
• Assist with turnover preparation for subsequent cases as needed.

Patient Care and Safety

• Promote patient safety and quality care initiatives.
• Maintain patient confidentiality in accordance with HIPAA regulations.
• Adhere to hospital, department, and regulatory standards.
• Participate in quality improvement and performance initiatives.
• Respond appropriately during obstetrical and surgical emergencies.

Qualifications

Education

• Graduate of an accredited Surgical Technology program

Certifications

• Certified Surgical Technologist (CST) required.
• Certified Surgical First Assistant (CSFA) preferred.
• Current Basic Life Support (BLS) certification required.

Experience

• Minimum of 2 years of operating room experience preferred.
• Previous experience in OB/GYN and women's services preferred.
• Experience assisting with cesarean sections and gynecologic procedures highly desirable.

Knowledge, Skills, and Abilities

• Extensive knowledge of OB/GYN anatomy and surgical procedures.
• Proficiency in surgical instrumentation and aseptic technique.
• Ability to anticipate surgeon needs during procedures.
• Strong communication and teamwork skills.
• Ability to work effectively in high-stress and emergency situations.
• Strong attention to detail and organizational skills.
• Ability to stand for extended periods and perform the physical demands of the position.

Physical Requirements

• Prolonged standing and walking during surgical procedures.
• Ability to lift, push, and pull equipment and supplies up to 50 pounds.
• Manual dexterity required for handling surgical instruments.
• Ability to perform duties requiring visual acuity and fine motor skills.

Work Environment

• Hospital operating rooms, labor and delivery suites, outpatient surgical centers and in office procedures
• Exposure to bloodborne pathogens, body fluids, and surgical equipment.