3-5 years of experience
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Employment Type:
Full time
Job Category:
Health Care Provider
Surgical Tech First Assistant PRN
(This job is no longer available)
HCA | Miami, FL
Grad Date

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Job Description

HCA has been recognized as a World's Most Admired Company in the Health Care Medical Facilities Industry by Fortune Magazine. The Ambulatory Surgery Division of HCA operates and jointly owns with physicians 130 surgery centers across the United States. Our cases are performed Monday-Friday which means NO nights, NO weekends, or On-call will be required. The size of our surgery centers naturally creates a culture where everyone knows one another with a shared focus on providing the best possible experience for those that we serve. We are currently in search of additional members to join our team!

We value you and your future. We provide multiple health insurance plan options, tuition reimbursement, and many more programs to cover a wide variety of today's life and family needs. In addition to your salary and health insurance benefits, HCA provides a matching 401k as well as an Employee Stock Purchase Plan (ESPP). Members of HCA receive consumer discounts on cell phones, hotels, rental cars, and many others. Interviews are being set immediately, you are encouraged to apply today!


* Demonstrates necessary practical, technical or specialized knowledge and skills required for the role of the peri-operative nurse in accordance with AORN and skills required for the role of the surgical assistant in accordance with ASA (Association of Surgical Assistants) other regulatory standards of practice.
* Communicates with the surgeon prior to the case to ascertain specific needs. Shares information with the remainder of the surgical team in a timely manner.
* Demonstrates knowledge of surgical procedures and has the ability to oversee the instrument and equipment set-up, prepare for the case utilizing preference cards, and anticipates needs of surgeon.
* Performs thorough patient interview and assessment in accordance with procedure and assures an appropriate, detailed time out process is done according to policy.
* Consistently reviews charts for completeness, in accordance with documentation protocols prior to and after the surgical procedure. Assures appropriate consent, H/P, diagnostic reports, and relevant information are on chart prior to the start of procedure.
* Ensures that H/P is a complete full examination of all body systems and dated within 30-days prior to procedure.
* Ensures that H/P, orders for the procedure, and consent form are consistent prior to placing in medical chart.
* Prepares and administers medications in accordance with current practice (i.e. review physician orders, pre-op antibiotics, preparing/labeling medications on/off field, utilizing the 7 medication rights, identifying high alert medications, conducting independent double checks when indicated, and narcotic waste, etc.). Assures only licensed personnel administer medications.
* Assists with patient positioning, skin preparation, and surgical draping according to surgeon's protocol.
* Demonstrates knowledge/understanding of management of patient, including being available to anesthesia during intubation and extubation, assisting as needed in sudden changes in patient condition i.e. cardiopulmonary arrest, Malignant Hyperthermia, etc., and being readily available to assist as directed.
* Temperature of patient is discussed anesthesia personnel to and methods used to maintain the desired temperature range.
* Assists the surgeon by providing retraction and aiding exposure of the operative site.
* Facilitates hemostasis of the surgical site by performing suction, irrigation and sponging the operative site during a surgical procedure.
* Assists with skin or external suturing and stapling as per surgeon's directive.
* Assist with clamping and/or cauterizing vessels or tissue, as directed.
* Applying hemostatic clips, as needed.
* Applying tourniquets and demonstrating awareness of the indications/contraindications for use with knowledge of side effects of extended use.
* Participate in volume replacement or autotransfusion techniques as appropriate.
* Assists with securing drainage systems and dressings.
* Provides hemostasis by clamping blood vessels, coagulation bleeding points, ligation of vessels and by other means as directed by the surgeon.
* Assists with application of dressing splints, and casts.
* Assists in preparing the operative suite for surgery by checking and gathering supplies, equipment, and instruments.
* Ensures availability of adequate supplies, equipment and instruments for scheduled cases and assists in opening cases in a sterile manner.
* Utilizes physician preference cards to set up each case; updates cards when indicated, and routing updated cards in the approved manner.
* Ensures that instruments are working properly before and after each case.
* Coordinates and oversees the room during a case as the circulator.
* Ensures that surgical asepsis is maintained in the handling of instruments, sponges, sutures, drains, needles, and dressings.
* Ensures accurate sponge, needle, and instrument counts are completed when indicated and prior to patient leaving the OR, as appropriate.
* Remove drapes at the completion of procedure and assist with preparing patient for transfer to the PACU staff to ensure continuity of care.
* Facilitates effective and efficient transition between surgical procedures.
* Utilizes appropriate body mechanics in moving patients, stretchers, and OR tables and other equipment to prevent injury to patient and self.
* Assists in the maintenance and care of specimens. Identifies specimen with surgeon and passes specimen to the circulating RN. Verifies correcting labeling, as per policy.
* Recognizes emergency situations and responds effectively in a calm and controlled manner.
* Assists circulating nurse during local procedures as assigned.
* Adheres to Standard Precautions.
* Utilizes Personal Protective Equipment, as per policy.
* Remains aware of safety precautions required to minimize the possibility of patient injuries e.g. Prevention of Surgical Fires.
* Handles instruments and supplies during and after procedure to minimize injury to self and others.
* Demonstrates knowledge related to maintenance, cleanliness, and sterilization of instruments and equipment. Maintains a sanitary environment for the provision of patient care.
* Appropriately handles the disposal of biohazardous materials/wastes.
* Restocks area daily, using appropriate par levels and daily stock sheets, as per facility practice.
* Prepares procedure room for use the following day by bringing in equipment, setting up, "pulling cases" accurately, and reporting to supervisor items that are needed and not available


* Graduate from an accredited school of professional nursing.
* Graduate of a CAAHEP-accredited program in surgical assisting and attain the CSFA credential administrated by the National Board of Surgical Technology and Surgical Assisting.


* Minimum 2 year experience diversified perioperative nursing experience; both scrubbing and circulating; preferably in an ambulatory surgery center.


* Active RN license as required by state of employment.

* Certified Surgical First Assistant (CFA)
* Valid BCLS Certification upon employment. *online certification not acceptable.

* ACLS as required by facility.

* CNOR certification preferred.

About HCA

HCA owns and operates approximately 179 hospitals and approximately 104 freestanding surgery centers in 21 states, England and Switzerland. We are dedicated to providing healthcare services that meet each community's local healthcare needs. We seek to integrate various services to deliver patient care with maximum quality and efficiency. Our approach includes focusing on quality; streamlining operations; sharing technology, equipment and personnel where appropriate; and using economies of scale when contracting for medical supplies and administrative services.