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Surgical Technologist, Certified First Assistant, Operating Room

Florence, SC



Employer Description

McLeod Health is the region’s destination for medical excellence. Our excellence extends from the Midlands to the Coast along the border of North and South Carolina – serving more than one million people. As medical needs grow – we grow, expand, and improve our facilities and services. The McLeod Health network is comprised of 7 hospitals with locations in Florence, Darlington, Dillon, Manning, Cheraw, Loris, and Little River. We have also expanded into the Carolina Forest area of Myrtle Beach for patients looking for primary care and family physicians.

Founded over a century ago, McLeod is a locally owned, not-for-profit healthcare system which features the strength of more than 800 physicians and 2,000 registered nurses, and more than 8,500 employees. McLeod constantly seeks to improve patient care with efforts that are physician led, data-driven and evidence-based.

Essential Functions

1. Surgical First Assistants must be able to work flexible schedules to meet the needs of the department and Surgeon call schedule.

2. Work under the supervision and delegatory authority of a surgeon to facilitate the safe and effective conduct of invasive and non-invasive surgical procedures, ensuring that the operating room environment is safe, that equipment functions properly, and that the operative procedure is conducted under conditions that maximize patient safety.

3. Surgical First Assistant must be able to demonstrate the capability to apply advanced knowledge of normal and pathological surgical anatomy and physiology. a. Able to describe assessment and management of acute trauma b. Responds appropriately to emergency conditions

4. Surgical First Assistants demonstrate aseptic skill a. Communicates potential causes of surgical site infections, along with possible corrective actions to prevent or treat potential contamination b. Monitors the actions surrounding the sterile field, ensuring integrity is maintained.

5. Demonstrates competency in all positioning techniques for the surgeries they are participating in. These include but are not limited to: a. Prevention of nerve damage b. Proper rotation of extremities c. Prevention of circulatory or respiratory compromise d. Prevention of patient sliding on the bed due to tilting or Trendenlenburg e. Proper handling and placement of lines

6. Ensures skin prep will provide the necessary exposure for the surgical procedure, any possible drain sites and/or possible extension(s) of the operative incision, as well as surgeon preference: a. Able to facilitate clipping or trimming of hair if necessary b. Demonstrates ability to perform a surgical skin prep selecting the correct prep for the situation (i.e chlorhexidine gluconate/alcohol prep, iodine povacrylex/alcohol prep, chlorahexidine gluconate, povidoneiodine (iodopovidone), etc.) and preparing the appropriate surgical prep site necessary. c. Demonstrates insertion of Foley catheter, preventing potential complications as indicated

7. Required to maintain the sterile field to ensure patient/employee safety by maintaining the highest standard of sterile technique during the procedure

8. Surgical First Assistant demonstrates the ability to provide intraoperative skills such as visualization, trocar insertion, injection of local anesthetics, hemostasis, tissue handling, placement and securing of wound drains, and closure of body planes.

9. Surgical First Assistant should have knowledge of all laparoscopic and robotic equipment necessary for a procedure

10. The surgical assistant should be proficient in all pertinent abilities required duringa procedure. These shall follow any necessary and appropriate methods applicable to the procedure, as well as surgeon preference. These shall include, but not be limited to; a. Clamping, cauterizing, suturing, inserting, injecting, manipulating, retracting, cutting, and ligating tissue as necessary b. Any necessary involvement in hemostasis, including but not limited to the utilization of ties, vessel loops, clip appliers, digital pressure, packing, appropriate manipulation of sutures, etc. c. Participation in volume replacement or autotransfusion techniques as necessary and appropriate. d. Utilizes appropriate knot tying and suturing technique according to surgeon preference e. Demonstrates knowledge and ability to administer local anesthetic according to surgeon preference. f. Demonstrates knowledge and ability to secure drainage systems, apply dressing, casts and immobilizers/stabilizers

Preferred Qualifications/Education / Experience Requirements

• A graduate of an accredited program of surgical technology • Five years of successful practice as a Certified Surgical Technologist. • Endo-vein harvesting – Five years related experience; Proven proficiency with the endo-vein harvesting technique. Ability to teach others the endo-vein harvesting procedure, preferred. (For CVOR staffing) • Completes 20 Continuing Education Units (CEUs) / year of advance training.

Licenses and/or Certifications

 • BLS and ACLS certified • Certified through the National Board of Surgical Technology and Surgical assisting (NBSTSA) or National Surgical Assistant Association or qualified to become certified

Physical Requirements

• Able to lift up to 50 pounds and carry up to 25 pounds occasionally, will involve some stooping, kneeling, crouching and/or crawling, pushing and pulling with frequent standing and walking; requires manual dexterity with ability to perceive size, shape, temperature or texture; auditory and visual required with attention to verbal abilities and color discrimination


Full time


Florence, SC, United States


Full time

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