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Certified Surgical First Assistant (SFA)

Tenet Healthcare
San Antonio, United Statesfull_timeVerifiedPosted 31 Jul 2026

About the role

Overview




Embark on a rewarding career with Mission Trail Baptist Hospital hospital. If you are a compassionate healthcare professional eager to contribute to patient care, this is your opportunity where your skills make a difference every day. Join us in delivering exceptional healthcare with a personal touch.

At Mission Trail Baptist Hospital, we understand that our greatest asset is our dedicated team of professionals. That’s why we offer more than a job – we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:

  • Medical, dental, vision, and life insurance
  • 401(k) retirement savings plan with employer match
  • Generous paid time off
  • Career development and continuing education opportunities
  • Health savings accounts, healthcare & dependent flexible spending accounts
  • Employee Assistance program, Employee discount program
  • Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance

Note: Eligibility for benefits may vary by location and is determined by employment status

Job Summary

This position may qualify for a sign-on bonus.

Assist the operating surgeon in the care of patient in surgery by performing selected duties. Provides direct and indirect technical care to surgical/obstetrical patients. Facilitates safe and effective conduct of invasive surgical procedures. Follows established practices and standards. Completes established competencies for the position within designated introductory period. Other related duties as assigned.

Responsibilities

General Functions:
 Prepares operating room with supplies and equipment according to requirements of the scheduled case
 Maintains a sterile environment
 Administers local anesthetic under direct supervision and direction from surgeon
 Assists with patient positioning, prepping the surgical site and draping the patient
 Assists in maintaining hemostasis by direct pressure, use and application of appropriate surgical instrumentation for the task, placement of ties and suture ligatures, application of chemical hemostasis agents or other measures as directed by surgeon
 Assists with placement of pneumatic tourniquet and urinary catheter
 Prepares ACL graft as directed by surgeon
 Procures and prepares vessel graft for coronary artery bypass procedures
 Provides adequate visualization of the operative site
 Assists in clamping, ligation, and cutting of tissues, placement and suturing of surgical drains, closure of all wound layers and placement of wound dressings
 Utilizes appropriate techniques to assist with closure of body planes as follows:
a) Running or interrupted subcutaneous sutures with absorbable or non-absorbable material
b) Subcuticular closure technique with or without adhesive skin closure strips
c) Skin closure with method indicated by surgeon (suture, staples, etc.)
d) Subcutaneous injection of local anesthetic agent as directed by the surgeon post-operatively.
 Robotic/Laparoscopy procedures only: Insertion of subsequent (not initial) trocars. 
a) Must have documented training and competency validated (initially by BHS Medical staff member privileged to perform robotic surgery. The documentation must include directly supervised trocar insertions on a minimum of five patients completed within a 12-month period with good patient outcomes. Performs OR cleanup tasks, including disposal, and cleaning
 Maintains accountability for instrumentation, sharps, and sponges, according to BHS policy throughout the surgical procedure to ensure that no foreign materials are retained in the surgical wound.
 Maintains and updates knowledge of surgical instrumentation and equipment
 Assumes “on call” after assigned working hours to assist in urgent or emergency surgical procedures.
 Demonstrates ability to gown and glove self using both open and closed gloving techniques
 Utilizes resources efficiently and effectively
 Maintains safe environment
 Addresses patient population-specific needs
 Participates in Performance Improvement activities

Qualifications

MINIMUM EDUCATION: Graduate of a Surgical First Assistant program with eligibility to earn certification through National Board of Surgical Technology and Surgical Assisting (NBSTSA), American Board of Surgical Assistants (ABSA) or the National Surgical Assistant Association (NSAA) within 120 days from graduation.
PREFERRED EDUCATION:
MINIMUM EXPERIENCE: 1 year of recent operating room experience, including direct pa

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Company

Tenet Healthcare

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