Surgical Assistant 2, Full Time

Responsibilities The surgical assistant provides assistance to the primary surgeon during a surgical procedure. As defined by the American College of Surgeons (ACS), surgical assistants provide aid in exposure, hemostasis, closure, and other intraoperative technical functions that help the surgeon carry out a safe operation with optimal results for the patient. In addition to intraoperative duties, the surgical assistant also performs preoperative and postoperative duties to better facilitate proper patient care. The surgical assistant performs these functions during the operation under the direction and supervision of the surgeon and in accordance with hospital policy and appropriate laws and regulations. Positioning the Patient 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, considering the patient’s comfort and safety. Points of pressure shall be padded: elbows, heels, knees, eyes, face, and axillary region. Circulation shall not be impaired (a tourniquet may be required for some procedures). Nerve damage shall be guarded against. The temperature of the patient should be discussed with the anesthesia personnel and methods employed to maintain the desired temperature range. The surgical assistant shall be familiar with common positions related to the surgical procedure and will be able to use the equipment necessary to provide the position. Competencies include: Fracture tables Head stabilizers Body stabilizers C-arm extensions Any other equipment needed Upon completion of the procedure, the patient shall be evaluated for any possible damage from positioning, which will include assessment of the skin. The abnormal condition shall be reported to the surgeon and treatment and documentation shall be carried out. Providing Visualization of the Operative Site Appropriate placement and securing of retractors with or without padding Packing with sponges Digital manipulation of tissue Suctioning, irrigating, or sponging Manipulation of suture materials (e.g., loops, tags, running sutures) Proper use of body mechanics to prevent obstruction of the surgeon’s view Assisting with Hemostasis Utilizing appropriate techniques to assist with hemostasis Clamping and/or cauterizing vessels or tissue Tying and/or ligating clamped vessels or tissue Applying hemostatic clips Placing local hemostatic agents Temporary Measures Applying tourniquets and demonstrating awareness of the indications/contraindications for use with knowledge of side effects of extended use. Applying vessel loops Applying non-crushing clamps Applying direct digital pressure Closure Assistance Participating in volume replacement or auto-transfusion techniques as appropriate Utilizing appropriate techniques to assist with closure of body planes Utilizing running or interrupted sutures with absorbable or non-absorbable material of wound layers, including muscle and fascia. Utilizing subcuticular closure technique with or without adhesive skin closure strips Closing skin with method per surgeon’s directive (suture, staples, etc.) Postoperative subcutaneous injection of local anesthetic per surgeon’s directive Wound Dressing Management Selecting and applying appropriate wound dressings, including the following: Liquid or spray occlusive materials Absorbent material affixed with tape or circumferential wrapping. Immobilizing dressing (soft or rigid) Assisting in securing drainage systems to tissue Performing other duties as required Maintaining established hospital policies, procedures, directives, quality, safety, environmental and infection control standards appropriate for this position Job Status Full time Employee Type Staff Benefits The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more. Equal Opportunity Employer The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. #J-18808-Ljbffr