OR First Assistant (Registered Nurse or Surgical Tech)

Job Summary:

We are seeking a highly skilled and dedicated Certified Surgical Technician (CST) or Registered Nurse (RN) to join our dynamic surgical team. The role will provide technical support by preparing the operating room, assisting surgeons during procedures, and ensuring optimal patient positioning and safety. Working under the supervision of a surgeon, this position requires expertise in surgical techniques, instrumentation, and sterile procedures.

Key Responsibilities:

• Assist with patient care before and after surgery.


• Prepare the operating room with necessary instruments, equipment, and supplies.


• Ensure proper patient positioning and preparation for surgery.


• Maintain sterile techniques and uphold infection control standards.


• Provide intraoperative support including retraction, hemostasis, and closure of body planes.


• Perform sponge, sharps, and instrument counts.


• Manage inventory, order supplies, and ensure adequate stock for surgical procedures.


• Organize and maintain surgical equipment to ensure operational efficiency.


• Participate in training and in-service programs for surgical staff.


• Update surgeon preference cards and assist in coordinating surgical specialty needs.


• Adhere to hospital policies, risk management protocols, and patient safety regulations.

Qualifications & Requirements:

Education:

• Appropriate for background

Licenses & Certifications:

• Two options:




• Certified First Assistant (CSFA or CSTFA) as per the National Board of Surgical Technology and Surgical Assisting (NBSTSA)


• [Idaho] Registered Nurse license or compact state with RNFA certification




• Basic Life Support (BLS) certification

Skills & Abilities:

• Strong understanding and application of aseptic techniques, surgical principles, and procedures.


• Proficiency in suturing, tissue handling, and hemostasis techniques.


• Knowledge of medical terminology, anatomy, and infection control practices.


• Ability to work efficiently under pressure and adapt to fast-paced environments.


• Excellent organizational and communication skills.


• Demonstrated ability to work as part of a multidisciplinary surgical team.

Preferred Qualifications:

• Three (3) - five (5) years of experience in the operating room with both scrubbing and/or circulating proficiency


• Previous experience in inventory management and surgical services coordination.


• BS Nursing and CNOR certification

Physical & Environmental Demands:

• Requires frequent standing, walking, bending, and lifting (up to 40 lbs).


• Occasionally requires extended shifts, emergency calls, and unpredictable situations.


• Regular exposure to infectious diseases, radiation, and surgical hazards.


• Work indoors in a temperature-controlled surgical suite.